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Hastaların Hastaneye Yatış Anındaki Malnütrisyon Durumunun ve Yaşam Kalitesinin Belirlenmesi

Year 2023, Volume: 6 Issue: 4, 640 - 649, 15.10.2023
https://doi.org/10.19127/bshealthscience.1329255

Abstract

Malnütrisyon, artan mortalite ve morbidite ile ilişkilendirilmekle birlikte günlük yaşam aktiviteleri ve yaşam kalitesi üzerinde olumsuz etkileri olan bir sağlık sorunudur. Bu çalışmada, hastaneye yatışı yapılan hastaların malnütrisyon açısından değerlendirilmesi ve yaşam kalitesi düzeylerinin belirlenmesi amaçlanmıştır. Çalışma, Kırıkkale Üniversitesi Tıp Fakültesi Hastanesi’nde 19 yaş ve üzeri 407 (K:204, E:203) yeni yatışı yapılan hasta ile yürütülmüştür. Hastaların sosyodemografik bilgileri sorgulanmış, bazı antropometrik ölçümleri alınmıştır. Hastalara NRS-2002 formu ve Dünya Sağlık Örgütü Yaşam Kalitesi Değerlendirme Ölçeği (WHOQOL-BREF-TR) uygulanmıştır. Hastaların yaş ortalaması 59,2±17,1 yıldır. Beden kütle indeksi ve el kavrama gücü ortalaması sırasıyla 29,8±30,3 kg/m2 ve 25,5±22,8 kg’dır. Hastaların %13,6’sının malnütrisyonlu olduğu belirlenmiştir. Yaşlı hastaların malnütrisyon oranı daha yüksektir (P=0,009). El kavrama gücü genel ortalamanın altında olanlarda malnütrisyon risk oranı daha yüksektir (P<0,001). Hastaların ortalama NRS-2022 puanı 1,2±1,3 olup, WHOQOL-BREF-TR yaşam kalitesi puanı 2,8±1,1’dir. Kadın ve erkeklerin NRS-2022, WHOQOL-BREF-TR bedensel, ruhsal ve sosyal alan ortalama puanları arasında istatistiksel açıdan önemli farklılık bulunmuştur (P<0,05). Kadınlarda NRS-2002 puan ortalaması erkeklerden fazla iken, yaşam kalitesi puan ortalamaları düşüktür. Yaş ve bel/boy oranı ile NRS-2002 puanları arasında pozitif yönde zayıf bir ilişki; BKİ, bel çevresi, boyun çevresi, bilek çevresi, üst orta kol çevresi ve el kavrama gücü arasında negatif yönde zayıf bir ilişki saptanmıştır (P<0,05). Yaş arttıkça yaşam kalitesi puanlarının azaldığı, negatif yönde zayıf bir ilişki olduğu belirlenmiştir (P<0,001). Yaşam kalitesini artırmak, malnütrisyonu önlemek veya tedavi etmek için hastanın hastaneye yatış anında beslenme durumu değerlendirilmeli ve gereken nütrisyonel destek verilmelidir.

Supporting Institution

Bu çalışma Kırıkkale Üniversitesi Bilimsel Araştırma Projeleri Koordinasyon Birimi tarafından desteklenmiştir.

Project Number

Proje Numarası: 2020/046

References

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Determination of Malnutrition and Quality of Life at the Time of Hospitalization of Patients

Year 2023, Volume: 6 Issue: 4, 640 - 649, 15.10.2023
https://doi.org/10.19127/bshealthscience.1329255

