scholarly journals VALORACIÓN NUTRICIONAL CON LA SITUACIÓN FUNCIONAL TRAS SUFRIR UN ICTUS.

2017 ◽  
Author(s):  
Fidel López-Espuela ◽  
Juan Carlos Portilla-Cuenca ◽  
Marta Holguín Mohedas ◽  
José Manuel Párraga Sánchez ◽  
Sergio Cordovilla-Guardia ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Calidad De Vida ◽  
The Relationship

Objetivo: Valorar el estado nutricional (EN) del paciente a los tres meses de sufrir un ictus, y establecer la relación del EN con la recuperación funcional y las complicaciones en este periodo.Material y métodos: Estudio observacional y transversal. Pacientes supervivientes a un ictus mayores de 65 años. La valoración del EN se realizaba a los 3 meses del ictus Se recogieron datos sociodemograficos, antropométricos, factores de riesgo cardiovascular, así como el estado funcional y las complicaciones sufridas (infección urinaria, fiebre, neumonía, etc.). La valoración nutricional fue evaluada con el Mini Nutritional Assessment (MNA).Resultados: 103 pacientes, edad media de 75,81(±6,73) años.. La puntuación en el MNA fue de 23,13 puntos; el 8,2% presentaba malnutrición, el 38,1% riesgo de malnutrición.No se observaron diferencias en el EN entre mujeres y hombres (p=0,076); ni relación del EN con la edad. El estado nutricional deficitario se asoció a peor situación funcional (r=0,608;p<0,001), al desarrollo de complicaciones (infección urinaria y fiebre) (p=0,044) y con la disfagia (p=0,014). Además, aquellos pacientes con mejor EN presentaban mejor calidad de vida (r=0,506;p<0,001).También se relaciono con el nivel socioeconómico (p=0,020) y la institucionalización en centros sociosanitarios (p=0,004).Conclusiones: El Estado nutricional deficitario es frecuente en los supervivientes a un ictus a los 3 meses, y se relaciona con la dependencia funcional y la aparición de complicaciones.Además, el estado nutricional afecta a la calidad de vida autopercibida por estos pacientes.La disfagia es una secuela importante y que afecta al estado nutricional.  Title: Nutritional status and the relationship regarding to functional status after stroke. ABSTRACTAims: To assess the Nutritional Status (NS) for a patient after three months of suffering an stroke, and to establish the relationship between functional recovery and their complications, in this period.Material and methods: It realized a cross-sectional observational study. The sample consisted of patients who had suffered the stroke over 65 years old. The NS assessment was performed 3 months later of stroke. They were collected sociodemographic, anthropometric data, cardiovascular risk factors, functional status and dependence. Also, they were analyzed the suffered complications during 3 months after stroke (urinary tract infection, fever, pneumonia). Nutritional assessment was evaluated by the Mini Nutritional Assessment (MNA.Results: 103 patients were included, with a medium age of 75.81(±6.73). The MNA score was 23.13 points; 8.2% had malnutrition, 38.1% with risk of malnutrition. It didn´t detect any difference between women and men (p=0.076); either the NS with age. Nutritional status deficit was associated with poorer function (r=0.608;p<0.001), with the development of complications (urinary tract infection and fever) (p=0.044) and dysphagia (p=0.014). In addition, those patients with better nutritional status punctuating had a better quality of life (r=0.506; p<0.001). I was also associated with socioeconomic status (p = 0.020) and institutionalization, in health centers (p=0.004). Conclusions:The Nutritional status deficit is common in ictus´ survivors at 3 months, and It´s related to dependence and the appearance of complications. In addition, the nutritional status affects the self-perceived quality of life for these patients. Dysphagia is an important sequel that affects the nutritional status.

Maintenance of indwelling urinary catheters with a novel polyhexanide-based solution: user experience

2020 ◽  
Vol 29 (18) ◽  
pp. S18-S28
Author(s):  
Litti Andersen ◽  
Marianne Bertelsen ◽  
Vicki Buitenhuis ◽  
Annette Carstensen ◽  
Jane Hannibalsen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Healthcare Costs ◽  
Product Evaluation ◽  
Improve Quality ◽  
Urinary Catheters ◽  
User Experiences

Background: Catheter-associated urinary tract infection (CAUTI) can significantly affect patients' quality of life and increase healthcare costs. Aims: This study aimed to capture patients' and nurses' experience of catheter maintenance using a polyhexanide-based solution (PS) in everyday practice. Methods: Retrospective analysis of data was collected for a product evaluation. PS was used twice a week for five weeks. Findings: The study included 42 patients, 30 (71%) men and 12 women (29%). After five weeks of rinsing catheters with PS, nine patients reported no or decreased frequency of CAUTI, eight a better quality of life, eight reduced blockage, seven a decrease in odour and five fewer catheter changes. Three patients reported no benefit from PS use. Nurses reported that fewer visits were needed and consumption of disposables was lower. Conclusions: User experiences suggest that, as a novel means of catheter maintenance, PS has the potential to reduce catheter-associated complications such as CAUTI, improve quality of life and reduce healthcare costs.

