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首页> 外文期刊>Journal of Nutritional Science and Vitaminology >Assignment of Registered Dietitians and Other Healthcare Professionals Positively Affects Weight Change of Underweight Patients in Convalescent (Kaifukuki) Rehabilitation Wards: A Secondary Analysis of a Nationwide Survey
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Assignment of Registered Dietitians and Other Healthcare Professionals Positively Affects Weight Change of Underweight Patients in Convalescent (Kaifukuki) Rehabilitation Wards: A Secondary Analysis of a Nationwide Survey

机译：注册营养师和其他医疗保健专业人员的分配积极影响康复（Kaifukuki）康复病房的体重减轻患者的体重变化：全国范围内的次要分析

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This study aimed to verify the relationship between assignment of professional registered dietitians (RDs) and other healthcare professionals and body weight or functional outcome in underweight patients. This was a secondary analysis of the nation-wide survey data from Kaifukuki (convalescent) rehabilitation wards (KRWs). Data of patients aged >= 20 y with disabilities and body mass index (BMI) 1 or <1 dedicated RD per ward (KRW/RD+ and KRW/RD-, respectively). Of 5,843 eligible participants (female, 63%; median age, 82 y; hip/vertebral/knee fracture, 47%; stroke, 34%; disuse syndrome secondary to acute illness, 11%; others, 8%), 1,288 and 4,555 were from the KRW/RD+ and KRW/RD- groups, respectively. At discharge, KRW/RD+ patients had higher FIM (93 vs. 90) and BMI (17.1 vs. 17.0 kg/m(2)) than did KRW/RD- patients. Multivariable analysis showed that assignment of dedicated RDs (B=0.213, 95% confidence interval [CI], 0.036-0.389), number of nurses (B=0.023, 95% CI, 0.003-0.043), and daily rehabilitation dose were significantly associated with changes in body weight. Furthermore, these factors positively affected BMI at discharge. Number of nurses and rehabilitation dose correlated with FIM, but assignment of RDs did not correlate with FIM. In conclusion, assignment of RDs, nurses, and sufficient rehabilitation dose may contribute to BMI gain. Nurses and daily rehabilitation dose may positively affect functional recovery.
机译：本研究旨在验证专业注册营养师（RDS）和其他医疗保健专业人员和体重或体重或功能结果之间的关系。这是来自Kaifukuki（康复）康复病房（KRW）的全国范围内的调查数据的二级分析。 ≥20岁的患者的数据和残疾和体重指数（BMI）1或<1分别专用RD（KRW / RD +和KRW / RD-）。符合5,843个符合条件的参与者（女性，63％;中位数年龄，82岁;臀部/椎管/膝关节骨折，47％;中风，34％;废弃综合症继发于急性病，11％，8％），1,288和4,555来自KRW / RD +和KRW / RD-组。在放电时，KRW / RD +患者的FIM（93 vs.90）和BMI（17.1 vs.17.0kg / m（2））比KRW / RD-患者（17.1）。多变量分析表明，专用RDS的分配（B = 0.213,95％置信区间[CI]，0.036-0.389），护士数（B = 0.023,95％CI，0.003-0.043）和每日康复剂量显着相关随着体重的变化。此外，这些因素在出院时受到BMI的积极影响。护士和康复剂量与FIM相关的数量，但RDS的分配与FIM没有相关。总之，RDS，护士和足够的康复剂量分配可能有助于BMI收益。护士和日常康复剂量可能会对功能恢复产生积极影响。

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