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[加泰罗尼亚不同医疗保健需求老年人的营养状况]

[Nutritional status of Catalonia's elderly people with different health care needs].

作者信息

Jürschik Jiménez Pilar, Puig-gros Joan Torres, Solá Martí Román, Nuin Orreo Carmen, Botigué Satorra Teresa

机构信息

Escuela de Enfermería de la Universidad de Lleida.

出版信息

Arch Latinoam Nutr. 2009 Mar;59(1):38-46.

PMID:19480342
Abstract

Nutritional status of Catalonia's elderly people with different health care needs. The aims of this study were to assess the prevalence of malnutrition through the Mini Nutritional Assessment (MNA) in the elder population of Lleida (Catalonia) from different levels of care and to determine if that scale is a good way of monitoring our population. A cross-sectional study was designed. It included men and women of 65 years or more users of primary health care centre, the acute hospital, nursing home and health and assisted social services. The MNA was used in your short form (MNA-SF) and MNA total (MNA). This questionnaire is designed to screen the nutritional status of elderly people, when they arrived to the hospital and during their stay. Three hundred and ninety-eight individuals (184 men) were included aging 77 on average. According to the categories of the MNA, the prevalence of malnutrition of the total sample was 22.6% and risk of malnutrition of 35.4%. The MNA has been validated in our population getting a sensitivity of 77% and specificity of 70%. In conclusion, it can be affirmed that there was a high prevalence of undernourishment, foremost in health and social care services and in the medicine service of acute hospital. The MNA is a useful tool for monitoring nutritional care at different levels in both the short form and in total form.

摘要

加泰罗尼亚不同医疗保健需求老年人的营养状况。本研究的目的是通过微型营养评定法(MNA)评估莱里达(加泰罗尼亚)不同护理水平老年人群体中的营养不良患病率,并确定该量表是否是监测我们人群的好方法。设计了一项横断面研究。研究对象包括65岁及以上使用初级保健中心、急症医院、养老院以及健康和辅助社会服务的男性和女性。使用了MNA简表(MNA-SF)和MNA全表(MNA)。该问卷旨在在老年人入院时及住院期间筛查其营养状况。共纳入398人(184名男性),平均年龄77岁。根据MNA的类别,总样本中营养不良的患病率为22.6%,营养不良风险为35.4%。MNA在我们的人群中得到验证,敏感性为77%,特异性为70%。总之,可以肯定的是,营养不良的患病率很高,在健康和社会护理服务以及急症医院的医疗服务中最为突出。MNA无论是简表还是全表,都是监测不同水平营养护理的有用工具。

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