인천지역 장기요양시설과 주간보호시설 여성치매노인의 인지기능 및 영양섭취 비교

초록

In this study we compared the cognitive function (Mini-Mental State Examination for Dementia Screening: MMSE-DS)and nutrient intake of elderly women with dementia in a long-term care facility (EW-LCF) and a day-time care facility (EWDCF). This survey was conducted from July 2015 to May 2017 on 73 elderly women with dementia (47 women in LCFand 26 women in DCF) in the city of Incheon. The data obtained from interviews with the subjects and caregivers wereanalyzed using the SPSS 20.0. The total score of the MMSE-DS and intakes of most nutrients in the EW-LCF weresignificantly lower compared to the EW-DCF (p<0.05). The nutrient adequacy ratios (NAR) of protein, vitamin A, C, B6,B12, thiamin, riboflavin, niacin, folic acid, calcium and phosphorus in the EW-LCF were significantly lower compared to theEW-DCF (p<0.05). However, the indexes of nutritional quality (INQ) of vitamin C, B6, thiamine, niacin, calcium,magnesium, and iron in the EW-LCF were significantly higher compared to the EW-DCF (p<0.05). As a result, the subjectsshowed an unbalanced and insufficient nutrition intake status regardless of the type of care facility. Most nutrient intakes ofthe EW-LCF with lower cognitive function were very significantly lower compared to the EW-DCF (p<0.001). Therefore,it is necessary to assess the cognitive function and nutritional status regularly at care facilities for the elderly women sufferingwith dementia and to provide specialized individual nutritional management.

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