Namasivayam-MacDonald Ashwini M, Slaughter Susan E, Morrison Jill, Steele Catriona M, Carrier Natalie, Lengyel Christina, Keller Heather H
Adelphi University, Garden City, New York, USA; Toronto Rehabilitation Institute, Toronto, Canada; University of Toronto, Toronto, Canada.
University of Alberta, Edmonton, Canada.
Geriatr Nurs. 2018 May-Jun;39(3):330-335. doi: 10.1016/j.gerinurse.2017.11.004. Epub 2018 Jan 5.
Dehydration is estimated to be present in half of long term care residents, as many do not consume the recommended levels of fluid intake. This study aims to describe fluid intake in long term care residents and identify the factors associated with fluid intake. Data were collected from 622 long term care residents, with a mean age of 86.8 ± 7.8. Total fluid intake was estimated over three non-consecutive days. Potential resident and unit-level variables risk factors for low fluid intake were collected, such as dementia status, activities of daily living, and eating challenges. Average daily fluid intake ranged from 311-2390 mL (1104.1 ± 379.3). Hierarchical regression analysis revealed that fluid intake was negatively associated with increased age, cognitive impairment, eating challenges and increased dining room staffing. Being male and requiring more physical assistance were positively associated with intake. Variables identified to predict intake could help inform strategies and targeted interventions to improve fluid intake.
据估计，长期护理机构中有一半的居民存在脱水情况，因为许多人未达到建议的液体摄入量。本研究旨在描述长期护理机构居民的液体摄入量，并确定与液体摄入量相关的因素。数据收集自622名长期护理机构居民，平均年龄为86.8±7.8岁。在三个不连续的日子里估算总液体摄入量。收集了可能影响低液体摄入量的居民和机构层面的变量风险因素，如痴呆状态、日常生活活动能力和进食困难情况。日均液体摄入量在311 - 2390毫升之间（1104.1±379.3）。分层回归分析显示，液体摄入量与年龄增长、认知障碍、进食困难以及餐厅工作人员增加呈负相关。男性和需要更多身体协助与液体摄入量呈正相关。确定的预测液体摄入量的变量有助于为改善液体摄入量的策略和针对性干预措施提供依据。
