頁籤選單縮合
題名 | 老人居家照護個案營養專業介入之成效探討=The Effectiveness of Home Visits by Registered Dietitians to the Elderly in Taiwan |
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作者 | 金惠民; 田玫; 廖英茵; | 書刊名 | 中華民國營養學會雜誌 |
卷期 | 27:4 2002.12[民91.12] |
頁次 | 頁232-238 |
分類號 | 411.3 |
關鍵詞 | 居家照護; 營養不良; 營養介入; 血清白蛋白; 血清膽固醇; Home health care; Malnutrition; Serum albumin; Serum cholesterol; |
語文 | 中文(Chinese) |
中文摘要 | 居家照護是連續性綜合健康照護的一部份。台灣自84年起指定居家護理機構提供居家個案的服務,並將居家照護納入全民健康保險給付。國內外研究均顯示居家個案營養不良的比例高達50%,但居家護理機構卻未被要求聘用營養專業人員來提供營養服務。本研究透過居家護理的營養篩檢,將居家個案依營養狀況分為三組,A與B組為營養不良者,但A組轉介營養師出訪,B組維持居家護理原有照護模式;C組則為營養狀況正常組,同樣維持原有照護模式。四個月後監測三組營養指標改變情形,結果顯示營養不良但有專業介入之A組血清白蛋白濃度明顯自3.2±0.5上升至3.4±0.5g/dL (p < 0.0005),同樣營養不良但維持現行作業之B組無明顯改變(3.2±0.6 vs. 3.2±0.5 g/dL p = 0.97),而營養正常之C組卻反而自3.8±0.4 下降至3.7±0.4 g/dL (p < 0.05);至於血清膽固醇濃度A組明顯自139±32上升至153±34 mg/dL (p < 0.002),B組無明顯改變(143±25 vs. 141±27 mg/dL,p = 0.68),而C組同樣自196±34下降至185±40 mg/dL (p < 0.05)。上述結果顯示,對於居家照護的營養不良個案,營養師專業的介入可明顯改善個案的營養狀況,現行的以務模式只能維持或使用案之營養狀況變差。 |
英文摘要 | Home health care is part of integrated medical care which has been paid for by the National Health Insurance since 1995. It is carried out by home care agencies which take care of subjects who are sick and are recuperating at home. Many studies have indicated that 50% of home care subjects are malnourished; however, home care agencies are not required to have a registered dietitian to provide nutrition services to their clients in Taiwan. In this study, we classified new home care subjects into three groups according to their nutritional status. Subjects in groups A and B were malnourished with serum albumin levels below 3.0 g/dL or serum cholesterol levels below 160 mg/dL, where group C consisted of subjects who were well-nourished. Subjects of group A were referred to a registered dietitian for home visits, and those of groups B and C were maintained on home nursing care. Results showed that after 4 months, the mean serum albumin level of group A (malnutrition-intervention group) had significantly increased from 3.2 ± 0.5 to 3.4 ± 0.5 g/dL (p < 0.005); that of group B (malnutrition-non0intervention group) showed no change (3.2 ± 0.6 vs. 3.2 ± 0.5 g/dL, p=0.97); while that of group C (normal nutrition-non-intervention group( had significantly decreased from 3.8 ± 0.4 to 3.7 ± 0.4 mg/dL (p < 0.002), that of group B showed no change (143 ± 25 vs. 141 ± 27 mg/dL, p =0.68), and that of group C decreased from 196 ± 34 to 185 ± 40 mg/dL (p < 0.05). These results indicate that nutritive and are necessary. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。