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題 名 | 老年髖部骨折住院病患的營養評估=Nutritional Assessment of Elderly Hospitalized Patients with Hip Fracture |
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作 者 | 林士程; 李春松; 鄭雅之; 江秋蓉; 陳怡家; 侯清正; 洪琲箴; 陳伯毅; | 書刊名 | 臺灣醫學 |
卷 期 | 11:5 2007.09[民96.09] |
頁 次 | 頁476-482 |
分類號 | 411.3 |
關鍵詞 | 老年人; 髖部骨折; 營養評估; Aged; Hip fracture; Nutritional assessment; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究比較骨科之髖部骨折老年病患於住院前後營養狀況,希望對這類病患有更深入的了解,以作為日後營養介入之參考。以65歲以上之髖部骨折住院病患為對象,病患入院後48小時內由營養師進行營養評估,評估方式為以主觀整體營養評估表(SGA)評估住院前營養狀態,住院第七天評估住院期間營養狀態,並比較住院前及住院第七天的血漿白蛋白濃度、飲食中鈣質和維生素C、實際攝取熱量達需要量之百分比及醣類、脂質和蛋白質所佔實際攝取熱量百分比等。營養狀況良好組(SGA-A)於住院前和住院後第7天的血漿白蛋白濃度無顯著差異,但實際攝取熱量達需要量之百分比有顯著下降,營養不良組(SGA-B)之血漿白蛋白濃度、實際攝取熱量達需要量之百分比皆偏低,但無顯著差異;而兩組間實際攝取的鈣質、維生素C和實際攝取熱量達需要量之百分比,以unpair t test方法檢定,住院前SGA-B組顯著低於SGA-A組,但是住院第七天兩組間無顯著差異。血漿白蛋白濃度常被當作營養評估的指標,但此次調查發現,住院前與住院第7天之血漿白蛋白濃度並無差異,可能是監測時間不夠長,看不出變化,若是改用前白蛋白(prealbumin),可能更能反應實際的臨床變化。另一值得注意的是,SGA-A組在住院期間的營養攝取量明顯的比SGA-B組退步,醫療團隊忽略了此類病患的營養狀態可能是原因之一,故常規性的評估髖部骨折老年住院病患的營養問題,探討原因並調整營養處方,是我們未來可以改進之處。 |
英文摘要 | The purpose of this study was to evaluate nutritional status of patients with hip fractures. These descriptive data are from patients aged 65 + years admitted to the hospital after hip fractures. The nutritional status was screened by dietitian staff use subjective global assessment (SGA) sheet within 48 hours after admission and revisited on day 7. In SGA-A group, there was no difference in serum albumin concentration before and on day 7 after admission, but poor energy consumption on day 7(p<0.05). In SGA-B group, there was no difference in serum albumin concentration and nutrition volume before and after admission. Nutrition intake of SGA-B group is poor than SGA-A group (p<0.05) before admission, but there was no difference on day 7 after admission. Undernutrition increased in patients during hospitalization with both group. One potential cause of worsening nutrition status may be inadequate medical staff awareness about the importance of nutrition in fall-related hip fractures hospitalized patients. |
本系統中英文摘要資訊取自各篇刊載內容。