Sammanfattning
Background: The prevalence of malnutrition among institutionalised and community-dwelling
older persons with home nursing varies between 30-60 percent and 2-10 percent, respectively. An
early determination of nutritional risk is important, to be able to initiate nutritional therapy and
prevent malnutrition. However, it is unclear which screening tools are best suited for use in the two
groups of older persons in need of care.
Objective: To identify screening tools that can determine the risk of undernutrition in institutionalised
and community-dwelling older persons with home nursing, by examining the validity, reliability and
acceptability of tools that have been identified.
Method: Systematic literature study. The searches were conducted in 2014 in the databases
MEDLINE, Cinahl, Ovid Nursing and Food Science Source, PubMed, Embase and The Cochrane
Central Register of Controlled Trials, and hand search of journals.
Results: We found four different screening tools, MNA-SF, SNAQ, MST and GNRI, reported in nine
validation studies. MNA-SF was validated most times (four studies) and both sensitivity and
specificity were high. MST was validated in one study with moderate specificity. The other tools
showed moderate validity. None of the included studies examined the usefulness of the screening
tool.
Conclusion: Four screening tools, MNA-SF, SNAQ, MST and GNRI, were validated in the two groups of
elderly persons. MNA-SF was best suited to uncover nutritional risk in both groups, but more
research is needed.