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首页> 外文期刊>International journal of older people nursing >Grouped factors of the ‘ SSADE SSADE : signs and symptoms accompanying dementia while eating’ and nutritional status—An analysis of older people receiving nutritional care in long‐term care facilities in Japan
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Grouped factors of the ‘ SSADE SSADE : signs and symptoms accompanying dementia while eating’ and nutritional status—An analysis of older people receiving nutritional care in long‐term care facilities in Japan

机译：“SSAID SSADE”的分组因素：伴随痴呆症同时患有痴呆症和营养状况 - 对日本长期护理设施接受营养护理的老年人分析

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摘要

Background Behavioural and psychological symptoms of dementia ( BPSD ) are very common among older people, and previous studies showed that BPSD affects eating behaviour negatively, possibly resulting in undernutrition. In a previous study, we constructed a set of 11 items based on direct observations of older people with dementia during mealtime and named them ‘ SSADE : signs and symptoms accompanying dementia while eating’. Aims This study aimed to conduct a factor analysis to clarify the structure of the set of 11 SSADE items and to analyse the relationship of the SSADE with nutritional status. Methods We sampled 259 older people from 14 institutional facilities in Japan. To assess the status of the SSADE , we quantified each item according to its frequency and severity, using a 5‐point scale. We also collected information regarding characteristics and nutritional status (body mass index [ BMI ], dietary intakes, body weight change, serum albumin level). We performed an exploratory factor analysis on the SSADE . In addition, associations between grouped factor scores and nutritional status were analysed. Results Exploratory factor analysis indicated four factors. ‘Hypoactivity’ including ‘dietary agnosia’ and ‘drowsiness’ correlated negatively with BMI and serum albumin levels. ‘Hyperactivity’ including ‘agitation’, ‘delusion’, ‘wandering’ and ‘eating too rapidly’ correlated negatively with BMI . ‘Obsessiveness’ including ‘food refusal’ and ‘fad eating’ correlated negatively with BMI , dietary intake and body weight change. ‘Aberrant behaviours’ including ‘eating apraxia’, ‘pica’ and ‘stealing food’ correlated positively with dietary intake. Conclusion The identified factors of the SSADE were related to nutritional status, which may suggest acceptable factorial validity. Implications for practice We expected the SSADE to contribute to the prevention and improvement of undernutrition, through the development of a concrete strategy for nutritional care planning by professional teams including dietitians in long‐term care facilities.
机译：背景技术痴呆症（BPSD）的行为和心理症状在老年人之间非常普遍，并且之前的研究表明，BPSD影响饮食行为负面影响，可能导致营养不良。在以前的一项研究中，我们根据在餐饮时间内的老年人的直接观察构建了一套11个项目，并将其命名为SSADE：伴随着痴呆症的症状和症状。目的这项研究旨在进行一项因素分析，以澄清11个SSADE项目的结构，并分析SSADE与营养状况的关系。方法采取来自日本14个机构设施的259名老年人。为了评估SSADE的状态，我们使用5分尺度根据其频率和严重性量化每个项目。我们还收集了有关特征和营养状况的信息（体重指数[BMI]，膳食摄入，体重变化，血清白蛋白水平）。我们对SSADE进行了探索性因子分析。此外，分析了分组因子分数与营养状况之间的关联。结果探索因子分析表明了四种因素。 “尿脂症”包括“饮食毒性”和“嗜睡”与BMI和血清白蛋白水平负相关。 “多动症”包括“激动”，“妄想”，“徘徊”和“吃太快”与BMI负相关。 “痴迷性”包括“食物拒绝”和“食用”与BMI，膳食摄入和体重变化负相关。 “异常行为”包括“吃过宙斯国”，'PICA'和“窃取食物”与膳食摄入量相关。结论SSADE的确定因素与营养状况有关，可能提出可接受的因子有效性。对实践的影响我们预计SSADE通过开发由长期护理设施的专业团队在包括营养师在内的营养保健规划的具体策略，为营养服务的具体战略提供贡献和改进。

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