Abstract

Malnutrition is a health problem that is associated with increased mortality and morbidity, and has negative effects on activities of daily living and quality of life. In this study, it was aimed to evaluate hospitalized patients in terms of malnutrition and to determine their quality of life levels. The study was carried out with 407 (F: 204, M: 203) newly admitted patients aged 19 and over in Kırıkkale University Medical Faculty Hospital. Sociodemographic information of the patients was questioned and some anthropometric measurements were taken. The NRS-2002 form and the World Health Organization Quality of Life Assessment Scale (WHOQOL-BREF-TR) were administered to the patients. The mean age of the patients was 59.2±17.1 years. The mean body mass index and hand grip strength were 29.8±30.3 kg/m2 and 25.5±22.8 kg, respectively. It was determined that 13.6% of the patients were malnourished. Elderly patients have a higher malnutrition rate (P=0.009). The malnutrition risk rate is higher in those whose hand grip strength is below the general average (P<0.001). The mean NRS-2022 score of the patients was 1.2±1.3, and the WHOQOL-BREF-TR quality of life score was 2.8±1.1. A statistically significant difference was found between the mean scores of male and female in NRS-2022, WHOQOL-BREF-TR physical, mental and social domains (P<0.05). While the mean NRS-2002 score is higher in female than male, the mean quality of life score is lower. A weak positive correlation between age and waist/height ratio and NRS-2002 scores; there was a weak negative correlation between BMI, waist circumference, neck circumference, wrist circumference, upper middle arm circumference and hand grip strength (P<0.05). It was determined that quality of life scores decreased with increasing age, and there was a weak negative correlation (P<0.001). In order to improve the quality of life, prevent or treat malnutrition, the nutritional status of the patient should be evaluated at the time of hospitalization and the necessary nutritional support should be given.

