The purpose of this study is to investigate the effect of intensive nutrition counseling on nutritional status and functional recovery in stroke patients over the age of 65, compared to standard nutrition counseling.
Stroke is the second most common cause of death in the world; It is the third cause of disability that causes serious loss of function and affects patients' daily activities. The rapid aging of society increases the negative impact of stroke on health and limited health resources. 9-35% of patients hospitalized with the diagnosis of acute stroke have malnutrition. However, in the first two weeks after hospitalization, malnutrition rates approximately double within two weeks of hospitalization. Although nutrition is a physiological need, it is also a social activity. Nutritional practices that meet nutritional needs during the disease process may contribute to the functional recovery of patients, the reduction of complications, and survival, as well as contributing to the quality of life of patients, independent of the disease. In terms of malnutrition risk, monitoring and treatment are recommended during the acute and discharge periods. There is a need for studies on the framework and effects of effective nutritional treatment. In order for nutrition treatment practices after discharge to achieve their goals, caregivers need to be trained effectively on this subject. Therefore, the aim of this study is to examine the effects of intensive nutrition counseling to stroke patients over the age of 65 on nutritional and functional status.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
61
individualized regular nutrition education
Ege University
Izmir, Turkey (Türkiye)
Malnutrition Risk
Malnutrition risk status according to MUST
Time frame: Hospitalization (up to day 5), first month after discharge, third month after discharge
BMI
Body Mass Index (BMI) is a person's weight in kilograms divided by the square of height in meters. If BMI\<22 kg/m2, it is considered low
Time frame: Hospitalization (up to day 5), first month after discharge, third month after discharge
Calf Circumference Measurement
The widest part of the calf was measured from the non-paralyzed side in a sitting position with 90 degrees.
Time frame: Hospitalization (up to day 5), first month after discharge, third month after discharge
Malnutrition
Malnutrition diagnosis according to GLIM criteria
Time frame: Hospitalization (up to day 5), first month after discharge, third month after discharge
Mid Upper Arm Circumference
Mid upper arm circumference is measured at the midpoint between the acromion and olecranon processes on the shoulder blade and the ulna.
Time frame: Hospitalization (up to day 5), first month after discharge, third month after discharge
Mid Upper Arm Muscle Area
Mid upper arm muscle area is calculated using the standard formula= Mid Upper Arm Circumference-(3.14 x Triceps skinfold thickness)
Time frame: Hospitalization (up to day 5), first month after discharge, third month after discharge
Functional Status
Functional status was evaluated according to the Barthel Activities of Daily Living İndex
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Time frame: last day of hospitalization, first month after discharge, third month after discharge
Disability
Disability was evaluated according to The Modified Rankin Scale
Time frame: last day of hospitalization, first month after discharge, third month after discharge