Dissertation > Excellent graduate degree dissertation topics show

Exploring the Related Factors of the Nutrition Status of Dementia Patient with Dyphagia

Author: ZhangMin
Tutor: SunZuo
School: Taishan Medical College
Course: Nursing
Keywords: dementia dysphagia nutritional status related factors
CLC: R473.74
Type: Master's thesis
Year: 2013
Downloads: 30
Quote: 0
Read: Download Dissertation

Abstract


ObjectivesThe objectives of this study were to investigate the nutritional status of demented patients with dysphagia by questionnaires in four general hospitals and analyze the relevant factors of malnutrition from patient’s own condition and caregivers two aspects,so as to provide theoretical basis for the establishment of clinical nursing intervention measures.Methods106demented patients with dysphagia and their caregivers were selected by random and convenient sampling method from4general hospitals. Evaluation of swallowing function was trough Harada functional evaluation method.The questionnaire included socio-demographic characteristics, MNA-SF, EdFFD, ADL,ZBI and MMSE.After data entry SPSS17.0package,statistically descriptive and analysis were carried out.The Spearman and Pearson correlational analysis was used to analyze the correlation between variables and logistic regression analysis was used to analyze primary related factors.Path analysis of structural equation model was used to explore the relation between the nutritional status and related factors as well as the relationship between these factors.Results1.In our study,rate of effective questionnaires was90.59%.The average score of MNA-SF was7.79±2.67.The rate of malnutrition,having risk of malnutrition,normal nutrition was50.00%,38.68%and11.32%respectively.2.Univarate analysis shows that the related factors of malnutrition were age, family’smonthly income,chronic case history, masticatory function, food-intake, dysphagia,difficulty in feeding, activities of daily living, cognitive function, caregiver burden(P<0.05).Multiple Logistic regression analysis showed that chronic case history, food-intake,dysphagia,caregiver burden were the main related factors of malnutrition. If we got rid of the confound factors and add a level of dysphagia,the risk of malnutrition would increase to1.666times of the original.3.Path analysis showed that activities of daily living,caregiver burden, food-intake had direct effect on patients’nutritional status and could pay40.00%responsibility in the change of nutritional status. Furthermore,dysphagia, difficulty in feeding,cognitive function had indirect effect on patients’ nutritional status.4.The score of MNA-SF was middling correlated with traditional nutritional assessment indexes of Alb and TP.It had low correlation with PA、 GLO and Hb,the correlation coefficients were0.405、0.416、0.363、0.203、0.227respectively.Conclusion1.The prevalence of malnutrition is high in dementia patients with dysphagia. The main related factors are chronic case history, food-intake,dysphagia, caregiver burden.2.Activities of daily living,caregiver burden,food-intake has direct effect on patients’nutritional status.Dysphagia and difficulty in feeding affect patients’nutritional status through food-intake.Cognitive function affect patients’nutritional status through caregiver burden.

Related Dissertations

  1. The Analysis of Related Factors in Type 2 Diabetes with Depression,R587.1
  2. Recurrent Ovarian Cancer Surgery Again with Surial Analysis of Relevant Factors,R737.31
  3. Effect of High-flux Hemodialysis on Nutritional Ststus of ESRD Patients,R692.5
  4. Evaluation of Cognitive with Dementia Assessment Scale and the Related Potential P300in Mild Cognitive Dysfunction Patients,R749.1
  5. Insight on Neuropsychological Characters between Different Kinds of Cognitive Impairment,R749.1
  6. Secondary vocational schools in Kunming Bai, Yi , Han students physical and comparative analysis of nutritional status,G804.49
  7. Patients with chronic obstructive pulmonary disease severity and nutritional status of the relationship,R563.9
  8. The Changing Track of Translated Literature from 1898 to 1908,R759.1
  9. Poststroke Cognitive Impairment No Dementia: a Neuropsychological Characteristics and Cerebral Blood Flow on SPECT/CT Study,R749.1
  10. Study of Neuropsychological Characteristics and Diffusion Tensor Imaging on Thalamus in Patients with Vascular Cognitive Impairment No Dementia,R749.1
  11. Research on Economic Burden and Influencing Factors of Elderly Patients with Dementia in Nursing Home in Soochow,R473.74
  12. Survey on Health Intervention for NAFLD,R575.5
  13. Study on Cognitive Impairment Among In-patients with the First-ever Stroke in Parts of Hubei,R749.1
  14. Study of Serum Endothelin and High Sensitivity c-reactive Protein in Type 2 Diabetic Patients with Hypertension,R587.1
  15. The Formation of Montreal Cognitive Assessment (Changsha Version) and Application in Ischemic Cerebrovascular Disease Patients of Hunan Province, China,R749.1
  16. MoCA in the diagnosis of vascular dementia Application of,R749.1
  17. Study on the Status and Influential Factors of Caregivers for Senile Dementia Patients in Changsha City,R473.74
  18. Quality of life and nutritional assessment of elderly dysphagia,R473.74
  19. The Clinical Research of Ginkgo Biloba Extract on Mild Cognitive Impairment and the Conversion Rate to Dementia,R285
  20. Clustered needling of stroke patients with dysphagia Brainstem Auditory Evoked Potentials,R246
  21. Based on factor analysis of senile dementia regularity of TCM,R277.7

CLC: > Medicine, health > Clinical > Nursing > Specialist nursing > Neuropathy,psychiatric nursing
© 2012 www.DissertationTopic.Net  Mobile