[in Japanese]

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[in Japanese]

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[in Japanese]

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[in Japanese]

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[in Japanese]

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Aim: To prevent the complications of liquid formula enteral nutrition, semi-solid diet using thickening agents or agar is highlighted in Japan. However, few reports show effectiveness, complications and sustainability in long-term care of enteral nutrition using semi-solid diet.
Patients and Method: In this report, nutrition support using semi-solid diet with tube feeding was performed in 72 hospitalized elder patients.
Result: Semi-solid diet is applied to 50 cases to prevent aspiration pneumonia and it is effective in 30 cases (60%). Repetition of aspiration pneumonia was observed in 42 cases before the introduction of semi-solid diet. However, frequency of aspiration pneumonia was decreased in 26 cases (62%) after the introduction of semi-solid diet. Semi-solid diet with lower viscosity ( ?? 5000cP) was applied to 28 cases and was also effective in 18 cases (64%). Intractable diarrhea was observed in 15 cases before introduction of semi-solid diet and was improved in 12 cases by using semi-solid diet. Leakage of gastro-intestinal fluid throughout the fistula of Percutaneous endoscopic gastrostomy (PEG) is uncomfortable complication of enteral nutrition. Replacement of liquid formula with semi-solid diet suppressed leakage of gastro-intestinal fluid in 4 of 7 cases (57%).
Conclusion: These data suggest the potential of nutrition support using semi-solid diet to prevent the complications of liquid formula enteral nutrition and to improve the Quality of Life (QOL) of hospitalized elder patients.

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Objective: The aim of this study was to examine the relationship between a concern about malnutrition and its practical nursing intervention.
Methods: We conducted a questionnaire-based survey for malnutrition and the nursing intervention to 361 ward nurses of Niigata University Medical and Dental Hospital from May 1st to September 30th, 2005. Statistical analyses were done by using SPSS version 14.0. We performed chi-square test and the forward stepwise logistic regression analysis to clarify the relationship between a concern about malnutrition and its practical nursing intervention.
Results: The questionnaire was retuned by 301 (83%) nurses. The majority of them recognized the necessity of practical nursing intervention for malnutrition, however, only a few of them actually did the intervention in response to that recognition. The result from the logistic regression analyses indicated that a strong recognition of the necessity of practical nursing intervention for malnutrition and that a communication for the nutritional status in a patient between nurses and doctors could be associated with an independent factor (Odds ratio= 8.36 and 3.55, respectively) for this nursing intervention.
Conclusion: Good communication for nutritional status between nurses and doctors may be a key of nursing intervention for malnutrition in hospital.

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[in Japanese]

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