- 學位論文
長期照護住民的血清白蛋白與營養狀況評估
Serum Albumin and Nutrition Status Assessment For Long-term Care Residents
摘要
本研究探討長期照護機構住民的血清白蛋白與營養狀況，剛入住時測量一次血清白蛋白，入住後測量一次血清白蛋白，觀察長期入住後對住民血清白蛋白的變化。本研究收集對象為96年至102年期間長期照護機構入住住民，分成由口進食組與管灌餵食組，統計白蛋白是上升、下降、或沒升沒降各有多少人，觀察長期照護機構的住民經過長時間的入住，分析其因慢性病、急性住院等狀況，生理狀態被影響之下，最後呈現出的營養狀況如何。 營養狀況分析包括六部分: 一．血清白蛋白(Serum albumin)二.血紅素(Hemoglobin；Hb) 三.血清膽固醇(Serum cholesterol)四.血清三酸甘油酯(Serum triglycerol)五.血清肌酸酐(Serum creatinine；Cr)六.體重(Body weight)。 本研究收集之樣本數計60人，由口進食組為44人，發現血清白蛋白上升者有18人，下降者有19人，沒升沒降者有7人。管灌餵食組為16人，發現其中4人血清白蛋白是上升，下降者有7人，沒升沒降者有5人。研究結果顯示住民的體重、血色素以及白蛋白與住民的餵食方式和生理狀況具有關聯性。 本研究透過營養評估瞭解長期照護住民之健康狀況，有助於改善他們的健康問題與提升他們的生活功能。
並列摘要
The study was to investigate the serum albumin and nutritional status of residents who live in long-term care center. When they moved in, their blood biochemical measurements were examined firstly. After a few days stay, other blood biochemical analyses were measured. Observations obtained from a long-time care, the change of their serum albumin concentration were compared. In this study, 60 long term care residents were collected and divided into two groups according to their food intake pathway.The first group was the oral intake group; the second group was nasogastric (NG)-feeding.Wefound whose serum albumin was increased, whose serum albumin was decreased, and whose serum albumin was no change. After a long-time care observations, determine the effects between chronic disease, acute hospitality and physical status, at last show with their nutrition status. The nutrition status analysis were included in six parts: 1. Serum albumin; 2. Hemoglobin (Hb); 3.Serum cholesterol; 4.Serum triglycerol;5.Serum creatinine(Cr.); and 6.Body weight. The results revealed that among the 60 collected residents, 44 residents were oral intake assigned as the first group, and 16 residents were NG-feeding assigned as the second group. In the first group(oral intake), 18 residents showed serum albumin increased, 19 residents’ serum albumin were decreased and 7 residents did not showed change significantly on their serum albumin. In the second group (NG-feeding), 4 residents showed serum albumin increased, 7 residents showed serum albumin decreased and 5 residents’ serum albumin did not change. The residents’s serum albumin, Hemoglobin and body weight had significant relationship with their feeding pathway and physical status. Through the nutritional assessment of this study to understand the health status of long-term care residents, they can obtain help to improve their health problems and live funtions.