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

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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中华临床营养杂志
中华临床营养杂志 Nursing-Nutrition and Dietetics
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2282
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