Relationship between rhythms of daily living and nutritional status in elderly patients after medical treatment for acute diseases
Objective: This study was performed to clarify the relationship between rhythms of daily living and nutritional status in elderly patients after medical treatment for acute diseases. Methods: The study subjects were 21 elderly patients who transferred to the rehabilitation ward after medical treatme...
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| Published in | Jomyaku Keicho Eiyo Vol. 29; no. 4; pp. 1035 - 1041 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japanese Society for Parenteral and Enteral Nutrition
2014
日本静脈経腸栄養学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1344-4980 1881-3623 |
| DOI | 10.11244/jjspen.29.1035 |
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| Abstract | Objective: This study was performed to clarify the relationship between rhythms of daily living and nutritional status in elderly patients after medical treatment for acute diseases. Methods: The study subjects were 21 elderly patients who transferred to the rehabilitation ward after medical treatment for acute diseases. Nutritional status was compared between the patients with and without rhythms of daily living disorder at the timing of transfer. In addition, the association between the change of rhythms of daily living and the change of nutritional status were examined in patients who had rhythms of daily living disorder at the transfer. Results: Serum levels of total protein and albumin in patients with rhythms of daily living disorder were significantly lower than those without rhythms of daily living disorder. The nutritional statuses were improved in patients whose rhythms of daily living disorder disappeared. On the other hand, the nutritional statuses were not improved in patients whose rhythms of daily living disorder did not disappear. Conclusion: The detail nutritional assessment and nutritional support are needed for the elderly patients who undergo medical treatment of acute diseases, since nutritional statuses were poor in elderly patients who had rhythms of daily living disorder after medical treatment for acute diseases. |
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| AbstractList | Objective: This study was performed to clarify the relationship between rhythms of daily living and nutritional status in elderly patients after medical treatment for acute diseases. Methods: The study subjects were 21 elderly patients who transferred to the rehabilitation ward after medical treatment for acute diseases. Nutritional status was compared between the patients with and without rhythms of daily living disorder at the timing of transfer. In addition, the association between the change of rhythms of daily living and the change of nutritional status were examined in patients who had rhythms of daily living disorder at the transfer. Results: Serum levels of total protein and albumin in patients with rhythms of daily living disorder were significantly lower than those without rhythms of daily living disorder. The nutritional statuses were improved in patients whose rhythms of daily living disorder disappeared. On the other hand, the nutritional statuses were not improved in patients whose rhythms of daily living disorder did not disappear. Conclusion: The detail nutritional assessment and nutritional support are needed for the elderly patients who undergo medical treatment of acute diseases, since nutritional statuses were poor in elderly patients who had rhythms of daily living disorder after medical treatment for acute diseases. Objective: This study was performed to clarify the relationship between rhythms of daily living and nutritional status in elderly patients after medical treatment for acute diseases.Methods: The study subjects were 21 elderly patients who transferred to the rehabilitation ward after medical treatment for acute diseases. Nutritional status was compared between the patients with and without rhythms of daily living disorder at the timing of transfer. In addition, the association between the change of rhythms of daily living and the change of nutritional status were examined in patients who had rhythms of daily living disorder at the transfer.Results: Serum levels of total protein and albumin in patients with rhythms of daily living disorder were significantly lower than those without rhythms of daily living disorder. The nutritional statuses were improved in patients whose rhythms of daily living disorder disappeared. On the other hand, the nutritional statuses were not improved in patients whose rhythms of daily living disorder did not disappear.Conclusion: The detail nutritional assessment and nutritional support are needed for the elderly patients who undergo medical treatment of acute diseases, since nutritional statuses were poor in elderly patients who had rhythms of daily living disorder after medical treatment for acute diseases. 