Abstract

GOMEZ MACIAS, Juana. Evaluation of the nutritional status of patients aged over 65 in replacement treatment in a dialysis unit. Rev Soc Esp Enferm Nefrol [online]. 2006, vol.9, n.2, pp.12-18. ISSN 1139-1375.

The elderly population who received hemodialysis treatment has increased in the actually and this population is especially susceptible to have several problems like malnutrition who is associated with higher morbid-mortality in hemodialysis treatment. The evaluation of the nutritional state is especially important for dialysis nurses. Objective and Scope: To know the state of health and the metabolic-nutritional situation with antropometric parameters of the elderly patients those more than 65 years old treated with chronic hemodialysis in a Dialysis Unit, specially whose had the risk of malnutrition, and to know what was the grade of interventions to patients with malnutrition in the actually and what was the number of patients with nutritional supplements. Design: Transversal descriptive study. Patients, materials and method: The study involved 22 patients (16 female and 6 males), over the age of 65 years old who received chronic hemodialysis treatment in the first three months of 2004. The nutritional state was evaluated in patients over the age of 65 years old who had chronic hemodialysis treatment in the first three months of 2004. Nutritional state was assessed with antropometric measurements, biochemical scores, dialysis scores, test MNA of nutritional assessment and dietary counselling. The antropometric measurements was carried out by person trained in nutritional assessment and boichemical scores was the mensual blood extracs of the Dialysis unit. Malnutrition was classified to antropometric measurements: PTC and CB. Results: According to the PTC, 90.8% (n=20) patients had energy malnutrition (5 slight, 12 moderate, 3 severe) and according to CB, 54.5% (n=12) patients had protein malnutrition (7 slight, 5 severe). Diabetic patients had more prevalence of energy malnutrition with 66.66% (n=6) patients. 54.5% (n=12) patients were taken some nutritional supplements. Conclusions: Energy Malnutrition is more frequent than Energy Malnutrition in the studied patients and some options is convenient (antropometric, biochemical or inmunological parameters) to diagnose Malnutrition, and antropometric measurements are helpful and the treatment with nutritional supplements is very commonly to keep an optimal Nutritional state and a minimal morbic-mortality in patients who have Malnutrition.

Keywords : elderly patient; haemodialysis; the metabolic-nutritional situation.

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