American Journal of Nursing Science

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Impact of Shared Decision-making on Compliance with Oral Nutritional Supplements and Quality of Life Among Elderly Patients with Cirrhosis

Received: Mar. 12, 2020    Accepted: Mar. 26, 2020    Published: Apr. 07, 2020
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Abstract

Objective: To investigate the effect of shared decision-making on compliance with oral nutrition supplementation (ONS) and quality of life of among elderly patients (≥ 60 years) with cirrhosis. Methods: This study used an action research design that tested the intervention of shared decision-making among elderly patients with cirrhosis. It measured how this intervention influenced compliance with oral nutrition supplements and quality of life. Sixty-eight elderly patients with cirrhosis who were hospitalized in our department from May 2019 to November 2019 were randomly divided into two groups: the control group the observation group. The total number of participants in each group was 34. The control group received routine care. The observation group received shared decision-making nutrition care in addition to routine care. Results: After the intervention, patients in the observation group had higher oral nutritional compliance and quality of life scores than the control group and had a statistical significance (P < 0.05). Conclusion: After the implementation of Shared decision nutrition care for 34 elderly patients with cirrhosis, the patients' ONS compliance and quality of life were greatly improved. At present, there are relatively few researches on the application of Shared decision in digestive system diseases,Hope to play a certain role of reference or guidance.

DOI 10.11648/j.ajns.20200903.12
Published in American Journal of Nursing Science ( Volume 9, Issue 3, June 2020 )
Page(s) 97-101
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Shared Decision-making, Cirrhosis, Elderly Patients, Oral Nutritional Supplementation, Compliance, Quality of Life

References
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[2] Cong, M. H. Li, S. L. Cheng, G. W. et al. (2015). An Interdisciplinary Nutrition Support Team Improves Clinical and Hospitalized Outcomes of Esophageal Cancer Patients with Concurrent Chemoradiotherapy. Chin Med J (Engl), 128 (22): 3003-3007.
[3] Lihong, Z. Xiaorong, Z. (2019). Effects of high-quality care combined with intensified parenteral nutrition support on immune function and quality of life in patients with gastric cancer and intestinal obstruction [J]. Hebei Medical Journal, 41 (09): 1431-1433+1437.
[4] Torda, T. A. Pybus, D. A. (1984). Extradural administration of morphine and bupivacaine controlled comparison. Br J Anaesth, 56: 141-146.
[5] Simon, D. Schorr, G. Wirtz, M. et al. (2006). Development and first validation of the shared decision-making questionnaire (SDM-Q) [J]. Patient Educ Couns, 63 (3): 319-327.
[6] Smith, M. A. (2016). The role of shared decision making in patient-centered care and orthopaedics, J. Orthop Nurs, 35 (3): 144-149.
[7] Zaiying, L. Nanshan, Z. (2008). Internal Medicine [M]. 7th Edition. Beijing: People's Medical Publishing House, 402-412.
[8] Chinese Society for Parenteral and Enteral Nutrition. (2017). Guidelines for nutritional support in cancer patients. Chinese Journal of Surgery, 55 (11): 801- 829
[9] Jiahong, L. Chonghua, W. Qiong, M. et al. (2007). Development and evaluation of the quality of life instrument for patients with head and neck cancer QLICP-HN in China. Modern Preventive Medicine, 34 (21): 4023-4025.
[10] Lee, J. L. Leong, L. P. Lim, S. L. (2016). Nutrition intervention approaches to reduce malnutrition in oncology patients: a systematic review. Support Care Cancer, 24 (1): 469-480.
[11] Ravasco, P. Monteiro-Grillo, I. Marques, V. P. et al. (2005). Impact of nutrition on outcome: a prospective randomized controlled trial in patients with head and neck cancer undergoing radiotherapy. Head Neck, 27 (8): 659-668.
[12] Qunying, Z. Zhongyu, J. (2018). Effect of adequate nutritional support on nutritional status and quality of life of cancer patients after chemotherapy. Parenteral and Enteral Nutrition, 25 (3): 138-141.
[13] Arends, J. Bachmann, P. Baracos, V. et al. (2017). ESPEN guidelines on nutrition in cancer patients. Clin Nutr, 36 (1): 11-48.
[14] Talwalkar, J. A. (2011). Evening administration of long-acting beat-blockers for primary prophylaxis for primary primary prophylaxis in cirrhosis: an effective strategy. Am J Gastroenterol, 106: 545.
[15] Yu, L. Zhixia, Y. Peiyu, L. Li, L. (2016). Current status and factors influencing participation in decision-making for surgery in informed patients with primary liver cancer [J]. Journal of Nursing (China), 23 (18): 6-11.
[16] Peijuan, C. Li, W. Wenzhi, C. (2017). Effects of integrated medical care on the compliance to jaw-opening exercise and quality of life in patients with nasopharyngeal carcinoma. Guangdong Medical Journal, 38 (12): 1941-1943+1947.
[17] Elwyn, G. Frosch, D. L. Kobrin, S. (2016). Implementing shared decision-making: consider all the consequences. Implement Sci, 11: 114.
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  • APA Style

