4.5 Article

Influence of cognitive function and nurse support on malnutrition risk in nursing home residents

Journal

NURSING OPEN
Volume 8, Issue 4, Pages 1805-1811

Publisher

WILEY
DOI: 10.1002/nop2.824

Keywords

Cognitive impairment; elderly; malnutrition risk; nurse support; nursing home

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The study found that cognitive function, self-care capacity, and nurse support can influence the risk of malnutrition in older residents. Older adults with better cognitive function and more independent self-feeding had lower risk of malnutrition. Self-care capacity and appetite were key predictors in predicting malnutrition risk.
Aim: To predict malnutrition risk of older residents by cognitive function, nurse support and self-care capacity as primary measures of interest. Design: Cross-sectional, correlation design with linear regression analysis. Methods: Older residents over 60 years of age were randomly selected from nursing homes. Mini Mental State Exam and the Mini Nutritional Assessment were used were as main measures. Results: Lower malnutrition risk was associated with better cognitive functioning. Improved independence of self-feeding was also linked to reduced nutritional risk. Nurse support was positively related to BMI and cognitive impairment. General self-care capacity and 'appetite the week before' were key predictors of malnutrition risk; 1-point increase in both variables caused nutritional risk to decrease by 1.73 and 1.38 points, respectively. That is, a 1-point increase in self-care capacity and appetite would decrease malnutrition risk by 5.76% and 4.6%. The regression model explained significant amount (65.6%) of variance in malnutrition risk.

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