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痴呆老年人及其照顾者的营养护理条件:一项探索性研究。

Conditions for Nutritional Care of Elderly Individuals with Dementia and Their Caregivers: An Exploratory Study.

作者信息

Sarmiento-González Paola, Moreno-Fergusson Maria Elisa, Sotelo-Diaz Luz Indira, Caez-Ramírez Gabriela Rabe, Ramírez-Flórez Laura Nathaly, Sánchez-Herrera Beatriz

机构信息

Nursing and Rehabilitation School, Campus Puente del Común, Universidad de La Sabana, Chía 250001, Colombia.

EICEA Department of Gastronomy, Campus Puente del Común, Universidad de La Sabana, Chía 250001, Colombia.

出版信息

Nutrients. 2025 Mar 13;17(6):1007. doi: 10.3390/nu17061007.

Abstract

: Although the context, personal conditions, and caregivers' abilities influence the nutrition of older people with dementia, adequate parameters are not always applied to identify these conditions. The aim of this study was to characterize the nutritional care needs of older people with dementia and their caregivers. : This descriptive exploratory study was conducted in Colombia. An intentional sample included 73 elderly individuals with dementia and 73 caregivers. This study described the participants' characteristics with the GCPC-UN-D survey. Their nutritional conditions include medical history, objective tests, and interviews. We used the Edinburgh Scale to evaluate elderly feeding behavior and the QUALID tool to evaluate their quality of life. This study measured caregiver competence using the CUIDAR tool. : Adults of 78.8 years on average, with low to middle socio-economic status, low education levels, and multiple comorbidities, have adverse well-being and support conditions, except for the spiritual component. These adults have visible nutritional issues including low muscle mass indices (47.9%), muscle mass levels (arm 61.6%; calf 58.9%), and vitamin D levels (50.7%), with high cholesterol levels (57.9%) and altered hematocrit and red blood cell counts (46.4%). These adults required supervision (41%) or help (23%) for their nutrition. Caregivers were predominantly women with an average age of 32.4 years, with moderate caregiving competences (70.43%), experienced high caregiver burden (83.6%), and had low orientation in nutritional management (30.1%). : Elderly individuals with dementia had significant nutritional and feeding problems. Their caregivers lacked adequate conditions to ensure quality care. These dyads need a strategy to improve their healthcare experience.

摘要

虽然环境、个人状况和照料者的能力会影响老年痴呆症患者的营养状况,但并非总能运用适当的参数来识别这些状况。本研究的目的是描述老年痴呆症患者及其照料者的营养护理需求。:这项描述性探索性研究在哥伦比亚开展。一个意向性样本包括73名老年痴呆症患者和73名照料者。本研究用GCPC - UN - D调查问卷描述了参与者的特征。他们的营养状况包括病史、客观测试和访谈。我们用爱丁堡量表评估老年人的进食行为,并用QUALID工具评估他们的生活质量。本研究用CUIDAR工具衡量照料者的能力。:这些成年人平均年龄为78.8岁,社会经济地位低至中等,教育水平低,且患有多种合并症,除精神层面外,其幸福和支持状况不佳。这些成年人存在明显的营养问题,包括低肌肉量指数(47.9%)、肌肉量水平(手臂61.6%;小腿58.9%)和维生素D水平(50.7%),同时胆固醇水平高(57.9%),血细胞比容和红细胞计数异常(46.4%)。这些成年人在营养方面需要监督(41%)或帮助(23%)。照料者主要是女性,平均年龄为32.4岁,照料能力中等(70.43%),照料负担重(83.6%),在营养管理方面知识有限(30.1%)。:老年痴呆症患者存在显著的营养和进食问题。他们的照料者缺乏确保高质量护理的适当条件。这些配对需要一种策略来改善他们的医疗体验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1264/11944861/e2a30deb7701/nutrients-17-01007-g001.jpg

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