ภาวะโภชนาการของผู้ป่วยสูงอายุที่เข้ารับการรักษาในโรงพยาบาลทั่วไป

Nutritional status among hospitalized elders in a general hospital.

Name: มณีรัตน์ ศรีสวัสดิ์

ThaSH: วัยชรา -- แง่โภชนาการ

ThaSH: ผู้สูงอายุ -- โภชนาการ

Abstract: This descriptive research aimed to study the nutritional status and nutritional risk of hospitalized elderly patients in a community hospital on their admission. Nutritional status was reassessed at day seven of admission and before discharge from the hospital, and compared with the status on hospital admission. The sample was 265 elderly patients selected by predetermined criteria from three divisions: general medicine, general surgery and orthopaedic surgery at Somdejpraphutthalertlha Hospital, Samuthsongkram province, Thailand. The nutritional risk was assessed by the nutrition risk classification for Thais. The nutritional status was determined from body mass index, waist circumference, waisthip ratio, hemoglobin, hematocrit, serum albumin and total lymphocyte count. It was found that on admission to the hospital, 76.2 % of the elderly patients had nutritional risk. 45.7% were overweight and obese (Body mass index > 23 Kg/m2), and 8.6 % were underweight (Body mass index < 18.5 Kg/m2). 91.7 % had abdominal obesity, and about one third had anemia (33.6% had low hemoglobin, and 33.9% had low hematocrit). Low total lymphocyte count was found in 25.6 percent and 32.4 % had low serum albumin. The mean bodyweight, body mass index, waist circumference, waist-hip ratio of the sample at seven days after admission and before discharge were significantly less than those on admission (p<0.01). Before discharge from the hospital, mean hemoglobin and hematocrit were significantly higher than those on admission (p<0.01). Mean total lymphocyte count and serum albumin were significantly lower than those on admission. During hospital admission there were 202 patients (85.2) who had weight reduction from 0.5 to 6 kilograms. Malnutrition is still an important problem for elderly patients. Nutritional Care, including screening and assessment at admission and follow up, should be set in the treatment and caring process.

มหาวิทยาลัยมหิดล. หอสมุดและคลังความรู้มหาวิทยาลัยมหิดล

Address: นครปฐม

Email: liwww@mahidol.ac.th

Name: พรรณวดี พุธวัฒนะ

Role: ที่ปรึกษาวิทยานิพนธ์

Name: มณี อาภานันทิกุล

Role: ที่ปรึกษาวิทยานิพนธ์

Created: 2554

Modified: 2559-02-13

Issued: 2559-02-13

วิทยานิพนธ์/Thesis

application/pdf

CallNumber: วพ ม137ภ 2554

tha

DegreeName: พยาบาลศาสตรมหาบัณฑิต

Level: ปริญญาโท

Descipline: การพยาบาลผู้ใหญ่

Grantor: มหาวิทยาลัยมหิดล

ลำดับที่.	ชื่อแฟ้มข้อมูล	ขนาดแฟ้มข้อมูล	จำนวนเข้าถึง	วัน-เวลาเข้าถึงล่าสุด
1	5036190-tha.pdf	170.38 KB	22	2021-11-20 14:01:19
2	5036190-eng.pdf	202.47 KB	15	2021-04-11 22:18:49
3	5036190.pdf	3.14 MB	30	2025-05-26 09:17:10

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