Correlation of nutritional status in elderly patients with Alzheimer disease and self-efficacy of their caregivers

Q4 Nursing

中华临床营养杂志 Pub Date : 2018-08-30 DOI:10.3760/CMA.J.ISSN.1674-635X.2018.04.008

Hongdi Du, Xiaoxuan Liu, Huo Xiaopeng, Hong Jiang

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Abstract

Objective To investigate the correlation between nutritional status in elderly patients with Alzheimer disease (AD) and self-efficacy of their caregivers. Methods Ninety-two elderly patients with AD and 92 their caregivers were enrolled from a Peking Union Medical College in Beijing from March to October 2017, who were evaluated by the mini nutritional assessment short form (MNA-SF) and the general self-efficacy scale (GSES) respectively for the nutritional status of the AD patients and the self-efficacy of their caregivers, and the correlation between them was analyzed. Results The average MNA-SF score of the AD patients was 7.8±2.5. The incidence of malnutrition risk and malnutrition were 34.8% and 27.2% respectively. The MNA-SF score of the AD patients decreased (F=4.589, P=0.009), and the incidence of malnutrition risk (χ2=7.319, P=0.026) and malnutrition (χ2=7.080, P=0.032) increased significantly with the aggravation of AD. The average self-efficacy score of the caregivers was 2.20±0.45. With the aggravation of AD, the GSES score of the caregivers decreased significantly (F=3.122, P=0.016). There was a positive correlation between the nutritional status of the AD patients and the self-efficacy of their caregivers (r=0.254, P=0.022). Conclusion The nutritional status in elderly patients with AD is positively correlated with the self-efficacy of their caregivers, that is, the higher GSES score of the caregiver is, the better nutritional status of the AD patient has. Key words: Alzheimer disease; Elderly patient; Nutritional status; Caregiver; Self-efficacy

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老年阿尔茨海默病患者营养状况与照顾者自我效能感的相关性

目的探讨老年阿尔茨海默病(AD)患者营养状况与照顾者自我效能感的相关性。方法于2017年3月至10月在北京协和医学院招募92名老年AD患者和92名老年AD护理人员，分别采用迷你营养评估简表(MNA-SF)和一般自我效能量表(GSES)对老年AD患者的营养状况和老年AD护理人员的自我效能进行评估，并分析两者之间的相关性。结果AD患者MNA-SF平均评分为7.8±2.5分。营养不良风险和营养不良发生率分别为34.8%和27.2%。AD患者MNA-SF评分降低(F=4.589, P=0.009)，营养不良风险发生率(χ2=7.319, P=0.026)和营养不良发生率(χ2=7.080, P=0.032)均随AD病情加重而显著升高。照顾者自我效能感平均得分为2.20±0.45分。随着AD病情加重，护理人员GSES评分显著下降(F=3.122, P=0.016)。AD患者营养状况与照顾者自我效能感呈正相关(r=0.254, P=0.022)。结论老年AD患者的营养状况与其照顾者的自我效能感呈正相关，即照顾者的GSES得分越高，说明老年AD患者的营养状况越好。关键词:阿尔茨海默病;老年患者;营养状况;照顾者;自我效能感

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来源期刊

中华临床营养杂志 Nursing-Nutrition and Dietetics

CiteScore

0.20

自引率

0.00%

发文量

2282

期刊介绍： The Chinese Journal of Clinical Nutrition was founded in 1993. It is the first professional academic journal (bimonthly) in my country co-sponsored by the Chinese Medical Association and the Chinese Academy of Medical Sciences to disseminate information on clinical nutrition support, nutrient metabolism, the impact of nutrition support on outcomes and "cost-effectiveness", as well as translational medicine and nutrition research. It is also a professional journal of the Chinese Medical Association's Parenteral and Enteral Nutrition Branch. The purpose of the Chinese Journal of Clinical Nutrition is to promote the rapid dissemination of knowledge on nutrient metabolism and the rational application of parenteral and enteral nutrition, focusing on the combination of multidisciplinary and multi-regional field investigations and clinical research. It mainly reports on nutritional risk screening related to the indications of parenteral and enteral nutrition support, "cost-effectiveness" research on nutritional drugs, consensus on clinical nutrition, guidelines, expert reviews, randomized controlled studies, cohort studies, glycoprotein and other nutrient metabolism research, systematic evaluation of clinical research, evidence-based case reports, special reviews, case reports and clinical experience exchanges, etc., and has a special column on new technologies related to the field of clinical nutrition and their clinical applications.