Evaluation of the Relationship between Nutritional Status and Quality of Life among Nursing Home Residents with Alzheimer's Disease

2016 ◽  
pp. 42-73 ◽  
Author(s):  
Alev Keser ◽  
Filiz Yildirim
Keyword(s):  
Quality Of Life ◽  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Nutritional Status ◽  
Nutrient Intake ◽  
Nutritional Assessment ◽  
Nursing Home Residents ◽  
Mini Nutritional Assessment ◽  
Dementia Patients

The purpose of this study was to determine nutritional status and its influence on their quality of life in Alzheimer's disease (AD) patients with Mini Nutritional Assessment (MNA) and anthropometric measurements. This study was conducted with 57 Alzheimer type dementia patients between the ages of 52 and 89 who live in nursing homes in Ankara/Turkey. In this study, it was found that the 57.9% of the AD patients were at risk of malnutrition, and that 19.3% were malnourished. Malnutrition risk rises as the length of stay increases (p< .05). A significant correlation between body weight and quality of life as well as one between calf circumference and quality of life was detected (p< .05). In this study, nutrient intake among aged individuals with AD was found unbalanced; a statistically significant correlation between energy / nutrient intake and quality of life also was not detected.

Evaluation of the Relationship Between Nutritional Status and Quality of Life Among Nursing Home Residents With Alzheimer's Disease

2018 ◽  
pp. 68-92
Author(s):  
Alev Keser ◽  
Filiz Yildirim
Keyword(s):  
Quality Of Life ◽  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Nutritional Status ◽  
Nutrient Intake ◽  
Nutritional Assessment ◽  
Nursing Home Residents ◽  
Mini Nutritional Assessment ◽  
Dementia Patients

The purpose of this study was to determine nutritional status and its influence on their quality of life in Alzheimer's disease (AD) patients with Mini Nutritional Assessment (MNA) and anthropometric measurements. This study was conducted with 57 Alzheimer type dementia patients between the ages of 52 and 89 who live in nursing homes in Ankara/Turkey. In this study, it was found that the 57.9% of the AD patients were at risk of malnutrition, and that 19.3% were malnourished. Malnutrition risk rises as the length of stay increases (p< .05). A significant correlation between body weight and quality of life as well as one between calf circumference and quality of life was detected (p< .05). In this study, nutrient intake among aged individuals with AD was found unbalanced; a statistically significant correlation between energy / nutrient intake and quality of life also was not detected.

Nutritional status as a predictor of comprehensive activities of daily living function and quality of life in patients with stroke

2021 ◽  
pp. 1-7
Author(s):  
Ya-Chen Lee ◽  
En-Chi Chiu
Keyword(s):  
Quality Of Life ◽  
Nutritional Status ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Nutritional Assessment ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
Cross Sectional ◽  
Cross Sectional Design

BACKGROUND: Nutritional status could affect functional capacity and reduce quality of life in patients with stroke. Although the associations between nutritional status, basic activities of daily living (BADL)/Instrumental ADL, and quality of life (QOL) in older people have been identified, the relationships have not yet been examined in patients with stroke, using the full Mini Nutritional Assessment (MNA) or MNA-short form (MNA-SF). OBJECTIVE: This study aimed to examine the relationship between nutritional status (using full MNA and MNA-SF), comprehensive ADL function, and QOL in patients with stroke. METHODS: Eighty-two patients with ischemic stroke participated in this cross-sectional design study. Each participant was assessed with the full MNA, MNA-SF, comprehensive ADL function (including Barthel Index and Frenchay Activities Index), and WHO Quality of Life-BREF (WHOQOL-BREF) once. RESULTS: The MNA-SF was only significantly correlated with the comprehensive ADL function (rho = 0.27, p = 0.013), whereas, the full MNA was found to be significantly correlated with the comprehensive ADL function and WHOQOL (rho = 0.24, p = 0.029 and rho = 0.30, p = 0.005). The MNA-SF was a significant predictor of comprehensive ADL function, accounting for 44% of the variance. The full MNA was the only significant predictor of the WHOQOL-BREF, explaining 17% of the variance. CONCLUSIONS: This study has revealed a relationship between nutritional status, comprehensive ADL function, and QOL among patients with stroke. Patients with stroke with better nutritional status had higher ADL function as well as better QOL. The MNA-SF was useful in predicting comprehensive ADL, whereas, the full MNA could be used to predict QOL. Knowledge and evidence of the association and predictive power of the MNA-SF and full MNA could guide clinicians to choose tools for assessing the nutritional status of patients with stroke more effectively.

scholarly journals Spinal Cord Injury Creates Unique Challenges in Diagnosis and Management of Catheter-Associated Urinary Tract Infection

2019 ◽  
Vol 25 (4) ◽  
pp. 331-339 ◽  
Author(s):  
Felicia Skelton-Dudley ◽  
James Doan ◽  
Katie Suda ◽  
S. Ann Holmes ◽  
Charlesnika Evans ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Diagnostic Tools ◽  
Diagnosis And Management ◽  
Cord Injury

