教師資料查詢 | 類別: 期刊論文 | 教師: 王彥雯 WANG, CHARLOTTE (瀏覽個人網頁)

標題:Trajectory and Determinants of Nutrition Health in Older Patients During and Six-month Post Hospitalization.
學年
學期
出版(發表)日期2009/12/31
作品名稱Trajectory and Determinants of Nutrition Health in Older Patients During and Six-month Post Hospitalization.
作品名稱(其他語言)
著者Cheryl Chia-Hui Chen; Siew T Tang; Charlotte Wang; Guan-Hua Huang
單位
出版者
著錄名稱、卷期、頁數Journal of Clinical Nursing 18(23), pp.3299-3307
摘要AIM:
The aim of this study was to characterise the trajectory and to identify determinants of nutritional health over time in a sample of older hospitalised patients, using the Generalized Estimating Equation.
BACKGROUND:
Nutritional health deteriorates and may fluctuate over time during and post-hospitalisation. To develop a target intervention it is essential that we first have a clear picture of how the nutrition changes and examine the determinants of nutritional health during and post-hospitalisation.
DESIGN:
A prospective cohort study was conducted on 306 older hospitalised patients aged 65 years and older.
METHODS:
Subjects were recruited from five surgical and medical wards at a tertiary medical center in northern Taiwan and assessed at four points in time: within 48 hours after admission, before discharge and 3-6 months post-discharge.
RESULTS:
Nutritional health fluctuated significantly over time. The curve dropped during hospitalisation, returned at three months and rose slightly at six months post hospitalisation. After controlling for length of stay and surgical treatment, patients showed decreased cognitive capacity, worsening oral health, increased use of medications, increased functional limitations and raised depressive symptoms, all of which affects their nutritional health over time. The extent of functional status impacting on nutrition varies at different points in time while the predictability of other determinants remained stable.
CONCLUSION:
The trajectory of nutritional health is a reflection of the patients' cognitive status, oral health, medication taken, functional status and depressive symptoms. The findings of our study should provide guidance in the development of intervention for the nutritional health of older patients during inpatient as well as transitional care.
RELEVANCE TO CLINICAL PRACTICE:
Multi-faceted packages of interventions targeting a range of determinants for managing undernutrition and subsequent decline during and post-hospitalisation need to be tested.
關鍵字acute care;elderly;GEE modeling;geriatrics;nursing;nutritional status
語言英文
ISSN1365-2702;0962-1067
期刊性質國外
收錄於SCI;
產學合作
通訊作者
審稿制度
國別英國
公開徵稿
出版型式,電子版,紙本
相關連結
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