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    Please use this identifier to cite or link to this item: http://asiair.asia.edu.tw/ir/handle/310904400/18079


    Title: Modifying the short-form Mini-Nutritional Assessment to improve the prediction of nutritional risk in patients on hemodialysis.
    Other Titles: 修正簡易營養評估量表(MNA)以改善其評估血液透析患者營養風險之效能
    Authors: 許智怡;Chih-Yi Hsu;蔡仲弘;Alan C. Tsai
    Contributors: 健康產業管理學系
    Keywords: 血液透析病患;營養評估;簡易營養評估量表;Hemodialysis patients, Nutritional assessment, Mini Nutritional Assessment
    Date: 2012-03
    Issue Date: 2012-11-26 12:07:31 (UTC+8)
    Abstract: 目標:改良MNA(Mini-Nutritional Assessment)使其更適用於血液透析(hemodialysis, HD)患者的營養評估。方法:本研究徵求中部某地區醫院門診洗腎中心血液透析患者100名(18-97歲,男43女57名)。經同意後,以短式及長式MNA-台灣二版評估營養狀況並與生化指標比較。MNA台灣二版為採用台灣老人體位指標的改良版。版本之修正以選擇較能反應HD病情的非短式題項(如O題)與較不反應HD病情的短式題項(如E題)互換題位,並檢定其改良成效。以Wilcoxon Signed-Rank Test進行事後檢定,比較短式MNA台灣二版各改良版本與長式MNA台灣二版的評估結果。以Pearson's相關分析長式及各短式MNA台灣二版的總分與血清白蛋白、血清肌酸酐、住院天數、及急診次數的相關性。結果:本研究發現短式MNA台灣二版用於評估血液透析病患時,以量表O題(自評營養狀況)取代(對換)E題(失智),最能改進評估功能,且其評估成果與長式MNA台灣二版相當一致。結論:本研究的結果顯示MNA量表以O題(自評營養狀況)取代(對換)E題(失智)或D題(精神壓力)最能改進其血液透析患者的評估功能。此簡單的改良,使短式MNA量表可適用於台灣的血液透析患者。

    Objectives: To modify the MNA so that it would be suitable for use in hemodialysis patients. Methods: Subjects were 100 hemodialysis outpatients (18-97 years, 43 men and 57 women) recruited from a district hospital in Central Taiwan. With their consent, we rated the nutritional status of each subject with the long-, short-, and modified short-form MNA versions and measured their biochemical values. We examined various alternative short-form MNA versions based on dietary characteristics of hemodialysis patients. The study used Wilconxon Signed-Rank Test, Pearson's correlation analysis and the cross-tabulation test to evaluate the ability of the short-form versions to predict the long-form MNA (T2). Results: Results showed that a modified short-form version that exchanged item O (self-rated nutritional status) for item E (dementia) improved the predictive ability of the MNA in HD patients. The modified short-form performed well compared to the long-form. Conclusions: The study demonstrates that replacing item O for E or D in the MNA can best improve the functionality of the MNA. This simple revision makes the short-form suitable for assessing the risk of malnutrition in patients on hemodialysis
    Relation: Taiwan Journal of Public Health, 31(2):176-183.
    Appears in Collections:[健康產業管理學系] 期刊論文

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