【目的】急性疾患治療後の高齢者における生活リズム障害の栄養状態に与える影響を明らかにする。【対象及び方法】対象は、急性疾患治療後にリハビリテーション病棟に転入した高齢者21名であり、転入時に生活リズム障害を認めた例と認めなかった例において栄養状態を比較した。また、生活リズム障害を認めた例においては、経過中の生活リズム障害の改善の有無と栄養状態の変動についても検討を行った。【結果】生活リズム障害あり群 (n＝13) は、なし群 (n＝8) に比較して、血清総蛋白 (TP) 値、血清アルブミン (Alb) 値が有意に低値であった。生活リズム障害が改善した2名は、血清 TP値、血清Alb値の上昇が観察されたが、生活リズム障害が消失しなかった3名は、血清 TP値、血清 Alb値の上昇は観察されなかった。【結論】急性疾患治療後に生活リズム障害を有する高齢者では栄養状態が悪化している可能性が高く、急性期治療中の高齢者においてはより詳細な栄養アセスメントや栄養に関するサポートを行う必要がある。 |
| Author | UCHIBE, Takako HARA, Sachiko ADACHI, Kyoichi |
| Author_FL | 内部 孝子 足立 経一 原 祥子 |
| Author_FL_xml | – sequence: 1 fullname: 内部 孝子 – sequence: 2 fullname: 原 祥子 – sequence: 3 fullname: 足立 経一 |
| Author_xml | – sequence: 1 fullname: UCHIBE, Takako organization: Division of Nursing, Matsue Red Cross Hospital – sequence: 1 fullname: ADACHI, Kyoichi organization: Department of Clinical Nursing, Shimane University Faculty of Medicine – sequence: 1 fullname: HARA, Sachiko organization: Department of Community Health Nursing, Shimane University Faculty of Medicine |
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| Publisher | Japanese Society for Parenteral and Enteral Nutrition 日本静脈経腸栄養学会 |
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| References | 2) 大荷満生 . 廃用症候群と低栄養 .Journal of Clinical Rehabilitation 17: 129-133, 2008. 9) 鷲沢尚宏．わが国の NSTの変遷．臨床栄養121：528-532，2012 13) 雨海照祥，葛谷雅文，吉田貞夫ほか編．高齢者の栄養スクリーニングツール MNAガイドブック．医歯薬出版，東京， 2011 4) 御子神由紀子，丸山道生，橋本直子ほか .高齢者の摂食・嚥下障害患者の低栄養の分析とリハビリテーションの効果 .静脈経腸栄養25:1089-1093，2010. 5) 藤間 幸．睡眠・生活リズム調整への看護．臨床看護36：1290-1295，2010 12) Vellas B, Lauque S, Gillette-Guyonnet S, et al. Impact of nutritional status on the evolution of Alzheimer's disease and on response to acetylcholinesterase inhibitor treatment. J Nutr Health Aging 9: 75-80, 2005. 7) 大橋久美子．看護における「生活リズム」：概念分析．聖路加看護学会誌14：1-9，2010 1) 葛谷雅文．高齢者低栄養の評価とその対策．日本老年医学会雑誌47：430-432，2010 3) 酒井あかり，加藤昌彦．栄養状態が高齢入院患者の ADLに及ぼす影響．日本臨床栄養学会雑誌29：65-71，2007 11) 佐藤三千世．看護師が担うNSTの役割．IRYO65：97-100，2011 10) 山田律子．摂食・嚥下障害をもつ認知症の人に対する看護の実際．老年精神医学雑誌20：1377-1386，2009 6) 杉田由加里，吉本照子，酒井郁子．高齢者関連の看護・介護職のテキストにみる生活リズムのとらえ方と調整に関する援助．千葉看会誌10：65-71，2004 8) 酒井郁子，大塚眞理子，諏訪さゆり．高齢者が生活リズムを整えるためのケア．中島紀恵子，石垣和子監修 .高齢者の生活機能再獲得のためのケアプロトコール.第1版 .日本看護協会出版会，東京，2010，p30-52. |
| References_xml | – reference: 2) 大荷満生 . 廃用症候群と低栄養 .Journal of Clinical Rehabilitation 17: 129-133, 2008. – reference: 7) 大橋久美子．看護における「生活リズム」：概念分析．聖路加看護学会誌14：1-9，2010． – reference: 1) 葛谷雅文．高齢者低栄養の評価とその対策．日本老年医学会雑誌47：430-432，2010． – reference: 10) 山田律子．摂食・嚥下障害をもつ認知症の人に対する看護の実際．老年精神医学雑誌20：1377-1386，2009． – reference: 6) 杉田由加里，吉本照子，酒井郁子．高齢者関連の看護・介護職のテキストにみる生活リズムのとらえ方と調整に関する援助．千葉看会誌10：65-71，2004． – reference: 9) 鷲沢尚宏．わが国の NSTの変遷．臨床栄養121：528-532，2012． – reference: 13) 雨海照祥，葛谷雅文，吉田貞夫ほか編．高齢者の栄養スクリーニングツール MNAガイドブック．医歯薬出版，東京， 2011． – reference: 5) 藤間 幸．睡眠・生活リズム調整への看護．臨床看護36：1290-1295，2010． – reference: 8) 酒井郁子，大塚眞理子，諏訪さゆり．高齢者が生活リズムを整えるためのケア．中島紀恵子，石垣和子監修 .高齢者の生活機能再獲得のためのケアプロトコール.第1版 .日本看護協会出版会，東京，2010，p30-52. – reference: 11) 佐藤三千世．看護師が担うNSTの役割．IRYO65：97-100，2011． – reference: 4) 御子神由紀子，丸山道生，橋本直子ほか .高齢者の摂食・嚥下障害患者の低栄養の分析とリハビリテーションの効果 .静脈経腸栄養25:1089-1093，2010. – reference: 3) 酒井あかり，加藤昌彦．栄養状態が高齢入院患者の ADLに及ぼす影響．日本臨床栄養学会雑誌29：65-71，2007． – reference: 12) Vellas B, Lauque S, Gillette-Guyonnet S, et al. Impact of nutritional status on the evolution of Alzheimer's disease and on response to acetylcholinesterase inhibitor treatment. J Nutr Health Aging 9: 75-80, 2005. |
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| SubjectTerms | elderly patient nutrition rhythms of daily living 栄養状態 生活リズム障害 高齢者 |
| Title | Relationship between rhythms of daily living and nutritional status in elderly patients after medical treatment for acute diseases |
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