Associations among the Nutritional Status and Mental/Physical Functions of Care-dependent Individuals Living in Residential Homes for the Elderly
Associations among the Nutritional Status and Mental/Physical Functions of Care-dependent Individuals Living in Residential Homes for the Elderly
复制标题
居住在安老院的照顾依赖人士的营养状况与心理/身体功能的关联
DOI：
10.14391/ajhs.12.1
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
N. Sato
中科院分区：
文献类型：
--
作者：
Yuko Fujio;Hiromi Shimada;Tomoko Sugiyama;N. Sato
本研究探讨了居住在养老院的护理依赖者的营养状况和精神/身体功能，重点是营养不良作为护理依赖进展的主要原因，以澄清它们之间的关联。在东京和神奈川的3个养老院中，对147名依赖护理的个人进行了现状调查。当关注身体功能时，在表现出较高的ADL 20总分的居民中，Alb水平较高;基于此，防止营养状况下降的方法对于维持ADL独立性可能至关重要。当检查以下ADL 20分量表的评分时，这种趋势特别明显：<indoor walking>、<上/下楼梯>和<outdoor walking>，因为能够更独立地进行这些活动的人的Alb水平较高。关于认知功能，当CDR总分和以下分量表的评分表明严重程度较高时，Alb水平较低：<memory><orientation><judgment><social adaptation>、<family situation>和<care situation>。这突出了持续营养管理作为预防痴呆症措施的必要性。这项研究表明，有必要进行营养管理，如维持和恢复良好的营养状况，在住宅老人过一个健康的和精神和身体独立的生活。<Key-words>营养状况，精神/身体功能，老年人住宅yfujio@juntendo.ac.jp（Yuko FUJIO;日本）Asian J Human Services，2017，12：1-7。© 2017亚洲人类服务学会
This study examined the nutritional status and mental/physical functions of care-dependent individuals living in residential homes for the elderly, focusing on malnutrition as a leading cause of the progression of care dependency, to clarify the associations among them. A status survey was conducted, involving 147 care-dependent individuals living in 3 residential homes with care services for the elderly in Tokyo and Kanagawa. When focusing on physical functions, the Alb level was higher among residents exhibiting higher total ADL20 scores; based on this, approaches to prevent decreases in the nutritional status may be essential for the maintenance of ADL independence. This tendency was particularly marked when examining scores from the following ADL20 subscales: <indoor walking>, <ascending/descending stairs>, and <outdoor walking>, as the Alb level was higher among those who were able to perform these activities more independently. Regarding cognitive functions, the Alb level was lower when the total CDR score and scores from the following subscales indicated higher severity: <memory>, <orientation>, <judgment>, <social adaptation>, <family situation>, and <care situation>. This highlights the necessity of continuous nutritional management as a preventive measure against dementia. This study is suggesting the necessity of performing nutritional management, such as maintaining and restoring a favorable nutritional status in residential homes for the elderly lead a healthy and mentally and physically independent life. <Key-words> nutritional status, mental/physical functions, residential homes for the elderly yfujio@juntendo.ac.jp (Yuko FUJIO; Japan) Asian J Human Services, 2017, 12:1-7. © 2017 Asian Society of Human Services Received