在多中心住院老年患者营养与吞咽困难研究中落实患者与公众参与：NUTRIFAG案例研究
Operationalizing Patient and Public Involvement in a Multicenter Study on Hospital Nutrition and Dysphagia in Older Adults: The NUTRIFAG Case Study.
文献信息
| PMID | 42940531 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Arturo Garcia-Garcia |
| 作者单位 | PhD Programme in Health Sciences, Nursing and Community Health Team, Department of Nursing, University of Alicante, Ctra. de San Vicente s/n, 03690 San Vicente del Raspeig, Spain. |
| 期刊 | Healthcare (Basel, Switzerland) |
| SCI 分区 | Q1 |
| IF | 3.3 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 咽喉科 |
中文摘要
背景/目标： 营养不良和吞咽困难是住院老年患者中常见且相互关联的状况，并与较差的临床结局相关。患者与公众参与（PPI）已被越来越多地推荐用于提高医疗研究和干预的相关性、可用性和实施；然而，将PPI整合到医院营养与吞咽困难研究中的结构化方法仍然有限。本研究旨在描述PPI如何在多中心NUTRIFAG项目中设计并嵌入，并识别其实施的实践教训。
方法： 在NUTRIFAG内开展了一项社区案例研究，NUTRIFAG是一个前瞻性观察性多中心项目，评估西班牙九家公立医院内科和外科病房收治的≥65岁成年人的营养状况和吞咽困难风险。一个公民咨询小组（CAG）作为结构化PPI组成部分嵌入NUTRIFAG，并使用GRIPP2长表（GRIPP2-LF）报告框架对PPI过程中产生的文件进行汇编和综合。
结果： CAG由17名利益相关者组成，代表患者和家庭照护者、患者协会、医疗专业人员、医院管理层以及医院食品和餐饮服务。参与主要发生在设计和传播阶段，包括三次虚拟会议，并辅以反复的电子邮件交流。PPI促成了传播材料的若干改进，包括信息更清晰、增加易读层、改进姿势提示、更清晰地区分体征和症状、纳入链接至信息来源的二维码，以及通过字幕和全屏显示改善视频可及性。
结论： 在多中心医院研究中嵌入多元化的利益相关者咨询小组是可行的，并产生了有记录的沟通材料和传播流程改进。结构化的PPI可能有助于为医院环境中的老年患者提供更清晰且可能更可用的医疗资源。
英文摘要
Background/Objectives: Malnutrition and dysphagia are common and interrelated conditions among hospitalized older adults and are associated with poorer clinical outcomes. Patient and public involvement (PPI) has been increasingly recommended to improve the relevance, usability, and implementation of healthcare research and interventions; however, structured approaches to integrating PPI in hospital research on nutrition and dysphagia remain limited. This study aimed to describe how PPI was designed and embedded within the multicenter NUTRIFAG project and to identify practical lessons for its implementation. Methods: A community case study was conducted within NUTRIFAG, a prospective observational multicenter project assessing nutritional status and dysphagia risk among adults aged ≥65 years admitted to medical and surgical wards in nine Spanish public hospitals. A Citizen Advisory Group (CAG) was embedded in NUTRIFAG as a structured PPI component, and the documentation generated during the PPI process was compiled and synthesized using the GRIPP2 Long Form (GRIPP2-LF) reporting framework. Results: The CAG comprised 17 stakeholders representing patients and family caregivers, patient associations, healthcare professionals, hospital management, and hospital food and catering services. Engagement occurred mainly during the design and dissemination phases and included three virtual meetings supported by iterative email exchanges. PPI contributed to several refinements in dissemination materials, including clearer messaging, the addition of a reading-easy layer, improved posture cues, clearer separation of signs and symptoms, incorporation of QR codes linking to information sources, and improved video accessibility through captions and full-screen display. Conclusions: Embedding a diverse stakeholder advisory group within a multicenter hospital study was feasible and generated documented refinements to communication materials and dissemination processes. Structured PPI may contribute to clearer and potentially more usable healthcare resources for older patients in hospital settings.