Validation of a modified Mini Nutritional Assessmentfor assessing the nutritional status of strokerehabilitation patients in Taiwan

碩士 === 亞洲大學 === 長期照護研究所 === 95 === Objective: The objective of this study was to examine the functionality of a modified Mini Nutritional Assessment for assessing the nutritional status of stroke patients in Taiwan. Design and sampling: The study employed a purposive sampling design by involving the...

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Main Authors: shr tsai ling, 詩采玲
Other Authors: tsai jung hung
Format: Others
Language:zh-TW
Published: 2007
Online Access:http://ndltd.ncl.edu.tw/handle/76414462137257001053
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spelling ndltd-TW-095THMU87120012016-05-25T04:13:39Z http://ndltd.ncl.edu.tw/handle/76414462137257001053 Validation of a modified Mini Nutritional Assessmentfor assessing the nutritional status of strokerehabilitation patients in Taiwan 腦中風患者恢復期之營養風險評估及工具驗證 shr tsai ling 詩采玲 碩士 亞洲大學 長期照護研究所 95 Objective: The objective of this study was to examine the functionality of a modified Mini Nutritional Assessment for assessing the nutritional status of stroke patients in Taiwan. Design and sampling: The study employed a purposive sampling design by involving the patient pool of Wen-Hua Stroke Patient Homecare Services of Taipei City. Subject criteria : To be eligible to participate in the study, the subject must be: (a) confirmed stroke patients, (b) 40 y or older, (c) cognitively functional and be able to communicate, (d) being admitted to the Center for at least one month and (e) willing to sign an informed study consent. Measurements: An in-home in-person interview was conducted on each patient with a structured questionnaire which included personal information, and the MMSE, Barthel index and MNA scales. Each subject’s nutritional status was assessed according to the original or two modified version of the MNA. The first modification replaced population-specific BMI, Mid-arm circumference (MAC) and Calf circumference (CC) cut-points for values specified in the original MNA. The second modification eliminated the question of BMI and distributed its scores to MAC and CC. Results were analkyzed by correlation analysis and linear regression analysis to determine the association of the nutritional status with the major functional indicators. Results: The study showed that 24.3% of patients were malnourished, 56.8% were at risk of malnutrition and18.9% were well nourished according to the original MNA; 13.5% of patients were malnourished, 63.5% were at risk of malnutrition and 23% were well nourished according to the modified MNA version I ; 18.9% of patients were malnourished, 56.8% were at risk of malnutrition and 24.3% were well nourished according to the modified MNA version II . MAC and CC showed significant correlations with all three versions the MNA score, other anthropometric parameters such as BMI, waist circumference and waist to hip ratio showed no correlations with the MNA. The scores of MMSE and ADL showed high correlations with the MNA-II scores. These results suggest that modified MNA, especially MNA-II which does not involve BMI can be effectively used to assess the nutritional risk status of stroke patients. Conclusion: MNA-II, a modified version of the MNA without using BMI, can effectively predict nutritional risk status of Taiwanese stroke patients. This modified version can greatly improve the utility of the MNA since measuring weight and height, especially for those living at home, is not an easy task for stroke patients. The tool can be used to detect individuals at risk of malnutrition, enabling timely intervention and healthcare cost. tsai jung hung 蔡仲弘 2007 學位論文 ; thesis 76 zh-TW
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language zh-TW
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description 碩士 === 亞洲大學 === 長期照護研究所 === 95 === Objective: The objective of this study was to examine the functionality of a modified Mini Nutritional Assessment for assessing the nutritional status of stroke patients in Taiwan. Design and sampling: The study employed a purposive sampling design by involving the patient pool of Wen-Hua Stroke Patient Homecare Services of Taipei City. Subject criteria : To be eligible to participate in the study, the subject must be: (a) confirmed stroke patients, (b) 40 y or older, (c) cognitively functional and be able to communicate, (d) being admitted to the Center for at least one month and (e) willing to sign an informed study consent. Measurements: An in-home in-person interview was conducted on each patient with a structured questionnaire which included personal information, and the MMSE, Barthel index and MNA scales. Each subject’s nutritional status was assessed according to the original or two modified version of the MNA. The first modification replaced population-specific BMI, Mid-arm circumference (MAC) and Calf circumference (CC) cut-points for values specified in the original MNA. The second modification eliminated the question of BMI and distributed its scores to MAC and CC. Results were analkyzed by correlation analysis and linear regression analysis to determine the association of the nutritional status with the major functional indicators. Results: The study showed that 24.3% of patients were malnourished, 56.8% were at risk of malnutrition and18.9% were well nourished according to the original MNA; 13.5% of patients were malnourished, 63.5% were at risk of malnutrition and 23% were well nourished according to the modified MNA version I ; 18.9% of patients were malnourished, 56.8% were at risk of malnutrition and 24.3% were well nourished according to the modified MNA version II . MAC and CC showed significant correlations with all three versions the MNA score, other anthropometric parameters such as BMI, waist circumference and waist to hip ratio showed no correlations with the MNA. The scores of MMSE and ADL showed high correlations with the MNA-II scores. These results suggest that modified MNA, especially MNA-II which does not involve BMI can be effectively used to assess the nutritional risk status of stroke patients. Conclusion: MNA-II, a modified version of the MNA without using BMI, can effectively predict nutritional risk status of Taiwanese stroke patients. This modified version can greatly improve the utility of the MNA since measuring weight and height, especially for those living at home, is not an easy task for stroke patients. The tool can be used to detect individuals at risk of malnutrition, enabling timely intervention and healthcare cost.
author2 tsai jung hung
author_facet tsai jung hung
shr tsai ling
詩采玲
author shr tsai ling
詩采玲
spellingShingle shr tsai ling
詩采玲
Validation of a modified Mini Nutritional Assessmentfor assessing the nutritional status of strokerehabilitation patients in Taiwan
author_sort shr tsai ling
title Validation of a modified Mini Nutritional Assessmentfor assessing the nutritional status of strokerehabilitation patients in Taiwan
title_short Validation of a modified Mini Nutritional Assessmentfor assessing the nutritional status of strokerehabilitation patients in Taiwan
title_full Validation of a modified Mini Nutritional Assessmentfor assessing the nutritional status of strokerehabilitation patients in Taiwan
title_fullStr Validation of a modified Mini Nutritional Assessmentfor assessing the nutritional status of strokerehabilitation patients in Taiwan
title_full_unstemmed Validation of a modified Mini Nutritional Assessmentfor assessing the nutritional status of strokerehabilitation patients in Taiwan
title_sort validation of a modified mini nutritional assessmentfor assessing the nutritional status of strokerehabilitation patients in taiwan
publishDate 2007
url http://ndltd.ncl.edu.tw/handle/76414462137257001053
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