PDF(Pubmed)
Abstract：
UNASSIGNED: To investigate whether the shape of the food plate could affect the conservation of praxis in institutionalised elderly adults with severe Alzheimer\'s disease or mixed dementia.
UNASSIGNED: We conducted a monocentric, prospective, observational, before-after case-only study in 32 patients with a loss of the ability to self-feed. The primary objective was to assess the change of food praxis using the Blandford scale at 3 weeks after changing the food plate. Secondary variables included the impact of the change of diet on the food praxis at 6 weeks, the patient\'s autonomy in the food intake evaluated by Tully\'s Eating Behaviour Scale (EBS), and the enjoyment of eating assessed by Part D of the Alzheimer\'s Disease-Related Quality of Life (ADRQL) scale at 3 and 6 weeks. Results: At 3 weeks after changing the food plate we observed a significant decrease in the number of aversive feeding behaviours (Δ = -0.90 ± 2.23; p = 0.03) and an improved autonomy in self-feeding (Δ = 1.88 ± 3.36.23; p = 0.001). There was also an increase in the enjoyment of eating at 3 weeks (Δ = 4.07 ± 13.02), but it was not statistically significant. These results were not consolidated at the 6 week timepoint. Conclusion: A simple change in the organisation of care during meals and the use of a familiar object can positively affect the recovery of the self-feeding autonomy of patients with severe dementia.
UNASSIGNED: We conducted a monocentric, prospective, observational, before-after case-only study in 32 patients with a loss of the ability to self-feed. The primary objective was to assess the change of food praxis using the Blandford scale at 3 weeks after changing the food plate. Secondary variables included the impact of the change of diet on the food praxis at 6 weeks, the patient\'s autonomy in the food intake evaluated by Tully\'s Eating Behaviour Scale (EBS), and the enjoyment of eating assessed by Part D of the Alzheimer\'s Disease-Related Quality of Life (ADRQL) scale at 3 and 6 weeks. Results: At 3 weeks after changing the food plate we observed a significant decrease in the number of aversive feeding behaviours (Δ = -0.90 ± 2.23; p = 0.03) and an improved autonomy in self-feeding (Δ = 1.88 ± 3.36.23; p = 0.001). There was also an increase in the enjoyment of eating at 3 weeks (Δ = 4.07 ± 13.02), but it was not statistically significant. These results were not consolidated at the 6 week timepoint. Conclusion: A simple change in the organisation of care during meals and the use of a familiar object can positively affect the recovery of the self-feeding autonomy of patients with severe dementia.
摘要：
■调查食物板的形状是否会影响患有严重阿尔茨海默病或混合性痴呆的住院老年人的行为保存。
■我们进行了一个单中心，prospective,观察,在32例失去自我进食能力的患者中进行的仅病例研究。主要目的是在更换食物板3周后使用Blandford量表评估食物习惯的变化。次要变量包括6周时饮食变化对食物实践的影响，通过Tully的饮食行为量表（EBS）评估患者在食物摄入方面的自主性，以及在3周和6周时通过阿尔茨海默病相关生活质量（ADRQL）量表的D部分评估的饮食享受。结果：在更换食物板3周后，我们观察到厌恶进食行为的数量显着减少（Δ=-0.90±2.23；p=0.03），自我进食的自主性提高（Δ=1.88±3.36.23；p=0.001）。3周时的进食乐趣也有所增加（Δ=4.07±13.02），但没有统计学意义。这些结果在6周时间点没有合并。结论：进餐时护理组织的简单变化和熟悉对象的使用可以积极影响重度痴呆患者自我喂养自主性的恢复。
■我们进行了一个单中心，prospective,观察,在32例失去自我进食能力的患者中进行的仅病例研究。主要目的是在更换食物板3周后使用Blandford量表评估食物习惯的变化。次要变量包括6周时饮食变化对食物实践的影响，通过Tully的饮食行为量表（EBS）评估患者在食物摄入方面的自主性，以及在3周和6周时通过阿尔茨海默病相关生活质量（ADRQL）量表的D部分评估的饮食享受。结果：在更换食物板3周后，我们观察到厌恶进食行为的数量显着减少（Δ=-0.90±2.23；p=0.03），自我进食的自主性提高（Δ=1.88±3.36.23；p=0.001）。3周时的进食乐趣也有所增加（Δ=4.07±13.02），但没有统计学意义。这些结果在6周时间点没有合并。结论：进餐时护理组织的简单变化和熟悉对象的使用可以积极影响重度痴呆患者自我喂养自主性的恢复。
