ArticleJournal of human nutrition and dietetics : the official journal of the British Dietetic Association2025
Patients' Voices and Dietitians' Perspectives on Meaningful Aspects in the Nutritional Care of Patients at Risk of Malnutrition After Stroke.
Article in Journal of human nutrition and dietetics : the official journal of the British Dietetic Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundAfter a stroke, patients may have complex eating difficulties that can lead to a risk for malnutrition. Individualised nutritional care could be optimised by identifying meaningful factors in the patient's relationship with food and eating. This study explored the perspectives of dietitians regarding the nutritional care of these patients and the experiences of patients in relation to food and eating in everyday life at home.
methodsTwo focus groups with five registered dietitians in each and eight individual semi-structured patient interviews were conducted. The two data sets were analysed separately with inductive qualitative analysis using a thematic analysis approach.
resultsIn the nutritional care of these patients, the dietitians specifically highlighted: (1) Practical aspects, (2) Support and social aspects and (3) Feelings and emotions. The patient interviews revealed four themes: (1) Ability to prepare and eat food, (2) Issues affecting food enjoyment, (3) Social aspects of eating and mealtimes and (4) Emotional relationship with food.
conclusionsPatients described symptoms after a stroke impacting food enjoyment, social identity, and well-being. While dietitians reported addressing practical, social, and emotional aspects of food and eating, they lacked appropriate tools to measure these. There was a discrepancy between the focus of dietitians and that of patients; appropriate tools are needed to address these perspectives to provide high-quality patient-centred care.
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