Background: Catheter-associated urinary tract infection (CAUTI) is associated with increased morbidity and mortality and influences the quality of life of patients with spinal cord injury (SCI). Objectives: This clinical review aims to highlight the unique surveillance, prevention, diagnosis, and management challenges of CAUTI in the SCI population. Methods: Narrative review of the current literature on catheter use in persons with SCI was conducted to determine gaps in knowledge and opportunities for improvement. Results: Surveillance of CAUTI is challenging in the SCI population as the ability to detect symptoms used to diagnose CAUTI (ie, suprapubic pain, dysuria) is impaired. In terms of prevention of CAUTI, current strategies refocus on appropriate catheter insertion and care and early removal of catheters, which is not always feasible for persons with SCI. Prophylactic antibiotics, nutraceuticals, and coated catheters show limited efficacy in infection prevention. Diagnosing CAUTI after SCI is challenging, often resulting in an overdiagnosis of CAUTI when truly asymptomatic bacteriuria exists. In the management of CAUTI in patients with SCI, the use of multiple antibiotics over time in an individual increases the rate of multidrug-resistant organisms; therefore, the exploration of novel non-antibiotic treatments is of importance. The patient experience should be at the center of all these efforts. Conclusion: Better diagnostic tools or biomarkers are needed to define true CAUTI in people with SCI. SCI-specific evidence to inform catheter management and CAUTI treatment guidelines is needed, with the goal to minimize catheter-related harm, reduce antibiotic resistance, and improve satisfaction and overall quality of life for SCI patients.

scholarly journals The relationship between malnutrition and quality of life in haemodialysis and peritoneal dialysis patients

2018 ◽  
Vol 64 (9) ◽  
pp. 845-852 ◽  
Author(s):  
Serkan Günalay ◽  
Yasemin Kiliç Öztürk ◽  
Harun Akar ◽  
Haluk Mergen
Keyword(s):  
Quality Of Life ◽  
Peritoneal Dialysis ◽  
Nutritional Assessment ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
Dialysis Patients ◽  
Significant Difference ◽  
The Mean ◽  
The Relationship

SUMMARY BACKGROUND One of the most important factors affecting the quality of life of chronic kidney disease (CKD) patients is nutrition. Prevention of malnutrition increases patients’ quality and length of life. In this study, we aimed to determine the frequency of malnutrition, quality of life, and the relationship between them in patients with end-stage renal disease (ESRD). METHOD The study was conducted with a total of 60 CKD patients including 50 haemodialysis patients and 10 peritoneal dialysis patients. Patients’ data associated with socio-demographics, body mass index (BMI), waist circumference, triceps skin-fold thickness (TSFT), pre-dialysis systolic and diastolic blood pressure, Kt/V and urea reduction ratio (URR) values, laboratory parameters, Mini-Nutritional Assessment-Short Form (MNA-SF) and European Quality of Life 5-Dimensions (EQ5D) scale were recorded. FINDINGS Of the total 60 patients; 27 were male (45%), 33 were female (55%), 83.3% were receiving haemodialysis treatment (HD), and 16.7% were receiving peritoneal dialysis treatment (PD). The mean MNA-SF score was 10.4 ± 2.8 in the HD group and 10.5 ± 2.9 in the PD group; there was no difference between the scores of the HD and PD groups. The mean EQ5D score was 0.60 ± 0.29 in the HD group and 0.68 ± 0.33 in the PD group, no significant difference was found between the HD group and the PD group. The quality of life was found lower in malnourished group (p=0.001). CONCLUSION The quality of life needs to be increased by early diagnosis and treatment of malnutrition in patients at risk.

scholarly journals Quality of life, symptoms and dietary habits in oncology outpatients with malnutrition: A cross-sectional study

2021 ◽  
Vol 38 (2) ◽  
Author(s):  
Mira Sonneborn-Papakostopoulos ◽  
Clara Dubois ◽  
Viktoria Mathies ◽  
Mara Heß ◽  
Nicole Erickson ◽  
...  
Keyword(s):  
Quality Of Life ◽  
At Risk ◽  
Side Effects ◽  
Dietary Habits ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
University Hospital ◽  
Cross Sectional ◽  
European Organization

AbstractCancer-related malnutrition has a high prevalence, reduces survival and increases side effects. The aim of this study was to assess oncology outpatients and risk of malnutrition. Reported symptoms and quality of life (QoL) in patients found to be at risk of malnutrition or malnourished were compared to patients without malnutrition. Using a standardized questionnaire, the European Organization for Research and Treatment of Cancer Questionnaire for Quality of Life and the Mini Nutritional Assessment (MNA), patients in an outpatient cancer clinic undergoing chemotherapy treatment at a German University Hospital were assessed for nutrition, risk of malnutrition and quality of life. Based on the MNA, 39 (45.9%) patients were categorized as malnourished or at risk for malnutrition. Loss of appetite (n = 37.6%, p < 0.001) and altered taste sensation (n = 30,3%, p < 0.001) were the symptoms most frequently associated with reduced food intake. Patients with risk of malnutrition scored lower on the global health status (n = 48.15%, p = 0.001). Side effects of cancer treatments lead to a higher risk of malnutrition and as a consequence lower QoL. These side effects should be addressed more efficiently in cancer care.

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