| Summary: | 碩士 === 國立台北護理學院 === 長期照護研究所 === 94 === Just like all other long-term care subjects, home-based care recipients were regarded as a high risk group of malnutrition. There was still no comprehensive assessment tool for nutrition status assessing on home care clients in Taiwan. The Minimum Data Set for Home Care (MDS-HC), a comprehensive, international instrument for assessing home care clients, is potentially useful for assessing for assessing nutritional status. Hence, the purpose of the study was to examine the validity of nutrition status assessment for home care clients with MDS-HC under Mini Nutritional Assessment (MNA). Totally, we interviewed 98 patients (with 74.6±13.6 y in age, 57.1% in female, 42.9% in male) enrolled to home care services of the Home Care Agency of Taipei. The MDS-HC and MNA Form were completed for all home care clients by well-trained nurses. Information relevant to completing the Minimum Data Set Nutrition Rating Scale (MDSNRS) was gathered from the MDS-HC. The Barthel Index of Activities of Daily Living (ADL), the Charlson Index of comorbidity and anthropometric measurements were also evaluated by trained home care nurses. We analyzed and showed demographic data, mean, percentage, scale score correlation, and ability to identify client with MNA. The results were shown as several folds. 36.7% of the home care clients were classified as adequate nutritional status(MDSNRS=0); 63.3% of the clients were classified as malnutrition(MDSNRS ≧1). Based on this cut-off level, we could figure out its sensitivity could to be 0.86, specificity 0.61, and predictive value 0.70. The MDSNRS could be performed validated under the reference of MNA. It showed that MDS-HC can be a useful and practiced tool to screen nutrition status among home care client. Those with malnutrition status and at risk of malnutrition should be early detected with a pertinent tool in order to improve their nutrition status.
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