To improve nutritional outcomes of community dwelling adults with malnutrition we identified three related hypotheses to be tested: i) Southampton Community Prescribing Support Service dietitians achieve 100% compliance with selected standards of the National Institute for Health and Clinical Excellence Clinical Guideline (CG) 32, ii) patient service satisfaction amongst community dwelling adults accessing the prescribing support service is high (90%), and iii) nationally, dietitians use weight gain goal >10% and BMI >18.5 kg/m2 as outcome measures from the service phases of prescribing support. A retrospective audit of records of 100 community-dwelling adults accessing local services considered CG32 "Indications for nutrition support in hospital and community standard 1.3.1" and CG32 "Monitoring of nutrition support in hospital and community standard 1.5.6". A questionnaire was distributed to community-dwelling adults (n = 52) accessing the service, in addition to a national survey of dietetic practice. Compliance with standard 1.3.1 was 46% and with standard 1.5.6 it was 82%. The majority of patients (86%; n = 13) reported satisfaction with the support service. Nationally, 89% (n = 51) of dietitians use weight and 87% (n = 50) use BMI as an outcome measure for success of nutritional intervention. All research hypotheses were rejected. These results suggest there is considerable variation in the identification and management of malnutrition amongst community dwelling adults, which may impact on clinical and nutritional outcomes. Future work should consider quality improvement projects to address potential barriers to achieving best practice by community prescribing dietitians through the use of nutrition pathways to support older adults with malnutrition.

中文翻译：

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研究确定了社区处方营养师在识别和管理社区成人营养不良方面的营养实践差异

为了改善社区居住的营养不良成人的营养结果，我们确定了三个相关假设进行测试：i) 南安普敦社区处方支持服务营养师 100% 符合美国国家健康与临床卓越研究所临床指南 (CG) 32 的选定标准， ii) 获得处方支持服务的社区居住成年人的患者服务满意度很高 (90%)，并且 iii) 在全国范围内，营养师使用体重增加目标 >10% 和 BMI >18.5 kg/m2 作为处方服务阶段的结果测量支持。对 100 名社区居民获得当地服务的记录的回顾性审计被认为是 CG32“医院和社区标准 1.3.1 中营养支持的指征”和 CG32“