Effects of InterRAI comprehensive evaluation and intervention on nutritional status of aged inpatients
10.3760/cma.j.issn.1674-2907.2017.01.008
- VernacularTitle:InterRAI综合评估及干预对老年住院患者营养状况的影响
- Author:
Hongwei ZHU
1
;
Xiaoxing LAI
;
Xiaopeng HUO
;
Haiyan XIE
;
Kang YU
Author Information
1. 100730北京协和医院保健医疗部
- Keywords:
Aged;
Nutritional status;
InterRAI comprehensive evaluation
- From:
Chinese Journal of Modern Nursing
2017;23(1):29-33
- CountryChina
- Language:Chinese
-
Abstract:
Objective To expore the effects of international resident assessment instruments (InterRAI) comprehensive evaluation and intervention on nutritional status of aged inpatients.Methods Totally 235 aged inpatients of a tertiary hospital from February to December 2015 were selected,and 126 cases of them had nutritional risk after the test of NRS 2002. Patients with nutritional risk were randomly divided into the intervention group and the control group,with 63 cases in each group. Patients in two groups were all given dietary estimation,nutritional education,and enteral or parenteral nutrition;besides,patients in the intervention group also received InterRAI comprehensive evaluation and intervention. At the first day and three months after intervention,Inbody 720 body composition analyzer was used to test the protein,body fat, skeletal muscle and BMI,and the second nutritional evaluation was conducted through blood nutrition indicators (plasma total protein concentration,serum albumin,prealbumin and transferrin). SPSS 17.0 software was used to analyze the data,and measurement data adopted two independent samples to design thet test.Results At the first day after admission,there were no differences in body composition index and blood nutrition indicators between two groups (P>0.05). Reexamination after three months showed that,the protein (8.5±0.7) kg,body fat (16.5± 4.8) kg,skeletal muscle (24.2±4.0) kg and BMI (17.2±5.6) kg/m2 in the intervention group,were all higher than the protein (6.6±0.9) kg,body fat (20.2±5.6) kg,skeletal muscle (18.5±3.1) kg and BMI (16.5±6.1) kg/m2 in the control group (t=9.595,8.055,11.331,2.015;P<0.05). and blood nutrition indicators in the intervention group, were better than that in the control group (P<0.05). The plasma total protein concentration (67.1±6.9) g/L, serum albumin (44.3±7.4) g/L, prealbumin (245.1±15.4) mg/L and transferrin (2 530.3±190.5) mg/L in the intervention group,were all higher than the plasma total protein concentration (55.6±7.2) g/L,serum albumin (32.5±6.3)g/L, prealbumin (210.1±16.8) mg/L and transferrin (2 001.1±169.8) mg/L in the control group (t=12.805,7.890, 9.421,14.427;P<0.05).Conclusions The InterRAI comprehensive evaluation and intervention can effectively improve the nutritional status and the quality of life in the elderly,and reduce the nutritional risk.
