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    Please use this identifier to cite or link to this item: http://asiair.asia.edu.tw/ir/handle/310904400/2370


    Title: Validation of a modified Mini Nutritional Assessment for assessing the nutritional status of stroke rehabilitation patients in Taiwan
    Authors: shr tsai ling
    Contributors: Department of Healthcare Administration/Healthcare Division
    Keywords: Stroke;Nutritional status;Mini-Nutritional Assessment;Activities of Daily Living;Mid-arm circumference;Calf circumference
    Date: 2007
    Issue Date: 2009-11-06 13:36:35 (UTC+8)
    Abstract: Objective: The objective of this study was to examine the functionality of a
    modified Mini Nutritional Assessment for assessing the nutritional status of stroke
    patients in Taiwan.
    Design and sampling: The study employed a purposive sampling design by
    involving the patient pool of Wen-Hua Stroke Patient Homecare Services of Taipei
    City.
    Subject criteria : To be eligible to participate in the study, the subject must be: (a)
    confirmed stroke patients, (b) 40 y or older, (c) cognitively functional and be able
    to communicate, (d) being admitted to the Center for at least one month and (e)
    willing to sign an informed study consent.
    Measurements: An in-home in-person interview was conducted on each patient
    with a structured questionnaire which included personal information, and the
    MMSE, Barthel index and MNA scales. Each subject’s nutritional status was
    assessed according to the original or two modified version of the MNA. The first
    modification replaced population-specific BMI, Mid-arm circumference (MAC)
    and Calf circumference (CC) cut-points for values specified in the original MNA.
    The second modification eliminated the question of BMI and distributed its scores
    to MAC and CC. Results were analkyzed by correlation analysis and linear
    regression analysis to determine the association of the nutritional status with the
    major functional indicators.
    Results: The study showed that 24.3% of patients were malnourished, 56.8% were
    at risk of malnutrition and18.9% were well nourished according to the original
    MNA; 13.5% of patients were malnourished, 63.5% were at risk of malnutrition
    and 23% were well nourished according to the modified MNA version I ; 18.9% of
    patients were malnourished, 56.8% were at risk of malnutrition and 24.3% were
    well nourished according to the modified MNA version II . MAC and CC showed
    significant correlations with all three versions the MNA score, other
    anthropometric parameters such as BMI, waist circumference and waist to hip ratio
    showed no correlations with the MNA. The scores of MMSE and ADL showed
    high correlations with the MNA-II scores. These results suggest that modified
    MNA, especially MNA-II which does not involve BMI can be effectively used to
    assess the nutritional risk status of stroke patients.
    Conclusion: MNA-II, a modified version of the MNA without using BMI, can
    effectively predict nutritional risk status of Taiwanese stroke patients. This
    modified version can greatly improve the utility of the MNA since measuring
    weight and height, especially for those living at home, is not an easy task for stroke
    patients. The tool can be used to detect individuals at risk of malnutrition, enabling
    timely intervention and healthcare cost.
    Appears in Collections:[長期照護組] 博碩士論文

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