Effects of a feeding intervention in patients with Alzheimer's disease and dysphagia
Effects of a feeding intervention in patients with Alzheimer's disease and dysphagia
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DOI：
10.1111/jocn.13013
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发表时间：
2016-03-01
影响因子：
4.2
通讯作者：
Chen, Hui-Ying
中科院分区：
文献类型：
--
作者：
Chen, Li-Li;Li, Hong;Chen, Hui-Ying
目的和目的本研究旨在探讨进食干预对阿尔茨海默病患者吞咽困难的影响。背景：在阿尔茨海默病患者中，食物和液体摄入不足会导致营养不良、脱水，增加发病率和死亡率。设计前瞻性队列研究。方法对30例阿尔茨海默病合并吞咽困难的养老院居民进行为期3个月的前瞻性自我控制喂养干预。干预前后的措施包括久保田吞水试验、食物摄入类型和数量，以及通过三头肌皮皱厚度、上臂周长、血清白蛋白和血红蛋白评估营养状况。采用爱丁堡痴呆症喂养评价量表评价患者的饮食依从性，采用简易智力状态检查量表评价认知功能。结果患者进食/进食能力总体改善，食物摄入量增加(P<0.05)。
Aims and objectivesThis study aimed to investigate the effects of a feeding intervention in patients with Alzheimer's disease with dysphagia.BackgroundIn patients with Alzheimer's disease, inadequate food and fluid intake can result in malnutrition, dehydration and increased morbidity and mortality. Patients may lose self-care abilities such as self-feeding.DesignA prospective cohort study.MethodsA three-month self-control feeding intervention was conducted prospectively in 30 nursing home residents with Alzheimer's disease with dysphagia. Pre- and post-intervention measures included the Kubota water swallow test, type and amount of food intake and assessment of nutritional status by triceps skinfold thickness, upper arm circumference, serum albumin and haemoglobin. We used the Edinburgh Feeding Evaluation in Dementia scale to evaluate eating compliance and the Mini- Mental State Examination to evaluate cognitive function. Pre- and post-intervention results were compared to evaluate the effects of nursing intervention.ResultsPatients' eating/feeding abilities improved overall, including significantly increased food intake (p