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Characteristics of Eating Behavior in Elders with Dementia residing in Long-Term Care Facilities
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Kyoung Min Lee, Jun-Ah Song
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J Korean Acad Nurs 2012;42(4):466-476. Published online August 31, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.4.466
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 Abstract
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Purpose
The purpose of this study was to explore characteristics of eating behavior according to level of functional status of elders with dementia (EWD), and to examine feeding time, change in food intake and body mass index (BMI) according to eating behavior.
Methods
Participants were 149 EWD residing in long-term care facilities located in Seoul or Gyeonggi province and evaluated using the Mini-Mental State Exam-Korean version, Korean version-Activities of Daily Living, and Eating Behavior Scale (EBS). Feeding time, change in food intake, and BMI were also measured. Data were analyzed using SPSS 17.0, specifically descriptive statistics, ANOVA, and Chi-square test.
Results
Participants' mean EBS score was 10.43±6.01 and half of them (54.4%) needed moderate or total assistance while eating. The EBS score was significantly lower for elders with severe dementia compared to those with mild or moderate dementia; and elders with severe ADL dependence compared to those with mild or moderate ADL dependence. Lower EBS scores were related to longer feeding time, a greater the rate of participants with decreased food intake and 'underweight' BMI.
Conclusion
Nursing intervention programs which are designed for EWD are needed to maintain functional eating skills and prevent negative consequences in this population.
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