Malnutrition Status and Its Associated Factors among Post­discharge Elderly in Klang Valley

Liew, Shek Yee (2021) Malnutrition Status and Its Associated Factors among Post­discharge Elderly in Klang Valley. [Project Paper] (Submitted)

Text FPSK6 2021 12.pdf Download (5MB)

Abstract

Malnutrition is a common but frequently unrecognised health issue among the elderly. The nutritional status of older persons can be exacerbated in the event of hospitalisation and transition from hospital to home. However, limited studies in Malaysia determine the malnutrition status and its associated factors among post-discharge elderly. Thus, the objective of this study was to determine the proportion of malnutrition and its associated factors among post-discharge elderly in Klang Valley. It also examined the needs of transitional nutrition care among post-discharge elderly during the transition period. A cross-sectional study that recruited 36 post-discharge elderly in Klang Valley was carried out from March until May 2021. The malnutrition status of the subjects was assessed using the DETERMINE Your Nutritional Health Checklist. The information about demographic characteristics, health status, functional status, depression status and need assessment for transitional nutrition care were obtained. The mean age of the respondents was 69.94 ± 7.48 years, with a range of 60 to 85 years old. A total of 97.2% of subjects were IADL dependent and 33.3% were at risk of depression. The proportion of malnutrition among post-discharge elderly was 97.2%, which included moderate and high nutritional risk. Furthermore, 66.7% of subjects did not consult a dietitian since discharge, 33.3% did not know how to manage their illness in terms of food and nutrition after discharge and 88.9% agreed that nutritional care is an integral part to improve health outcomes. No significant associations were found between demographic characteristics, health status except the number of chronic diseases (r = 0.449, p = 0.006), functional status and depression status with malnutrition status. In conclusion, a high proportion of post-discharge elderly was at risk of being malnourished, indicating that the nutritional status issue deserves closer attention by healthcare providers and the need to develop transitional nutrition care guidelines.

Item Type:	Project Paper
Faculty:	Faculty of Medicine and Health Science
Depositing User:	Mr Khoirul Asrimi Md Nor
Date Deposited:	21 Aug 2023 04:21
Last Modified:	21 Aug 2023 04:21
URI:	http://psaspb.upm.edu.my/id/eprint/919

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