    Li Guanhong, Liang Dongxiu, Chen Zhaolin. (2020). Impact of Shared Decision-making on Compliance with Oral Nutritional Supplements and Quality of Life Among Elderly Patients with Cirrhosis. American Journal of Nursing Science, 9(3), 97-101. https://doi.org/10.11648/j.ajns.20200903.12

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    ACS Style

    Li Guanhong; Liang Dongxiu; Chen Zhaolin. Impact of Shared Decision-making on Compliance with Oral Nutritional Supplements and Quality of Life Among Elderly Patients with Cirrhosis. Am. J. Nurs. Sci. 2020, 9(3), 97-101. doi: 10.11648/j.ajns.20200903.12

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    AMA Style

    Li Guanhong, Liang Dongxiu, Chen Zhaolin. Impact of Shared Decision-making on Compliance with Oral Nutritional Supplements and Quality of Life Among Elderly Patients with Cirrhosis. Am J Nurs Sci. 2020;9(3):97-101. doi: 10.11648/j.ajns.20200903.12

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  • @article{10.11648/j.ajns.20200903.12,
      author = {Li Guanhong and Liang Dongxiu and Chen Zhaolin},
      title = {Impact of Shared Decision-making on Compliance with Oral Nutritional Supplements and Quality of Life Among Elderly Patients with Cirrhosis},
      journal = {American Journal of Nursing Science},
      volume = {9},
      number = {3},
      pages = {97-101},
      doi = {10.11648/j.ajns.20200903.12},
      url = {https://doi.org/10.11648/j.ajns.20200903.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajns.20200903.12},
      abstract = {Objective: To investigate the effect of shared decision-making on compliance with oral nutrition supplementation (ONS) and quality of life of among elderly patients (≥ 60 years) with cirrhosis. Methods: This study used an action research design that tested the intervention of shared decision-making among elderly patients with cirrhosis. It measured how this intervention influenced compliance with oral nutrition supplements and quality of life. Sixty-eight elderly patients with cirrhosis who were hospitalized in our department from May 2019 to November 2019 were randomly divided into two groups: the control group the observation group. The total number of participants in each group was 34. The control group received routine care. The observation group received shared decision-making nutrition care in addition to routine care. Results: After the intervention, patients in the observation group had higher oral nutritional compliance and quality of life scores than the control group and had a statistical significance (P < 0.05). Conclusion: After the implementation of Shared decision nutrition care for 34 elderly patients with cirrhosis, the patients' ONS compliance and quality of life were greatly improved. At present, there are relatively few researches on the application of Shared decision in digestive system diseases,Hope to play a certain role of reference or guidance.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Impact of Shared Decision-making on Compliance with Oral Nutritional Supplements and Quality of Life Among Elderly Patients with Cirrhosis
    AU  - Li Guanhong
    AU  - Liang Dongxiu
    AU  - Chen Zhaolin
    Y1  - 2020/04/07
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajns.20200903.12
    DO  - 10.11648/j.ajns.20200903.12
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 97
    EP  - 101
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20200903.12
    AB  - Objective: To investigate the effect of shared decision-making on compliance with oral nutrition supplementation (ONS) and quality of life of among elderly patients (≥ 60 years) with cirrhosis. Methods: This study used an action research design that tested the intervention of shared decision-making among elderly patients with cirrhosis. It measured how this intervention influenced compliance with oral nutrition supplements and quality of life. Sixty-eight elderly patients with cirrhosis who were hospitalized in our department from May 2019 to November 2019 were randomly divided into two groups: the control group the observation group. The total number of participants in each group was 34. The control group received routine care. The observation group received shared decision-making nutrition care in addition to routine care. Results: After the intervention, patients in the observation group had higher oral nutritional compliance and quality of life scores than the control group and had a statistical significance (P < 0.05). Conclusion: After the implementation of Shared decision nutrition care for 34 elderly patients with cirrhosis, the patients' ONS compliance and quality of life were greatly improved. At present, there are relatively few researches on the application of Shared decision in digestive system diseases,Hope to play a certain role of reference or guidance.
    VL  - 9
    IS  - 3
    ER  - 

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Author Information
  • Department of Gastroenterology, the First Affiliated Hospital of Jinan University, Guangzhou, China; School of Nursing, Jinan University, Guangzhou, China

  • School of Nursing, Jinan University, Guangzhou, China

  • School of Nursing, Jinan University, Guangzhou, China

  • Section