Title

老人居家照護個案營養專業介入之成效探討

Translated Titles

The Effectiveness of Home Visits by Registered Dietitians to the Elderly in Taiwan

DOI

10.6691/JCNS.200212_27(4).0005

Authors

金惠民(Huei-Min Linda Chin);田玫(Mei Tyan);廖英茵(Ying-Yin Liao)

Key Words

居家照護 ; 營養不良 ; 營養介入 ; 血清白蛋白 ; 血清膽固醇 ; home health care ; malnutrition ; serum albumin ; serum cholesterol

PublicationName

中華民國營養學會雜誌

Volume or Term/Year and Month of Publication

27卷4期(2002 / 12 / 01)

Page #

232 - 238

Content Language

繁體中文

Chinese Abstract

Home health care is part of integrated medical care which has been paid for by the National Health Insurance since 1995. It is carried out by home care agencies which take care of subjects who are sick and are recuperating at home. Many studies have indicated that 50% of home care subjects are malnourished; however, home care agencies are not required to have a registered dietitian to provide nutrition services to their clients in Taiwan. In this study, we classified new home care subjects into three groups according to their nutritional status. Subjects in groups A and B were malnourished with serum albumin levels below 3.0 g/dL or serum cholesterol levels below 160 mg/dL, where group C consisted of subjects who were well-nourished. Subjects of group A were referred to a registered dietitian for home visits, and those of groups B and C were maintained on home nursing care. Results showed that after 4 months, the mean serum albumin level of group A (malnutrition-intervention group) had significantly increased from 3.2 ± 0.5 to 3.4 ± 0.5 g/dL (p < 0.005); that of group B (malnutrition-non0intervention group) showed no change (3.2 ± 0.6 vs. 3.2 ± 0.5 g/dL, p=0.97); while that of group C (normal nutrition-non-intervention group( had significantly decreased from 3.8 ± 0.4 to 3.7 ± 0.4 mg/dL (p < 0.002), that of group B showed no change (143 ± 25 vs. 141 ± 27 mg/dL, p =0.68), and that of group C decreased from 196 ± 34 to 185 ± 40 mg/dL (p < 0.05). These results indicate that nutritive and are necessary.

English Abstract

Home health care is part of integrated medical care which has been paid for by the National Health Insurance since 1995. It is carried out by home care agencies which take care of subjects who are sick and are recuperating at home. Many studies have indicated that 50% of home care subjects are malnourished; however, home care agencies are not required to have a registered dietitian to provide nutrition services to their clients in Taiwan. In this study, we classified new home care subjects into three groups according to their nutritional status. Subjects in groups A and B were malnourished with serum albumin levels below 3.0 g/dL or serum cholesterol levels below 160 mg/dL, where group C consisted of subjects who were well-nourished. Subjects of group A were referred to a registered dietitian for home visits, and those of groups B and C were maintained on home nursing care. Results showed that after 4 months, the mean serum albumin level of group A (malnutrition-intervention group) had significantly increased from 3.2 ± 0.5 to 3.4 ± 0.5 g/dL (p < 0.005); that of group B (malnutrition-non0intervention group) showed no change (3.2 ± 0.6 vs. 3.2 ± 0.5 g/dL, p=0.97); while that of group C (normal nutrition-non-intervention group( had significantly decreased from 3.8 ± 0.4 to 3.7 ± 0.4 mg/dL (p < 0.002), that of group B showed no change (143 ± 25 vs. 141 ± 27 mg/dL, p =0.68), and that of group C decreased from 196 ± 34 to 185 ± 40 mg/dL (p < 0.05). These results indicate that nutritive and are necessary.

Topic Category 醫藥衛生 > 預防保健與衛生學
Times Cited
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