Author/Editor     Urh, Nika; Babnik, Katarina; Rebec, Doroteja; Poklar Vatovec, Tamara
Title     Ocena prehranskega stanja starejših v socialnovarstvenem zavodu
Translated title     Assessment of the nutritional status of the elderly in a residential home
Type     članek
Vol. and No.     Letnik 51, št. 3
Publication year     2017
Volume     str. 207-218
ISSN     1318-2951 - Obzornik Zdravstvene Nege
Language     slv, eng
Abstract     Uvod: Eden od dejavnikov kakovosti življenja starejših v socialnovarstvenem zavodu je prehrana. Namen raziskave je bil proučiti prehransko stanje in ponuditi predloge za izboljšanje prehrane starejših v socialnovarstvenem zavodu. Metode: V raziskavi je bila uporabljena kvantitativna opisna metoda raziskovanja. Analizirani so bili dnevni jedilniki v socialnovarstvenem zavodu in na vzorcu starejših (n = 48) izvedena analizo dejanskega vnosa hranil in prehranskega statusa. Prehransko stanje je bilo ugotovljeno na podlagi indeksa telesne mase in vprašalnika Mini prehranski pregled. Vključeni v raziskavo so imeli prehrano, pri kateri dietne prilagoditve niso bile potrebne. Rezultati: Povprečna energijska vrednost ponujenih jedilnikov je znašala 8457 kJ (2021 kcal) na dan, 17 hranil je odstopalo od priporočil. Moški (M) in ženske (Ž) se statistično pomembno razlikujejo v deležu ostanka maščob (%M = 16 %, %Ž = 24 %; p = 0,036), holesterola (%M = 15 %, %Ž = 26 %; p = 0,035), vitamina D (%M = 15 %, %Ž = 27 %; p = 0,017) in vitamina B12 (%M = 17 %, %Ž = 25 %; p = 0,016). Indeks telesne mase je pokazal, da nihče od starejših, ki so bili vključeni v raziskavo, ni bil podhranjen ali v kategoriji debelost III. stopnje. Diskusija in zaključek: Raziskava je potrdila potrebo po sistematičnem spremljanju kakovosti prehrane starejših v socialnovarstvenih zavodih. Da bi starejšim zagotovili ustrezno prehransko oskrbo, je potrebno sodelovanje medpoklicnega tima s starejšimi in njihovimi družinskimi člani.Introduction: Nutrition is one of the factors that determine the quality of life of the elderly in a residential home. The purpose of the study was to investigate nutritional status and propose suggestions to improve nutrition among the elderly in a residential home. Methods: A quantitative descriptive research method was used. Analysed were the weekly menus in one of the Slovenian residential homes, performed an analysis of the actual nutrient intake and assessed the nutritional status of the elderly (n = 48). The nutritional status was assessed by means of the body mass index and the mini nutritional assessment tool. The participants included in the study had a diet without any special dietary adjustments. Results: The average energy value of weekly menus amounted to 8457 kJ (2021 kcal) per day. 17 nutrients deviated from the recommendations. Men (M) and women (W) statistically significantly differed in the proportion of residual fats (%M = 16 %, %W = 24 %, p = 0.036), cholesterol (%M = 15 %, %W = 26 %, p = 0.035), vitamin D (%M = 15 %, %W = 27 %, p = 0.017) and vitamin B12 (%M = 17 %, %W = 25 %, p = 0.016). The body mass index showed that none of the elderly included in the study was malnourished or in the class III obesity. Discussion and conclusion: The study confirmed the need for systematic monitoring of the elderly's quality of nutrition in a residential home. In order to provide the elderly with adequate nutritional care, the cooperation of an inter-professional team with the elderly and their family members is necessary.
Keywords     starejši
jedilniki
institucionalna oskrba
prehranska ogroženost
elderly
menus
institutional care
nutritional risk