Lesourd Bruno, Soulier Karine
CHU de Clermont-Ferrand, département de gérontologie, hôpital Nord, 63118 Cébazat, France.
Rev Prat. 2009 Jan 20;59(1):69-73.
Insufficient intake is common in elderly population which leads to undernutrition. This is often due to eviction of foods and thus to a decrease in micronutriment intake. Diagnosis is easy if patients are asked systematically at each visit, and when an event occurs, even fatigue; a precise interrogatory must be done and criteria for undernutrition must be searched. Therapeutics depends on insufficient intake causes and on patient and caregiver involvements. First intake equilibrium and quantity must be corrected, while needed helps are launched. If therapeutics is insufficient, ready to use nutritional complement must be used. Results are always slow obtained, mostly due to caregiver help efficacy and patient mood. Patient must be regularly followed with regular advice adaptation in order to create trusty relations, the best way for efficiency.
老年人中摄入不足的情况很常见，这会导致营养不良。这通常是由于食物摄入减少，进而导致微量营养素摄入量下降。如果在每次就诊时都系统地询问患者，并且当出现任何情况，哪怕是疲劳时，进行精确的询问并查找营养不良的标准，诊断并不困难。治疗方法取决于摄入不足的原因以及患者和护理人员的参与情况。首先必须纠正摄入平衡和数量，同时提供所需的帮助。如果治疗效果不佳，则必须使用即食营养补充剂。结果通常获得缓慢，这主要是由于护理人员的帮助效果和患者的情绪。必须定期跟踪患者并根据情况调整建议，以建立信任关系，这是提高效率的最佳方法。
