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http://dx.doi.org/10.5392/JKCA.2017.17.09.426

Malnutritional Status and It's Related Factors of Demented Elderly in Long-term Care Facilities  

Hyun, Eun-young (영서원)
Oh, Jin-joo (단국대학교 간호학과)
Publication Information
The Journal of the Korea Contents Association / v.17, no.9, 2017 , pp. 426-436 More about this Journal
Abstract
The purpose of this study was to analyze factors affecting malnutritional status of elders with dementia in facilities. The subjects were 140 elders with dementia residing in three nursing facilities in Chungnam, South Korea. Data were collected from May 30 to September 30 in 2016, using questionnaires. The collected data were tested by t-test, ANOVA, correlation, regression analysis. The malnutritional status of elders with dementia in facilities was high in the high-risk group (84, 60.0%), and the nutritional status was appeared to be related to sex, long-term care grade, Korean version-Activities of Daily Living and feeding difficulty and cognitive function. As a result of multiple regression analysis, significant influence variables on malnutritional status were Activities of Daily Living(${\beta}=0.379$, p=.001), feeding difficulty(${\beta}=0.264$, p=.001), cognitive function(${\beta}=-0.187$, p=.014) and these variables showed an explanatory power of 35.9% on malnutritional status. The results of this study are expected to be used as basic data for the development of malnutritional status improvement program for elders in facilities with dementia.
Keywords
Dementia; K-ADL; Feeding Difficulty; Cognitive Function; Malnutritional Status;
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Times Cited By KSCI : 3  (Citation Analysis)
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1 H. Ahn, J. Kang, and H. Lee, "Nutrition Status of Elderly Female Patients in Long-term Care Hospital," Vol.19, No.2, pp.187-197, 2014.   DOI
2 박화경, 임보경, 최성희, 이혜련, 이도상, "노인 환자의 영양결핍 대상자 선별을 위한 MNA 간소화 및 적합성 검증," 한국정맥경장영양학회지, Vol.2, No.1, pp.13-18, 2009.
3 백명하, 요양병원에 입원한 노인 환자의 영양불량을 예측하는 영양검색도구의 효능 평가, 전남대학교, 석사학위논문, 2014.
4 원장원, "한국형 일상생활 활동 측정도구(K-ADL와 한국형 도구적 일상생활 측정도구(K-IADL)의 특징," 대한노인병학회지, 제6권, 제1호, pp.1-10, 2002.
5 보건복지부, 치매진단 도구의 표준화, 서울대학교 병원, 2009.
6 이정, 장기요양시설 거주 치매노인의 식사행동장애 관련 요인, 목포대학교, 석사학위논문, 2016.
7 R. J. Stratton, A. Hackston, D. Longmore, R. Dixon, S. Price, M. Stroud, C. King, and M. Elia, "Malnutrition in hospital out patients and inpatients: prevalence, concurrent validity and ease of use of the 'malnutrition universal screening tool'('MUST') for adults," Br. J. Nutr., Vol.92, No.5, pp.799-808, 2004.   DOI
8 M. B. Aselage and E. J. Amella, "An evolutionary analysis of mealtime difficulties in older adults with dementia," J. Clin. Nurs., Vol.19, No.2, pp.33-41, 2010.   DOI
9 Chang and B. L. Roberts, "Cultural perspectives in feeding difficulty in Taiwanese elderly with dementia," J. Nurs. Scholarsh., Vol.40, No.3, pp.235-240, 2008.   DOI
10 J. Cohen-Mansfield, "Theoretical frameworks for behavioral problems in dementia," Alzheimer's Care Today, Vol.1, No.4, pp.8-21, 2000.
11 S. Gillette-Guyonnet, F. Nourhashemi, S. Andrieu, I. Glisezinski, P. J. Ousset, D. Riviere, J. L. Albarede, and B. Vellas, "Weight loss in Alzheimer disease," Am. J. Clin. Nutr., Vol.71, pp.637-642, 2000.   DOI
12 S. Rasheed and R. T. Woods, "Malnutrition and quality of life in older people: A systematic review and meta-analysis," Ageing Research Reviews, Vol.12, No.2, pp.561-566, 2013.   DOI
13 K. A. N. D. Nijs, "Effect of family style mealtimes on quality of life, physical performance, and body weight of nursing home residents: cluster randomised controlled trial," BMJ, Vol.332, No.7551, pp.1180-1184, 2006.   DOI
14 B. Lorefalt and S. Wilhelmsson, "A multifaceted intervention model can give a lasting improvement of older peoples' nutritional status," J. Nutr. Health Aging, Vol.16, No.4, pp.378-382, 2012.   DOI
15 A. Vink, M. Bruinsma, and R. Scholten, "Music therapy for people with dementia," Cochrane Library, No.9, 2003. http://10.1002/14651858.CD003477.pub2   DOI
16 S. F. Simmons and J. F. Schnelle, "Individualized feeding assistance care for nursing home residents: staffing requirements to implement two interventions," J. Gerontol. A. Biol. Sci. Med. Sci., Vol.59, No.9, pp.966-973, 2004.   DOI
17 조추용, "꽃동네 노인요양시설 종사자들의 낙상 예방활동이 안전의식에 미치는 영향 연구," 사회복지 실천과 연구, 제13권, 제1호, pp.253-284, 2016.
