Food consumption behaviors among older persons with dementia in community and management of caregivers
Keywords:
Dementia, Older persons, Food consumption behaviors, Management of caregivers, CommunityAbstract
Older persons with dementia often have behavioral changes related to inappropriate food consumption behavior, which can negatively impact their quality of life and require changes in caregiving and management by caregivers. This descriptive study, conducted between June 2021 and January 2022, aimed to investigate the food consumption behavior and management of caregivers and factors associated with older persons with dementia in a specific province in the northeastern region of Thailand. The samples were 117 pairs of family caregivers and older persons with dementia. The research tools consisted of a personal information questionnaire, The Food Consumption Behavior Assessment for Older Persons with Dementia Scale with the reliability between a food consumption behavior assessment for older persons with dementia was .77 , and The Food Consumption Behavior Management for Caregivers of Older Persons with Dementia Scale which had a reliability value of .88. Descriptive statistics and chi-square statistics were used to analyze the data. The results showed that the eating behaviors of older persons with dementia consisted of: 1) refusing to go to the dining room, table, or eating area;2) wanting to eat at non-mealtimes, and 3) not chewing food before swallowing. As for the management of the caregivers, it was found that caregivers waited for the older persons to calm down before inviting them to eat and showing them how to eat. In addition, there was a statistically significant correlation between the age factor of caregivers and the dietary behavior of older adults with dementia (p<.05). The results of this study could recommend training skills in appropriate care and management of dietary behaviors of older persons with dementia, which are considered with the age factor of the caregivers of older persons with dementia.
References
Adulyanukosol, N. (2022). TDJ Dementia in Thailand, Dementia, is Thailand ready?. Retrieved October, 2, 2022, from https://tabsoft.co/2OvbEG5.
Aukner, C., Eide, H. D., & Iversen, P. O. (2013). Nutritional status among older residents with dementia in open versus special care units in municipal nursing homes: an observational study. BMC geriatrics, 13(1). 1-7.
Atsantachai, P. (2017). Common health problems in the elderly and their prevention. Department of Preventive Social Medicine Faculty of Medicine Siriraj Hospital. Bangkok Thailand.
Bernstein, M., & Munoz, N. (2019). Nutrition for the older adult (3th ed.). Burlington: Jones & Bartlett Learning.
Patchara Chotchaisthit. (2019). Nutritional status food consumption in elderly persons with dementia and management of caregivers (Master of Nursing Science Program in Gerontological Nursing). Mahidol University. Thailand.
Crawley, H, & Hocking, E. (2011). Eating well: supporting older people and older people with dementia. UK: Caroline Walker Trust.
Durnbaugh, T. & Roberts, S. (1996). Assessing problem feeding behaviors in mid-stage Alzheimer's disease: clients with mid-stage Alzheimer's disease may be eating far less than their caregivers believe. Geriatric Nursing, 17(2). 63-67.
Ferri, C. P., Prince, M., Brayne, C., Brodaty, H., Fratiglioni, L., Ganguli, M., … Alzheimer's Disease International (2005). Global prevalence of dementia: a Delphi consensus study. Lancet (London, England), 366(9503). 2112–2117. doi: 10.1016/S0140-6736(05)67889-0
Kanin, M. N. M., Tatree, B., & Thanakamon, L. (2020). Nutritional status and associated factors among elderly people in primary care center. GSCARR, 2, 28-35.
Liu, W., Cheon. J. & Thomas, S.A. (2014). Interventions on mealtime difficulties in older adults with dementia: a systematic review. International Journal of Nursing Studies. 51(1). 14-27.
Liu, W., Galik, E., Boltz, M., Nahm, E. S., Lerner, N., & Resnick, B. (2016). Factors associated with eating performance for long-term care residents with moderate-to-severe cognitive impairment. Journal of Advanced Nursing, 72(2), 348–360. doi:10.1111/jan.12846
Lyketsos, C. G., Lopez, O., Jones, B., Fitzpatrick, A. L., Breitner, J., & DeKosky, S. (2002). Prevalence of neuropsychiatric symptoms in dementia and mild cognitive impairment: results from the cardiovascular health study. The Journal of the American Medical Association, 288, 1475–83.
Marino, L. V., Ramos, L. F., & Chiarello, P. G. (2015). Nutritional status according to the stages of Alzheimer's disease. Aging clinical and experimental research, 27(4), 507–513. doi:10.1007/s40520-014-0302-3
Moreno-Cámara, S., Palomino-Moral, P. Á., Moral-Fernández, L., Frías-Osuna, A., Parra-Anguita, L., & Del-Pino-Casado, R. (2019). Perceived needs of the family caregivers of people with dementia in a Mediterranean setting: a qualitative study. International journal of environmental research and public health, 16(6), 993. doi:10.3390/ijerph16060993
Nasok, W. & Panomai, P. (2019). Food consumption behavior and factors affecting nutritional status of elderly in Muang district, Loei province. Research and Development Journal, Loei Rajabhat University, 1494-105.
Ramage-Morin, P. L., Gilmour, H., & Rotermann, M. (2017). Nutritional risk, hospitalization and mortality among community-dwelling Canadians aged 65 or older. Health Reports, 28(9), 17–27.
Ross, G. W., & Bowen, J. D. (2002). The diagnosis and differential diagnosis of dementia. The Medical Clinics of North America, 86(3), 455-476. doi:10.1016/s0025-7125(02)00009-3
Ruangsinpinya, P. & Muangphaisan, W. (2018). Prevention of dementia. In Challenges and Solutions for Healthy Aging: Printmaking Co., Ltd. Nonthaburi.161-170.
Siwichian, T. (2016). A study of the nutritional status and the factors relating to malnutrition status of the elderly receiving health service from pompet community medical center. Journal of Preventive Medicine Association of Thailand, 6, 119-130.
Wahl, D., Solon-Biet, S. M., Cogger, V. C., Fontana, L., Simpson, S. J., Le Contour, D. G., … Ribeiro, R. V. (2019). Aging, lifestyle, and dementia. Neurobiology of Disease, 130, e104481.
World Health Organization. (2020). Dementia. Retrieved December 1, 2020, from https://bit.ly/2JA83nx.
Yannakouli, M., Mamalakia, E., Anastasioua, C.A., Mourtzi, N., Lambrinoudaki, I., & Scarmeas, N. (2018). Eating habits and behaviors of older people: Where are we now and where should we go? Maturitas, 114, 14-21.
Downloads
Published
Versions
- 2023-11-09 (2)
- 2023-08-31 (1)
How to Cite
Issue
Section
License
Copyright (c) 2023 Journal of Nursing and Health Research
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
