Journal of Nutrition and Health

  • 제51권4호
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  • Pages.307-315
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  • 2018
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  • 2288-3886(pISSN)
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  • 2288-3959(eISSN)
한국영양학회 (The Korean Nutrition Society)
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영양관리과정에 근거한 영양중재가 노인 영양불량 입원환자의 식사섭취량 증진에 미치는 효과

Effect of nutrition care process-based nutrition intervention on improvement of intake in the elderly in-patients with malnutrition

  • 박지현 (대구파티마병원 영양팀) ;
  • 강민지 (영남대학교 식품영양학과) ;
  • 서정숙 (영남대학교 식품영양학과)
  • 투고 : 2018.06.05
  • 심사 : 2018.07.23
  • 발행 : 2018.08.31
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초록

본 연구는 대구광역시 소재 종합병원에 입원한 노인 영양불량환자의 병원식사 섭취량 증진을 위한 영양중재의 효과를 분석하고자 하였으며, 이를 통하여 입원한 노인 영양불량환자의 영양관리 방안에 대한 기초자료를 제공하고자 하였다. 본 연구에서는 병원식사 섭취량 감소의 원인을 파악하여 각 원인에 따라 개별적인 영양중재를 실시하였다. 그 결과 연구대상자의 에너지 및 단백질 섭취량을 유의하게 개선시켰고 단백질의 INQ를 높였다. 또한 단백질, 철, 비타민 $B_2$의 NAR이 개선되고 MAR도 유의적인 증가를 보였다. 따라서 본 연구는 환자의 식사섭취량 부족의 원인을 정확하게 진단하고 영양진단에 따른 개별적인 영양중재를 통하여 환자의 식사섭취 상태를 개선시킬 수 있었다는 점에서 의의가 있다고 여겨진다.

Purpose: This study evaluated the effects of personalized nutrition intervention for increasing hospital meal intake by elderly patients with malnutrition. Methods: The subjects were 30 elderly patients with malnutrition who visited a general hospital located in Daegu. An individual nutrition intervention such as change of meal types or special meal service was given to the patients according to nutrition diagnosis related to inadequate intake of hospital meals. Nutritional intake status of the subjects was assessed by analyzing energy intake, protein intake, index of nutritional quality (INQ), nutrient adequacy ratio (NAR) and mean adequacy ratio (MAR). Results: The causes of inadequate intake in the subjects were poor appetite or preference problems (46.7%), symptom-related problems (30.0%) and mastication problems (23.3%). The INQ of protein in the subjects was significantly increased from $0.81{\pm}0.17$ to $1.41{\pm}0.25$ after the nutrition intervention (p < 0.05). The NAR of protein (before $0.50{\pm}0.21$, after $0.58{\pm}0.17$), iron (before $0.72{\pm}0.30$, after $0.84{\pm}0.29$) and vitamin $B_2$ (before $0.31{\pm}0.16$, after $0.37{\pm}0.14$) was also increased after the nutrition intervention (p < 0.05). The MAR of five nutrients, protein, calcium, iron, vitamin A and vitamin $B_2$, was significantly increased by the nutrition intervention (p < 0.05). Conclusion: Personalized nutrition intervention according to nutrition diagnosis related to inadequate intake of hospital meals may improve the intake amount of elderly patients with malnutrition.

키워드

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  2. Association Between Dietary Nutrient Intake and Chronic Obstructive Pulmonary Disease Severity: A Nationwide Population-Based Representative Sample vol.17, pp.1, 2020, https://doi.org/10.1080/15412555.2019.1698530