Relationship between Malnutrition Risks and Functional Abilities of the Elderly in Home Care Services.

Autor: Baz, Selma, Ardahan, Melek
Předmět:
Zdroj: International Journal of Caring Sciences; May-Aug2019, Vol. 12 Issue 2, p603-610, 8p, 3 Charts, 1 Graph
Abstrakt: Background: Malnutrition is an important and common public health problem that is frequently not diagnosed earlier among the elderly living in a home, nursing home, or hospital environment. Nurses can prevent the development of malnutrition and loss of functional ability in the elderly by evaluating malnutrition risks. Objective: This research aimed to determine the relationship between malnutrition risks and functional abilities of the elderly living in a home environment, while revealing malnutrition risks and other affecting factors. Methods: This research was planned to be descriptive and correlational, with a total of 288 elderly participants (73.8 ± 7.2) (aged >65 years) being included. Three questionnaires were administered to gather data on demographic characteristics, malnutrition risks and functional abilities. Result: Upon examination of Mini Nutritional Assessment scores, 47.2% of the participants were found to have malnutrition risks, while 15.6% were identified as malnourished. Age range and education status were found to have an effect on malnutrition risk, whereas gender, socioeconomic status, and loneliness did not. A statistically significant difference was determined between malnutrition risk and functional ability (X² = 143.265; p < 0.01). Additionally, a statistically significant correlation was determined between Mini Nutritional Assessment and Bartel Index scores (r = 0.613; p = 0.000). Through stepwise multiple linear regression analysis, we determined that having children, cerebrovascular diseases, depression or dementia (including Alzheimer's disease), health problems related to the digestive system, lack of appetite, body mass index, mid-upper arm and calf circumference, and Bartel Index scores significantly affected the Mini Nutritional Assessment scores (R² = 0.781; p < 0.01). Conclusion: This research revealed that a statistically significant positive correlation exists between malnutrition risks and functional abilities of the elderly living in a home environment, and that improvement in functional ability independence reduces such risks. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index