Background Older people have varying degrees of unmet nutritional needs following discharge from hospital. Inadequate involvement of the older person and his or her family caregivers in care and care planning, and inadequate support of self-management in the discharge process and follow-up care at home, negatively affects the quality of care. Research on older patients' and their family caregivers' experiences with nutritional care in hospital and home care and in the transition between these settings is limited. Thus, the aim of this study was to explore older patients' and their family caregivers' perceptions regarding the food, meals and nutritional care provided in the transition between hospital and home care services, focusing on the first 30 days at home. The overall aim of this study is to produce knowledge that can inform policy and clinical practice about how to optimise the care provided to older persons that are malnourished or at risk of malnutrition. Methods Using a qualitative interpretive descriptive design, we carried out face-to-face semi-structured interviews with 15 older patients, with documented risk of malnutrition or malnourishment (Mini Nutritional Assessment [MNA]), two and five weeks after hospital discharge. In addition, we interviewed nine family caregivers once during this five week period. The questions focused on perceptions of food, meals and nutritional care in hospital and home care and in the transition between these settings. We analysed the data thematically. Results Four overarching themes emerged from the material: 1) the need for a comprehensive approach to nutritional care, 2) non-individualised nutritional care at home, 3) lack of mutual comprehension and shared decision making and 4) the role of family caregivers. Conclusion The organisation of nutritional care and food provision to older people, depending on care, lack consideration for the individual's values, needs and preferences. Older patients' and their family caregivers' needs and preferences should guide how nutritional care is provided.

中文翻译：

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在医院和家庭护理之间的过渡中，老年患者及其家庭护理人员对食物、膳食和营养护理的看法：一项定性研究。

背景 老年人出院后有不同程度的营养需求未得到满足。老年人及其家庭护理人员在护理和护理计划中的参与不足，以及在出院过程和家庭后续护理中对自我管理的支持不足，都会对护理质量产生负面影响。对老年患者及其家庭护理人员在医院和家庭护理中以及在这些环境之间的过渡中的营养护理经验的研究是有限的。因此，本研究的目的是探讨老年患者及其家庭护理人员对在医院和家庭护理服务之间的过渡期间提供的食物、膳食和营养护理的看法，重点是在家的前 30 天。本研究的总体目的是提供知识，为政策和临床实践提供信息，以了解如何优化向营养不良或有营养不良风险的老年人提供的护理。方法 使用定性解释性描述设计，我们对 15 名老年患者进行了面对面的半结构化访谈，这些患者在出院 2 周和 5 周后记录了营养不良或营养不良的风险（迷你营养评估 [MNA]）。此外，我们在这五周期间采访了九位家庭照顾者一次。这些问题的重点是对医院和家庭护理中的食物、膳食和营养护理以及这些环境之间的过渡的看法。我们对数据进行了专题分析。结果 材料中出现了四个总体主题：1) 需要全面的营养护理方法，2) 在家中非个体化的营养护理，3) 缺乏相互理解和共同决策，以及 4) 家庭护理人员的作用。结论 对老年人的营养护理和食物供应的组织，取决于护理，缺乏对个人价值观、需求和偏好的考虑。老年患者及其家庭护理人员的需求和偏好应指导如何提供营养护理​​。