本研究目的在探討接受居家照護服務病患的營養狀態,及其相關因素。採橫斷式相關性研究設計,以方便取樣方式,選取南部地區某醫學中心接受居家照護的病患為研究對象,共收案203位。研究工具採結構式問卷進行資料蒐集,內容包括:病患基本資料、罹病狀態、日常活動能力、飲食狀況,以及照護資源,以迷你營養評估量表(Mini Nutritional Assessment)進行居家照護服務病患的營養狀態評估,並探討影響其營養狀態的因素。研究結果發現接受居家照護病患有70位(34.5%)呈現營養不良的狀態。經由羅吉斯回歸分析家照護病患營養不良的重要預測因子為:有糖尿病飲食限制(OR:3.98)、未獲足夠資源(OR:3.39)、家庭經濟能力差(OR:2.99)、食用自製飲食(OR:0.27)等。因此建議應多關注使用配方飲食、有糖尿病飲食限制、缺乏社會資源、以及家庭經濟狀況欠佳的病患,以早期偵測其營養狀態,減少或解決其營養不良的問題,可提供實務界作為提供更完整營養照護的參考。
The purpose of this study is to investigate the nutrition states of home care patient and its relevant factors. The cross-sectional research design is applied in this study and we choose 203 participates from home care patients by sampling of a medical center in southern Taiwan. Research instruments adopt the structural questionnaire that includes demographic data, diagnosis, activity of daily life, dietary habit and caring supports, and precedes the assessment of nutrition states of home care patients to investigate the relevant factors by using Mini Nutritional Assessment tool. The results of this study are found that there are 70 (34.5%) home care patients presenting the malnutrition. Regression analysis of Rogers shows that the most significant prediction factors of malnutrition of home care patients are:restrain of diabetes diet (OR:3.98), without the sufficient social supports (OR:3.39), poor family (OR:2.99), eat the home made diet (OR:0.27), It is a strong needs to take care the patients who are taking the formula diet, restrain of diabetes diet, lack of social supports and poor family. Early detect the nutrition states of home care patients may eliminate or solve the malnutrition problems and can also provide information for clinical practices to offer the completely nutrition care.