ASIA unversity:Item 310904400/10822
English  |  正體中文  |  简体中文  |  全文筆數/總筆數 : 94286/110023 (86%)
造訪人次 : 21693020      線上人數 : 936
RC Version 6.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
搜尋範圍 查詢小技巧：
  • 您可在西文檢索詞彙前後加上"雙引號"，以獲取較精準的檢索結果
  • 若欲以作者姓名搜尋，建議至進階搜尋限定作者欄位，可獲得較完整資料
    •  進階搜尋


    請使用永久網址來引用或連結此文件: http://asiair.asia.edu.tw/ir/handle/310904400/10822


    題名: The Ability of MNA and MUST in Screening Malnutrition in Patients with Hemodialysis in Taiwan
    作者: CHANG MEI CHU
    貢獻者: Department of Healthcare Administration/Long-term Care Division
    關鍵詞: nutritional assessment scale;nutritional status;hemodialysis patients;nutritional risk
    日期: 2010
    上傳時間: 2010-11-06 05:19:16 (UTC+0)
    出版者: Asia University
    摘要: Objective - The objective of this study was to determine the ability of the long-form (LF) and short-form (SF) of the MNA (Mini-Nutritional Assessment) Taiwan versions (T1 & T2) and the MUST (Malnutrition Universal Screening Tool) versions in assessing the nutritional status of patients on hemodialysis (HD) in Taiwan.
    Methods - Subjects of this study were 152 hemodialysis out-patients (78 men and 74 women) of a teaching hospital in Central Taiwan. The study included a structured questionnaire interview, anthropometric measurements and biochemical tests. The questionnaire included questions to elicit personal data and answers to the MNA, the MUST and the SGA (Subjective Global Assessment) scales. Results were analyzed wtih SPSS/Window12.0 Statistical software. Friedman Test and Wilcoxon Signed-Rank Test were used to determine the significance of results.
    Results - The two MNA-LF versions (T1 and T2) rated 40.8% and 36.2% of subjects malnourished or at risk of malnutrition, resspepctively; the two MNA-SF versions rated 32.2% and 24.3% at risk of malnutrition; the two MUST versions rated 20.3% and 18.4%, respectively whereas the SGA rated 47.4%. Using results rated with the SGA as the reference, the two MNA-LF versions had kappa =0.734 and 0.666, repectively; the two MNA-SF versions, 0.450 and 0.446; and the two MUST versions, 0.172 and 0.265, respectively. When serum albumin was the reference, the two MNA-LF versions had kappa=0.450 and 0.479; the two MNA-SF versions, 0.267 and 0.356; the two MUST versions, 0.250 and 0.319 and the SGA, 0.414. When serum creatinine was the reference, the MNA-LF had kappa=0.389 and 0.380; the two MNA-SF versions, 0.306 and 0.2620; the two MUST versions, 0.088 and 0.179; and the SGA 0.462.
    Conclusion - Results indicate that among the scales examined, both versions of the MNA-LF have the best ability in predicting the risk of malnutrion in Taiwanese patients on hemodialysis. The MNA-SF underrates the risk of malnutrition in these patients. Therefore, the MNA-SF should not be used for evaluating nutritional risk of patients on hemodialysis until the scale is further modified and validated.
    顯示於類別:[長期照護組] 博碩士論文

    文件中的檔案:

    檔案 大小格式瀏覽次數
    0KbUnknown1839檢視/開啟


    在ASIAIR中所有的資料項目都受到原著作權保護.

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