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Effects of a feeding intervention in patients with Alzheimer's disease and dysphagia

Li‐Li Chen, Hong Li, Rong Lin, Jian‐Huang Zheng, Yan‐Ping Wei, Jing Li, Ping Chen and Hui‐Ying Chen

Journal of Clinical Nursing, 2016, vol. 25, issue 5-6, 699-707

Abstract: Aims and objectives This study aimed to investigate the effects of a feeding intervention in patients with Alzheimer's disease with dysphagia. Background In patients with Alzheimer's disease, inadequate food and fluid intake can result in malnutrition, dehydration and increased morbidity and mortality. Patients may lose self‐care abilities such as self‐feeding. Design A prospective cohort study. Methods A three‐month self‐control feeding intervention was conducted prospectively in 30 nursing home residents with Alzheimer's disease with dysphagia. Pre‐ and post‐intervention measures included the Kubota water swallow test, type and amount of food intake and assessment of nutritional status by triceps skinfold thickness, upper arm circumference, serum albumin and haemoglobin. We used the Edinburgh Feeding Evaluation in Dementia scale to evaluate eating compliance and the Mini‐ Mental State Examination to evaluate cognitive function. Pre‐ and post‐intervention results were compared to evaluate the effects of nursing intervention. Results Patients’ eating/feeding abilities improved overall, including significantly increased food intake (p

Date: 2016
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https://doi.org/10.1111/jocn.13013

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