Project Number

Proje Numarası: 2020/046

References

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  • Arıoğul S. 2013. Akademik Geriatri Derneği Yaşlılarda Malnütrisyon Kılavuzu. Ankara, Türkiye, pp: 90.
  • Balci C, Bolayir B, Eşme M, Arik G, Kuyumcu ME, Yeşil Y, Doğan Varan H, Kara Ö, Güngör AE, Doğu BB, Cankurtaran M, Halil, M. 2021. Comparison of the efficacy of the global leadership initiative on malnutrition criteria, subjective global assessment, and nutrition risk screening 2002 in diagnosing malnutrition and predicting 5‐year mortality in patients hospitalized for acute illnesses. JPEN, 45(6): 1172-1180.
  • Barker LA, Gout BS, Crowe TC. 2011. Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system. Int J Environ Res Pub Health, 8(2): 514-527.
  • Bolayır B. 2014. Hospitalize hastalarda nutrisyonel değerlendirme testi NRS-2002’nin (Nutritional Risk Screening-2002) geçerlilik ve güvenilirliğinin değerlendirilmesi. Uzmanlık Tezi, Hacettepe Üniversitesi, Tıp Fakültesi, İç Hastalıkları Ana Bilim Dalı, Ankara, Türkiye, pp: 61.
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  • Demir E. 2013. 60 yaş üstü yatan hastalarda malnütrisyon taramasında kullanılan testlerin karşılaştırılması, antropometrik ölçümler ve el kavrama gücü ile ilişkisi. Tıpta Uzmanlık Tezi, İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, İç Hastalıkları Ana Bilim Dalı, İstanbul, Türkiye, pp: 64.
  • Demirel U, Aygün C. 2012. Yatan hastanın beslenme durumunun önemi ve kalori ihtiyacının belirlenmesi. Fırat Tıp Derg, 17(2): 63-70.
  • Eser E, Fidaner H, Fidaner C, Eser SY, Elbi H, Göker E. 1999b. WHOQOL-BREF TR: a suitable instrument for the assessment of quality of life for use in the health care settings in Turkey. Qual Life Res, 1999: 647-647.
  • Eser SY, Fidaner H, Fidaner C, Elbi H, Eser E, Göker E. 1999a. Measure of quality of life WHOQOL-100 and WHOQOL-Bref. 3P Derg, 7(2): 5-13.
  • Güngör AE, Arslan P, Abbasoglu O. 2019. A study of nutritional status, development of malnutrition and food consumption in hospitalized patients. Int J Emerg Trends Health Sci, 3(2): 66-80.
  • Güngör AE, Nişancı Kılınç F, Alparslan I, Çakır B, Asil E, Esatoglu AE, Yavuz Y, Demirer S. 2022. "Being "nutritionally at-risk": Its effect on health expenses and length of stay in hospital. Progr Nutrit, 24(2): e2021320.
  • Hersberger L, Bargetzi L, Bargetzi A, Tribolet P, Fehr R, Baechli V, Geiser M, Deiss M, Gomes F, Kutz A, KägiBraun N, Hoess C, Pavlicek V, Schmid S, Bilz S, Sigrist S, Brändle M, Benz C, Henzen C, Nigg M, Thomann R, Brand C, Rutishauser J, Aujesky D, Rodondi N, Donzé J, Stanga Z, Mueller B, Schuetz P. 2020. Nutritional risk screening (NRS 2002) is a strong and modifiable predictor risk score for short-term and long-term clinical outcomes: secondary analysis of a prospective randomised trial. Clin Nutr, 39(9): 2720-2729.
  • Hillman TE, Nunes QM, Hornby ST, Stanga Z, Neal KR, Rowlands BJ, Allison SP, Lobo DN. 2005. A practical posture for hand grip dynamometry in the clinical setting. Clin Nutr, 24(2): 224-228.
  • Jensen GL, Compher C, Sullivan DH, Mullin GE. 2013. Recognizing malnutrition in adults: definitions and characteristics, screening, assessment, and team approach. JPEN, 37(6): 802-807.
  • Kolotkin RL, Crosby RD, Kosloski KD, Williams GR. 2001. Development of a brief measure to assess quality of life in obesity. Obes Res, 9(2): 102-111.
  • Kolotkin RL, Crosby RD, Williams GR. 2002. Health-related quality of life among obese subgroups. Obes Res, 10(8): 748-756.
  • Kondrup J, Allison, SP, Elia M, Vellas B, Plauth M. 2003b. ESPEN guidelines for nutrition screening 2002. Clin Nutr, 22(4): 415-421.
  • Kondrup J, Rasmussen HH, Hamberg O, Stanga Z, An ad hoc ESPEN Working Group. 2003a. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr, 22(3): 321-336.
  • Korfalı G, Gündoğdu H, Aydıntuğ S, Bahar M, Besler T, Moral AR, Oğuz M, Sakarya M, Uyar M, Kılıçturgay S. 2009. Nutritional risk of hospitalized patients in Turkey. Clin Nutr, 28(5): 533-537.
  • Kreymann KG, Berger MM, Deutz NEP, Hiesmayr M, Jolliet P, Kazandjiev G, Nitenberg G, van den Berghe G, Wernerman J, Ebner C, Hartl W, Heymann C, Spies C. 2006. ESPEN guidelines on enteral nutrition: intensive care. Clin Nutr, 25(2): 210-223.
  • Kroc L, Fife E, Piechocka-Wochniak E, Sołtysik B, Kostka T. 2021. Comparison of nutrition risk screening 2002 and subjective global assessment form as short nutrition assessment tools in older hospitalized adults. Nutrients, 13(1): 1-10.
  • Kurtul S, Kaya Ak F, Türk M. 2022. Meslek hastalıkları polikliniğine başvuranlarda yaşam kalitesi düzeyi ve ilişkili faktörlerin değerlendirilmesi. MKU Tıp Derg, 13(46): 144-151.
  • Laky B, Janda M, Kondalsamy-Chennakesavan S, Cleghorn G, Obermair A. 2010. Pretreatment malnutrition and quality of life-association with prolonged length of hospital stay among patients with gynecological cancer: a cohort study. BMC Cancer, 10(232): 1-6.
  • Lochs H, Allison SP, Meier R, Pirlich M, Kondrup J, Schneider St, van den Berghe G, Pichard C. 2006. Introductory to the ESPEN guidelines on enteral nutrition: terminology, definitions and general topics. Clin Nutr, 25(2): 180-186.
  • Maseda A, Diego-Diez C, Lorenzo-López L, López-López R, Regueiro-Folgueira L, Millán-Calenti JC. 2018. Quality of life, functional impairment and social factors as determinants of nutritional status in older adults: The VERISAÚDE study. Clin Nutr, 37(3): 993-999.
  • Matos LC, Tavares MM, Amaral TF. 2007. Handgrip strength as a hospital admission nutritional risk screening method. European J Clin Nutr, 61: 1128-1135.
  • McWhirter JP, Pennington CR. 1994. Incidence and recognition of malnutrition in hospital. BMJ, 308(6934): 945-948.
  • Mickens MN, Perrin P, Goldsmith JA, Khalil RE, Carter Lii WE, Gorgey AS. 2022. Leisure-time physical activity, anthropometrics, and body composition as predictors of quality of life domains after spinal cord injury: an exploratory cross-sectional study. Neural Regen Res, 17(6): 1369-1375.
  • Mousapour P, Barzin M, Valizadeh M, Mahdavi M, Hadaegh F, Azizi F, Hosseinpanah F. 2021. Wrist circumference as a novel predictor of transition from metabolically healthy to unhealthy phenotype in overweight/obese adults: a gender-stratified 15.5-year follow-up. BMC Pub Health, 21: 2276.
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There are 59 citations in total.

