RECEP TAYYİP ERDOĞAN ÜNİVERSİTESİEĞİTİM VE ARAŞTIRMA HASTANESİ EVDE SAĞLIKHİZMETLERİ BİRİMİNE KAYITLI 65 YAŞ ÜSTÜ MALNÜTREHASTALARIN BESLENME MÜDAHALESİ SONRASIDEĞERLENDİRİLMESİ

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Tezin Türü: Tıpta Uzmanlık

Tezin Yürütüldüğü Kurum: Recep Tayyip Erdoğan Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Türkiye

Tezin Onay Tarihi: 2022

Tezin Dili: Türkçe

Öğrenci: MERT SÜZÜK

Danışman: Cüneyt Ardıç

Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu

Özet:

Objective: The aim of the study is to reveal the change in the nutritional status of the patients after the nutritional interventions applied to the elderly patients registered in the home healthcare services and to set an example that encourages healthcare professionals to intervene in malnutrition. Materials and Methods: In the Rize Recep Tayyip Erdoğan University Training and Research Hospital Home Health Services, patients who are malnourished or at risk of malnutrition are identified by screening with the MNA test, and nutritional interventions in the form of nutritional recommendations and/or enteral nutrition products are applied to these patients. In our study, MNA test and anthropometric measurements were applied again to the specified patient group during home visits. The study was completed with 107 patients over 65 years of age. Results: MNA test scores increased significantly after the nutritional intervention compared to the first examination (18.4±3.1-20.0±3.5) (p<0.001). Of the 27 patients who were malnourished at the first examination, 2 were normal, 18 were at risk of malnutrition, and 7 were malnourished after the nutritional intervention. After the nutritional intervention of 80 patients who were at risk at the first examination, 28 were found to be normal, 48 were at risk, and 4 were malnourished.The arm circumference measurement was found to be statistically significantly higher after the nutritional intervention compared to the measurements at the first examination (p=0.039). There was no significant difference between the measurements of BMI and calf circumference after the first examination and after the feeding intervention (p=0.274 ; p=0.816, respectively). Conclusions: In our research, which we carried out by adopting the principles of person-centered care, comprehensive approach and holistic approach, which are among the core competencies of family medicine, we found that there was an improvement in nutritional status after nutritional interventions applied to patients over 65 years of age, who were registered in the home healthcare services and who were found to be malnourished or at risk of malnutrition. In order to evaluate the changes in the functional capacity, quality of life and survival of patients after nutritional intervention, more comprehensive and larger population studies are needed. Keywords:Malnutrition, Nutrition Intervention, Malnutrition Treatment, Homecare Services, Malnutrition Elderly