English  |  正體中文  |  简体中文  |  Items with full text/Total items : 90120/105278 (86%)
Visitors : 9219122      Online Users : 336
RC Version 6.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
Scope Tips:
  • please add "double quotation mark" for query phrases to get precise results
  • please goto advance search for comprehansive author search
  • Adv. Search
    HomeLoginUploadHelpAboutAdminister Goto mobile version

    Please use this identifier to cite or link to this item: http://asiair.asia.edu.tw/ir/handle/310904400/2403

    Title: Validation of a modified MNA for assessing the nutritional status of maintenance hemodialysis patients in Taiwan
    Authors: Lu,Shu Jen
    Contributors: Department of Healthcare Administration/Healthcare Division
    Keywords: Hemodialysis;Mini Nutritional Assessment (MNA);nutritional assessment
    Date: 2008
    Issue Date: 2009-11-06 13:37:27 (UTC+8)
    Abstract: The study compared the functionality of the original and the modified Mini Nutritional Assessment (MNA) for assessing the nutritional status of ambulatory hemodialysis (HD) patients in Taiwan. Using a structured questionnaire, the study elicited personal data, health-related information and answers to questions in the MNA with a structured questionnaire in 95 HD patients in two dialysis centers in southern Taiwan. Results showed that all three versions of the MNA could effectively assess the nutritional status of HD patients. The total MNA scores were positively correlated (P<0.05) with serum albumin, predialysis creatinine, dialysis time/session, appetite status, mid-arm circumference and calf-circumference, and negatively correlated (P<0.05) with the number of chronic diseases, number of prescribed medicine and length of hospital stay during the past six months. However, based on the strength of the correlations with nutritional indicators, the MNA-TII, the version without BMI, had the best functionality. Furthermore, the correlations with the MNA scores are all stronger than with serum albumin, suggesting that the MNA can better reflect nutritional status of these patients than albumin. The MNA-TII predicted 2.1% of HD patients malnourished, 27.4% at risk of malnutrition, and 70.5% normal. These results suggest that the MNA, especially the MNA-TII, might be a useful tool for routine assessment of nutritional status in HD patients. Since pinpointing true body weight is relatively difficult in HD patients, the MNA-TII has significant advantage over other tools by not involving BMI. Depressed appetite and inadequate protein and energy intakes are common among HD patients. Periodic assessment will enable timely intervention to avoid full-bloom malnutrition. It can also improve the quality of life of the HD patients and possibly also save on the healthcare cost.
    Appears in Collections:[長期照護組] 博碩士論文

    Files in This Item:

    File Description SizeFormat
    2403.doc25KbMicrosoft Word149View/Open

    All items in ASIAIR are protected by copyright, with all rights reserved.

    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - Feedback