营养教育对老年住院患者知信行的影响

调查120例平均年龄78岁的老年住院患者，在接受营养宣传教育前后知识、态度、行为的变化。结果显示，接受教育前后知识知晓分数分别为46±21和85±18（P〈0．01），80岁以上患者的知晓分数从入院时的41±21升至83±18（P〈0．01）；教育前治疗饮食执行率、普食执行率、医院就餐率分别为48．9％、57．7％和50．8％，教育后分别为93．6％、100．0％和95．O％，差异均有统计学意义（P〈0．01）。建议将营养教育纳入老年住院患者的常规治疗措施。

Effects of nutritional education on knowledge, attitude and practice among hospitalized elderly patients

One hundred and twenty elderly inpatients (average aged 78) were randomly sampled from the Department of Geriatrics, Peking University People's Hospital for a questionnaire survey on the knowledge, attitude and practice (KAP) before and after receiving nutritional education. The results showed that the average score for nutrition knowledge of the subjects was 46 ± 21 and 85 ± 18 before and after nutrition education respectively (P ＜0. 01 ); the progress for patients aged over 80 was more remarkable:nutrition knowledge score increased to 83 ± 18 from 41 ±21 on the admission ( P ＜0. 01 ). Before nutritional education, the rates of treatment diet implementation, ordinary diet implementation and hospital repast were 48.9%, 57.7% and 50. 8%, respectively, which reached to 93. 6%, 100. 0% and 95.0% after nutritional education (P ＜0. 01 ). The results indicate that the nutrition education is an effective approach to improve nutritional KAP among elderly inpatients. We propose to implement nutrition education in elderly inpatients as a routine clinical treatment measures.