The effects of individualized nutritional intervention program in malnutrition elderly with pneumonia
| Autor: | Pei-Hsin Yang, 楊珮欣 |
|---|---|
| Rok vydání: | 2018 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 106 Background： Pneumonia has a high mortality rate, with deaths above 65 years old accounting for 70.1% of the total deaths. In patients with pneumonia, late-stage malnutrition leads to changes in body composition and inability to breathe. However, no studies have been conducted to evaluate the effects of individualized nutritional interventions on changes in caloric intake, body composition, and biochemical test in hospitalization for pneumonia in the elderly, as well as the third and sixth months of nutritional intervention after continuous discharge from hospital. Objective： To investigate the nutritional effectiveness assessment of individualized nutritional interventions for malnutrition elderly pneumonia. Material and methods： Recruitment of hospitalized physicians with primary diagnosis of pneumonia, use of nasogastric tubery for malnutrition subjects aged 65 years or older, exclusion of renal insufficiency, cancer, days of hospitalization less than 7 days, and hospital deaths, personal or family members’ willingness to participant. The participants were enrolled in this study and received dietitian care as a nutrition intervention group; no nutritionist was involved as a standard care group. Analysis of the subjects'' pre-hospital and pre-discharge heat rate, three major nutrient intakes, mini-nutrient assessment scales, anthropometric measurements, blood biochemical indicators, and the third and sixth months after discharge. Nutrition status, analysis of the heat generation rate, the three major nutrient intakes, the mini-nutrient assessment scale differences, was performed by generalized estimating equation (GEE) to explore the individualized nutrition program intervention for nutrition changes in malnutrition elderly pneumonia Impact. Results： In this study, a total of 88 prospective participants excluded 6 in-hospital deaths and a total of 82 patients were compared and analyzed. During hospitalization, the nutritional intervention group (n=39) had a significant increase in dietary intake, caloric achievement rate, and protein compared to the standard care group (n=43) (p < 0.05); however, anthropometric measurements (BMI, body circumference, and subcutaneous fat thickness) There were no significant differences in blood biochemical values (albumin, total lymphocyte counts), mini-nutrition assessment scores, and days of hospitalization. After discharge, it was found that the dietetic intake of the nutrition intervention group, whether it was the third or sixth month, and the mini-nutrition evaluation score were significantly improved compared with the standard care group (p < 0.05). After the adjusted odds of the relative odds ratio of pneumonia rehospitalization, the risk of re-admission to pneumonia was reduced by 77% in the nutritional intervention group compared with the standard care group. Conclusion： Continuing individualized nutrition program interventions for elderly suffering from pneumonia and malnutrition, though the result was less effective during hospitalization, long-term follow-up and teaching significantly improves the status of dietary intake and mini-nutrition assessment scores, indicating the importance of nutrition support. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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