Prevalence and factors associated with food intake difficulties among residents with dementia.
Prevalence and factors associated with food intake difficulties among residents with dementia.
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DOI：
10.1371/journal.pone.0171770
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发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
Liu MF
中科院分区：
文献类型：
--
作者：
Chang CC;Lin YF;Chiu CH;Liao YM;Ho MH;Lin YK;Chou KR;Liu MF
很少有研究调查台湾长期照护机构中失智症患者的食物摄取困难及其相关因素。该研究的目的是确定中国喂养困难指数（Ch-FDI）的最佳截止点，该指数评估了痴呆症患者食物摄入困难的患病率，并识别了与饮食行为相关的因素。采用横断面设计。本研究共招募213位台湾长期照护机构的失智病患。中国人进食困难指数（Ch-FDI）测量的食物摄入困难患病率为44.6%。与午餐进食困难相关的因素为收容时间（beta = 0.176）、日常生活-喂养活动水平（ADL-Q1） （beta = -0.235）和进食时间（beta = 0.416）。晚餐时的相关因素为照度（beta = -0.204）、音量（beta = 0.187）、ADL-Q1 （beta = -0.177）和进食时间（beta = 0.395）。根据长期护理机构中痴呆症居民中45%的患病率，食物摄入困难可能与多种因素有关，包括身体功能和用餐环境。
Few studies have examined the prevalence of food intake difficulties and their associated factors among residents with dementia in long-term care facilities in Taiwan. The purpose of the study was to identify the best cutoff point for the Chinese Feeding Difficulty Index (Ch-FDI), which evaluates the prevalence of food intake difficulties and recognizes factors associated with eating behaviors in residents with dementia. A cross-sectional design was adopted. In total, 213 residents with dementia in long-term care facilities in Taiwan were recruited and participated in this study. The prevalence rate of food intake difficulties as measured by the Chinese Feeding Difficulty Index (Ch-FDI) was 44.6%. Factors associated with food intake difficulties during lunch were the duration of institutionalization (beta = 0.176), the level of activities of daily living-feeding (ADL-Q1) (beta = -0.235), and the length of the eating time (beta = 0.416). Associated factors during dinner were the illuminance level (beta = -0.204), sound volume level (beta = 0.187), ADL-Q1 (beta = -0.177), and eating time (beta = 0.395). Food intake difficulties may potentially be associated with multiple factors including physical function and the dining environment according to the 45% prevalence rate among dementia residents in long-term care facilities.