Effects of the Nutritional Promoting Program on Nutritional Behaviors and Nutritional Status in Older Adults with Chronic Obstructive Pulmonary Disease and Malnutrition

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Kantaporn Yodchai
Phaniga Thongsong

Abstract

This quasi-experimental research aimed to examine the effects of the nutritional promoting program on nutritional behaviors and nutritional status in older adults with chronic obstructive pulmonary disease (COPD) and malnutrition at a secondary hospital in southern Thailand. Purposive sampling was used to recruit 57 participants, divided into two groups: control-group (29) and experimental group (28). The control group received the usual care while those in the experimental group received the nutritional promoting program with the cooperation of patients’ relatives. The instruments used for data collection included: 1) nutritional food diary and 2) nutritional behaviors questionnaire. The reliability of the nutritional behaviors assessment questionnaire was .80 as tested by Cronbach’s alpha coefficient. Demographic data and health status were analyzed by using descriptive statistics, Fisher ‘s exact test and Chi-square. Hypotheses were tested by using independent sample t-test. and paired sample t-test.


The study results were as follows: The mean score of nutritional behaviors and nutritional status in the experimental group after receiving the nutritional promoting program were statistically significantly higher than before receiving the nutritional promoting program (t=25.01, p< .001 and t=5.19, p< .001, respectively). The mean score of nutritional behaviors in the experimental group after receiving the nutritional promoting program were statistically significantly higher than that of the control group (t=17.77, p< .001). The nutritional status in the experimental group after receiving the nutritional promoting program was not statistically significantly different from that of the control group (t=1.94, p> .05).


The results of this study indicated that the nutritional promoting program supported older adults to change their nutritional behaviors. Family caregivers were the key persons that could promote the older people with chronic obstructive pulmonary disease and malnutrition to continuously perform self-care. The results of this study indicated that the nutritional promoting program supported older adults to change their nutritional behaviors. Family caregivers were the key persons that could promote the older people with chronic obstructive pulmonary disease and malnutrition to continuously perform self-care.

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