Details

Primary Language Turkish
Subjects Clinical Nutrition
Journal Section Research Article
Authors

Fatma Nişancı Kılınç 0000-0002-1291-5086

Çiler Özenir 0000-0002-9249-3935

Sevinç Eşer Durmaz 0000-0002-2425-1715

Aylin Bayındır Gümüş 0000-0002-1311-2429

Biriz Çakır 0000-0002-3501-3253

Project Number Proje Numarası: 2020/046
Early Pub Date September 11, 2023
Publication Date October 15, 2023
Submission Date July 20, 2023
Acceptance Date August 23, 2023
Published in Issue Year 2023 Volume: 6 Issue: 4

Cite

APA Nişancı Kılınç, F., Özenir, Ç., Eşer Durmaz, S., Bayındır Gümüş, A., et al. (2023). Hastaların Hastaneye Yatış Anındaki Malnütrisyon Durumunun ve Yaşam Kalitesinin Belirlenmesi. Black Sea Journal of Health Science, 6(4), 640-649. https://doi.org/10.19127/bshealthscience.1329255
AMA Nişancı Kılınç F, Özenir Ç, Eşer Durmaz S, Bayındır Gümüş A, Çakır B. Hastaların Hastaneye Yatış Anındaki Malnütrisyon Durumunun ve Yaşam Kalitesinin Belirlenmesi. BSJ Health Sci. October 2023;6(4):640-649. doi:10.19127/bshealthscience.1329255
Chicago Nişancı Kılınç, Fatma, Çiler Özenir, Sevinç Eşer Durmaz, Aylin Bayındır Gümüş, and Biriz Çakır. “Hastaların Hastaneye Yatış Anındaki Malnütrisyon Durumunun Ve Yaşam Kalitesinin Belirlenmesi”. Black Sea Journal of Health Science 6, no. 4 (October 2023): 640-49. https://doi.org/10.19127/bshealthscience.1329255.
EndNote Nişancı Kılınç F, Özenir Ç, Eşer Durmaz S, Bayındır Gümüş A, Çakır B (October 1, 2023) Hastaların Hastaneye Yatış Anındaki Malnütrisyon Durumunun ve Yaşam Kalitesinin Belirlenmesi. Black Sea Journal of Health Science 6 4 640–649.
IEEE F. Nişancı Kılınç, Ç. Özenir, S. Eşer Durmaz, A. Bayındır Gümüş, and B. Çakır, “Hastaların Hastaneye Yatış Anındaki Malnütrisyon Durumunun ve Yaşam Kalitesinin Belirlenmesi”, BSJ Health Sci., vol. 6, no. 4, pp. 640–649, 2023, doi: 10.19127/bshealthscience.1329255.
ISNAD Nişancı Kılınç, Fatma et al. “Hastaların Hastaneye Yatış Anındaki Malnütrisyon Durumunun Ve Yaşam Kalitesinin Belirlenmesi”. Black Sea Journal of Health Science 6/4 (October 2023), 640-649. https://doi.org/10.19127/bshealthscience.1329255.
JAMA Nişancı Kılınç F, Özenir Ç, Eşer Durmaz S, Bayındır Gümüş A, Çakır B. Hastaların Hastaneye Yatış Anındaki Malnütrisyon Durumunun ve Yaşam Kalitesinin Belirlenmesi. BSJ Health Sci. 2023;6:640–649.
MLA Nişancı Kılınç, Fatma et al. “Hastaların Hastaneye Yatış Anındaki Malnütrisyon Durumunun Ve Yaşam Kalitesinin Belirlenmesi”. Black Sea Journal of Health Science, vol. 6, no. 4, 2023, pp. 640-9, doi:10.19127/bshealthscience.1329255.
Vancouver Nişancı Kılınç F, Özenir Ç, Eşer Durmaz S, Bayındır Gümüş A, Çakır B. Hastaların Hastaneye Yatış Anındaki Malnütrisyon Durumunun ve Yaşam Kalitesinin Belirlenmesi. BSJ Health Sci. 2023;6(4):640-9.