社论：老年痴呆症晚期患者维持营养的社会决定因素。
Editorial: Social Determinants of Maintaining Nutrition in Older Adults with Advanced Dementia.
机构信息
Jean Woo, Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China,
出版信息
J Nutr Health Aging. 2023;27(6):430-431. doi: 10.1007/s12603-023-1931-z.
Abstract
Dysphagia is recognised as part of the frailty syndrome, especially for those at the end of life. There is a tension in management between the need to optimize nutrition status as part of the management of oral frailty, and respecting the wishes of patients and/or family members in the form of advance care planning and advance directives regarding to artificial nutrition and hydration. Management will likely be influenced by many social determinants, rather than solely be based on evidence from clinical research.
摘要
吞咽困难被认为是衰弱综合征的一部分，尤其是在生命末期的患者。在管理中存在一种紧张关系，一方面需要优化营养状况，作为口腔衰弱管理的一部分，另一方面需要尊重患者和/或家属的意愿，通过预先护理计划和预先指示来决定是否进行人工营养和水合治疗。管理可能会受到许多社会决定因素的影响，而不仅仅是基于临床研究的证据。
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本文引用的文献
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Hospital Careful Hand Feeding Program Reduced Feeding Tube Use in Patients with Advanced Dementia.医院精心喂养计划减少了晚期痴呆症患者的饲管使用。
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Malnutrition in older adults.老年人营养不良
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How common is dysphagia in older adults living at home and what are the potential risk factors?居家老年人吞咽困难的发生率是多少，潜在的危险因素有哪些？
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Inadequate energy and protein intake, underweight and malnutrition are associated with in-hospital mortality among COVID-19 rehabilitation patients during the omicron outbreak in Hong Kong.在香港奥密克戎疫情爆发期间，新冠康复患者的能量和蛋白质摄入不足、体重过轻及营养不良与院内死亡率相关。
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Association between Dysphagia and Frailty in Community Dwelling Older Adults.社区居住的老年人吞咽困难与虚弱的关系。
J Nutr Health Aging. 2019;23(6):571-577. doi: 10.1007/s12603-019-1191-0.
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