評估仁愛之家老年住民之營養狀況並分析其預測因子

王怡真

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評估仁愛之家老年住民之營養狀況並分析其預測因子

Assessment of the nutritional status and analysis of the associated factors in residents of Senior Citizens' Homes

王怡真 , Masters　　Advisor：蔡仲弘　　

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Abstract │ Reference (51) │ Altmetrics

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Background: The risk of malnutrition is high in low income elderly because of their prior exposure to disease risks and infections.
Objective: The objective of this study was to gain an understanding of the risk of malnutrition in low income elderly residing in care homes and to analyze the potential impacting factors.
Methods: By means of purposive sampling and with a structured questionnaire the study interviewed 109 residents of a low income care home in Central Taiwan. Key anthropometric indicators were measured. Serum biomarkers were obtained from routine checkups performed by the institution. The interview elicited personal basic information, health-related data and answers to questions in the modified MNA (Mini Nutritional Assessment, MNA-TI and TII), CNAQ (Council on Nutrition appetite questionnaire), Activities of Daily Living (ADL), GDS (Geriatric Depression Scale) and MMSE (Mini-Mental State Examination). Results were analyzed with SPSS 12.0 Statistical Software.
Results: Two modified versions of the MNA produced comparable results in grading the nutritional status of the residents. The MNA-TI classified 5.5% of residents malnourished, 33.9% at risk of malnutrition and 60.6% normal whereas MNA-TII classified 6.4, 31.2 and 62.4%, respectively. Pearsons' correlation analysis showed that the MNA scores were significantly correlated with ADL, calf circumference, GDS, MMSE and CNAQ scores. These results suggest both versions of the modified MNA can effectively grade the nutritional status of the low income elderly. The MNA-TII would have certain advantages because it does not require the measurement of weight and height for computing BMI. Results also showed that the modified MNA can predict one-year follow-up hospital length of stay of these residents.
Conclusion: The modified MNA, especially MNA-TII, is a useful tool for grading the nutritional status of elderly low income care-home residents. Routine assessment of nutritional status of the elderly is a key step in detecting emerging malnutrition. The process enables timely intervention to stop full bloom malnutrition and may improve the quality of life of the elderly and save the healthcare cost in the long run.

Reference ( 51 ) 〈TOP〉

行政院衛生署國民健康局 (2004)。高血壓防治手冊。2006年12月27日，取自 http://www.bhp.doh.gov.tw/health91/1-4-4/06血壓的測量
連結：
吳淑瓊、張明正 (1997)。台灣老人的健康照護現況分析。國立台灣大學公共衛生研究所衛生政策研究中心。
連結：
邱怡玟、林文元、謝柏均、李佳霙、邱瓊慧 (2005)。長期照護機構住民營養狀態評估指標之研究。實證護理，1 (2)，112-122。
連結：
詹吟菁、翁玉青、洪麗珍、黃美娜、林姿利、王銘富（2000）。台中縣地區居家老年失能病患之營養現況。中華民國營養學會雜誌，25(2)，82-90。
連結：
戰臨茜、高森永、金惠民、李美璇 (2002)。北台灣社區與機構中老人的營養狀況及其預測因子。中華民國營養學會雜誌，27 (3)，147-158。
連結：

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