Abstract:
BACKGROUND:Nutritional status is associated with physical functioning in older people. Protein-energy malnutrition can limit functional performance. OBJECTIVES:This study examined the effectiveness of a "need-based intervention" on improving the physical functioning of older adults living in nursing homes. DESIGN:A 24-week randomized, double-blind, controlled trial. SETTINGS:A privately managed geriatric nursing home in Taiwan. PARTICIPANTS:Ninety-two persons who were ≥65 years old, ≤25 kg/m(2), >1 month residence, non-bed-ridden, without acute infection, and able to self-feed or receive oral feeding. METHODS:Qualified participants were stratified by gender and then randomly assigned to either the control group (n=45) or the intervention group (n=47). Each participant in the intervention group would receive a 50 g/day soy-protein-based nutritional supplement when he/she was rated as undernourished, defined as Mini Nutritional Assessment score ≤24 and body mass index ≤24 kg/m(2). The supplement contained 9.5 g protein, 250 kcal energy, and all essential micronutrients. The supplementation would be suspended if either one of the two "at risk" conditions was not met at the next measurement (every 4 weeks). Handgrip strength and Barthel Index were measured at baseline, mid-point (week 12), and end-point (week 24) of the trial. Results were analyzed with Student's t-test and by the Generalized Estimating Equations controlled for nutritional status. RESULTS:The intervention significantly improved (a) handgrip strength of the older adults at weeks 12 and 24, and (b) the overall Barthel Index at week 24 (all p<0.05) according to the Generalized Estimating Equations. CONCLUSIONS:"Need-based intervention" can be an effective and useful strategy for improving the physical functioning of older adults living in nursing homes, without adverse effects. The results probably are the indirect results of the improved nutritional status. The study highlights the importance of routine screening and timely intervention in geriatric care. The applicability of this need-based strategy to community-living older adults is an important issue and should be evaluated. We can probably reap a greater benefit by eliminating the risk of malnutrition at the emerging stage.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Lee LC,Tsai AC,Wang JYdoi
10.1016/j.ijnurstu.2015.01.008subject
Has Abstractpub_date
2015-05-01 00:00:00pages
904-12issue
5eissn
0020-7489issn
1873-491Xpii
S0020-7489(15)00009-7journal_volume
52pub_type
杂志文章,随机对照试验abstract::Pre-admission forensic nursing assessment is a tradition that has no research evidence base, little documentary support and is an expensive drain on nursing resources from clinical environments. Such an expensive practice warrants some evaluation of the quality of these nursing assessments. This study assessed the qua...
journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2003-08-01 00:00:00
abstract:BACKGROUND:Aggressive behavior and violence directed by patients at nurses are increasing worldwide. Aggressive behavior against nurses in their workplace can result in personal problems, such as impairment of physical and mental well-being, and, consequently, in organizational problems. Underreporting of patients' agg...
journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
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journal_title:International journal of nursing studies
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abstract:BACKGROUND:Over the past two decades, several studies have examined the determinants and outcomes of omitted nursing care in hospitals and other settings. These studies have raised several challenges associated with the definition and measurement of this phenomenon which must be addressed to move the field forward. How...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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abstract:BACKGROUND:Advances in HIV care have resulted in increasing numbers of HIV patients receiving antiretroviral therapy and achieving viral control. This has led to a focus on the biomedical aspects of care, leaving the data on psychological and social problems relatively neglected; in fact they have never before been sys...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:1984-01-01 00:00:00
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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pub_type: 杂志文章,多中心研究
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更新日期:2015-09-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ijnurstu.2005.11.016
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journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2009.03.003
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pub_type: 杂志文章,评审
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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pub_type: 杂志文章,多中心研究
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更新日期:2009-09-01 00:00:00
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2014-04-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:1993-12-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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