Salomon Zaban Ana Lúcia Ribeiro, Garbi Novaes Maria Rita Carvalho
Faculdade de Ciências da Saúde/Universidade de Brasília, Brazil.
Invest Clin. 2009 Sep;50(3):347-57.
According to statistical projections of the World Health Organization, during the period between 1950 and 2025, the group of elderly in Brazil will have increased 15 times. Chronic-degenerative diseases are the illnesses that most affect the elderly population, directly related to the growing demand for Enteral Nutrition Therapy. The objective of this study was to analyze the demographic, epidemiological and nutritional profile of elderly patients assisted at the public hospitals in the Home Enteral Nutrition Therapy Program, of the State Health Department of Distrito Federal. This is a retroprospective, cross-sectional and analytical study, based on primary data, which enrolled 141 elderly patients who were prescribed home enteral nutrition. The collected variables corresponded to age, gender, clinical diagnosis, enteral route and nutritional status at the beginning of Home Enteral Nutrition Therapy. The association between variables was analyzed through the t-Student and chi-square tests, with a significance level of 0.05 and a Confidence Interval (CI) of 95%. There was a higher number of female patients (53.9%) when compared to male (46.1%), average age 75.82 years old for both groups. The most prevalent diseases were cerebro-vascular accident sequels and cancer (42.6% and 22.7% respectively). It was observed a prevalence of malnutrition equal to 69.7%, independent of age and gender. The most used enteral route was the nasal. Though Brazilian policies concerning assistance to the elderly have advanced during the last few years, the need for public policies for nutritional recovery of such patients persists, to promote a better quality of life for them.
根据世界卫生组织的统计预测,在1950年至2025年期间,巴西的老年人群体将增长15倍。慢性退行性疾病是对老年人口影响最大的疾病,与肠内营养治疗需求的不断增长直接相关。本研究的目的是分析联邦区卫生部家庭肠内营养治疗项目中公立医院收治的老年患者的人口统计学、流行病学和营养状况。这是一项基于原始数据的回顾性、横断面分析研究,纳入了141名接受家庭肠内营养治疗的老年患者。收集的变量包括家庭肠内营养治疗开始时的年龄、性别、临床诊断、肠内途径和营养状况。通过t检验和卡方检验分析变量之间的关联,显著性水平为0.05,置信区间(CI)为95%。女性患者(53.9%)比男性患者(46.1%)多,两组的平均年龄均为75.82岁。最常见的疾病是脑血管意外后遗症和癌症(分别为42.6%和22.7%)。观察到营养不良的患病率为69.7%,与年龄和性别无关。最常用的肠内途径是鼻饲。尽管巴西在过去几年中关于老年人援助的政策有所进步,但仍需要制定公共政策来恢复此类患者的营养状况,以提高他们的生活质量。