18 이경희, "요양시설 노인과 요양보호사에 있어 식사의 의미," 한국노년학회, 제36권, 제4호, pp.1157-1176, 2016.
19 http://www.longtermcare.or.kr/npbs/
20 http://kosis.kr/nsportalStats/nsportalStats
21 http://www.mohw.go.kr/frontnew/jb/sjb
22 M. Navratilova, J. Jarkovsky, E. Ceskova, B. Leonard, and L. Sobotka, "Alzheimer Disease: Malnutrition and Nutritional Support," Clin. Exp. Pharmacol. Physiol., Vol.34, No.1, pp.11-13, 2007.   DOI
23 N. L. Crogan, J. A. Shultz, C. E, Adams, and L. K. Massey, "Barriers to nutrition care for nursing home residents," Journal of Gerontological Nursing, Vol.27, No.12, pp.25-31, 2001.   DOI
24 Alzheimer's Disease International World Alzheimer Report 2013, "An analysis of long-term care for dementi," 2014. http://tinyurl.com/ ksqrwd6
25 M. Hickson, "Malnutrition and ageing," Postgrad. Med. J., Vol.82, No.963, pp.2-8, 2006.   DOI
26 G. A. K. Pivi, P. H. F. Bertolucci, and R. R. Schultz, "Nutrition in severe dementia," Current Gerontology and Geriatrics Research, Vol.2012, pp.1-7, 2012. http://10.1155/2012/983056   DOI
27 L. Rullier, A. Lagarde, J. Bouisson, V. Bergua, and P. Barberger-Gateau, "Nutritional status of community-dwelling older people with dementia: Associations with individual and family caregivers' characteristics," Int. J. Geriatr. Psychiatry, Vol.28, No.6, pp.580-588, 2013.   DOI
28 R. Watson and I. J. Deary, "A longitudinal study of feeding difficulty and nursing intervention in elderly patients with dementia," J. Adv. Nurs., Vol.26, No.1, pp.25-32, 1997.   DOI
29 K. M. Lee and J. A. Song, "Factors influencing the degree of eating ability among people with dementia," J. Clin. Nurs., Vol.42, No.4, pp.477-476, 2012.
30 Y. Kang, M. Kim, and E. Lee, "재가노인의 주관적 건강, 일상 생활 수행 능력, 영양 상태간의 관계," 대한간호학회지, 제38권, 제1호, pp.122-130, 2008.
31 H. Hong and M. Gu, "요양시설 치매노인의 식사행동장애와 관련요인," 한국산학기술학회지, Vol.16, No.2, pp.1240-1252, 2015.
32 R. A. Abbott, R. Wheara, J. Thompson-Coona, O. C. Ukoumunnea, M. Rogersa, A. Bethela, A. Hemsleyb, and K. Steina, "Ageing Research Reviews," Ageing Res. Rev., Vol.12, No.4, pp.967-981, 2013.   DOI
33 M. B. Hamel, "The Clinical Course of Advanced Dementia," The New England Journal of Medicine, Vol.361, No.16, pp.1529-1538, 2009.   DOI
34 G. Isaia, S. Mondino, C. Germinara, G. Cappa, N. Aimonino-Ricauda, M. Bo, G. C. Isaia, G. Nobili, and M. Massaia, "Malnutrition in an elderly demented population living at home," Arch. Gerontol. Geriatr., Vol.53, No.3, pp.249-251, 2011.   DOI
35 D. Volkert, M. Chourdakis, G. Faxen-Irving, T. Frühwald, F. Landi, Merja H. Suominen, M. Vandewoude, R. Wirth, and S. M. Schneider, "ESPEN guidelines on nutrition in dementia," Clin. Nutr., Vol.34, No.6, pp.1052-1073, 2015.   DOI
36 이진, 일반식을 섭취하는 재원 치매 노인환자의 영양소 섭취실태에 관한 연구, 단국대학교, 석사학위논문, 2006.
37 오진주, "치매노인의 식사보조," Soc. Korean Gerontol., Vol.26, No.2, pp.315-328, 2006.
38 정경아, 인지장애 노인들의 인지기능과 영양섭취 상태에 관한 연구, 이화여자대학교, 석사학위논문, 2008.
39 E. Eunyoung and C. Information, "노인의 영양 위험, 우울, 지각된 건강 상태," 한국간호과학회, 제37권, 제6호, pp.942-948, 2007.
40 강지숙, 정애숙 "대도시 노인의 질병, 주관적 신체증상 및 영양상태가 우울에 미치는 영향," 제19권, 제3호, pp.378-387, 2008.