prikaz prve stranice dokumenta UTJECAJ ENTERALNIH PRIPRAVAKA KAO ORALNIH SUPLEMENATA NA NUTRICIONALNI STATUS BOLESNIKA S MOŽDANIM UDAROM
  Download
PDF 834.94 KB
master's thesis
UTJECAJ ENTERALNIH PRIPRAVAKA KAO ORALNIH SUPLEMENATA NA NUTRICIONALNI STATUS BOLESNIKA S MOŽDANIM UDAROM
2019. urn:nbn:hr:184:063939
Pavlinović, Matea
University of Rijeka
Faculty of Medicine
Department of Neurology

Cite this document

Pavlinović, M. (2019). UTJECAJ ENTERALNIH PRIPRAVAKA KAO ORALNIH SUPLEMENATA NA NUTRICIONALNI STATUS BOLESNIKA S MOŽDANIM UDAROM (Master's thesis). Rijeka: University of Rijeka, Faculty of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:063939

Pavlinović, Matea. "UTJECAJ ENTERALNIH PRIPRAVAKA KAO ORALNIH SUPLEMENATA NA NUTRICIONALNI STATUS BOLESNIKA S MOŽDANIM UDAROM." Master's thesis, University of Rijeka, Faculty of Medicine, 2019. https://urn.nsk.hr/urn:nbn:hr:184:063939

Pavlinović, Matea. "UTJECAJ ENTERALNIH PRIPRAVAKA KAO ORALNIH SUPLEMENATA NA NUTRICIONALNI STATUS BOLESNIKA S MOŽDANIM UDAROM." Master's thesis, University of Rijeka, Faculty of Medicine, 2019. https://urn.nsk.hr/urn:nbn:hr:184:063939

Pavlinović, M. (2019). 'UTJECAJ ENTERALNIH PRIPRAVAKA KAO ORALNIH SUPLEMENATA NA NUTRICIONALNI STATUS BOLESNIKA S MOŽDANIM UDAROM', Master's thesis, University of Rijeka, Faculty of Medicine, accessed 22 December 2024, https://urn.nsk.hr/urn:nbn:hr:184:063939

Pavlinović M. UTJECAJ ENTERALNIH PRIPRAVAKA KAO ORALNIH SUPLEMENATA NA NUTRICIONALNI STATUS BOLESNIKA S MOŽDANIM UDAROM [Master's thesis]. Rijeka: University of Rijeka, Faculty of Medicine; 2019 [cited 2024 December 22] Available at: https://urn.nsk.hr/urn:nbn:hr:184:063939

M. Pavlinović, "UTJECAJ ENTERALNIH PRIPRAVAKA KAO ORALNIH SUPLEMENATA NA NUTRICIONALNI STATUS BOLESNIKA S MOŽDANIM UDAROM", Master's thesis, University of Rijeka, Faculty of Medicine, Rijeka, 2019. Available at: https://urn.nsk.hr/urn:nbn:hr:184:063939

Please login to the repository to save this object to your list.
Metadata
TitleUTJECAJ ENTERALNIH PRIPRAVAKA KAO ORALNIH SUPLEMENATA NA NUTRICIONALNI STATUS BOLESNIKA S MOŽDANIM UDAROM
Title (english)INFLUENCE OF ENTERAL PREPARATIONS AS ORAL SUPPLEMENTS ON NUTRITIONAL STATUS OF STROKE PATIENTS
AuthorMatea Pavlinović
MentorVladimira Vuletić (mentor)
MentorDavid Bonifačić (mentor)
Committee memberMira Bučuk (predsjednik povjerenstva)
Committee memberOlivio Perković (član povjerenstva)
Committee memberSanja Klobučar Majanović (član povjerenstva)
GranterUniversity of Rijeka
Faculty of Medicine
(Department of Neurology)
Rijeka
Defense date and country2019-07-12, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Neurology
Abstract
Moždani udar jedan je od vodećih uzroka smrtnosti i onesposobljenosti u Hrvatskoj i u svijetu. Bolesnici s moždanim udarom često su po rizikom od malnutricije. Sama akutna bolest, hormonski odgovor, slabost mišića, imobilizacija, disfagija i depresija samo su neki od faktora koji sudjeluju u njezinoj indukciji. Sarkopenija povezana s moždanim udarom se manifestira usporenom kontrakcijom i smanjenom mišićnom snagom. Malnutricija je povezana s nizom nepovoljnih faktora, uključujući i više stope smrtnosti, zbog čega je i kod bolesnika s moždanim udarom važno redovito raditi probir i procjenu malnutricije. Najčešće se pritom koristi NRS2002 i to u prvih 48h od dolaska u bolnicu, a potom najmanje jednom tjedno. Kod rizičnih bolesnika i bolesnika s malnutricijom, potrebno je detaljnije procijeniti nutricionalni status. Najčešće se koristi BMI, ali i albumin, čije su niske vrijednosti prediktivne za loš ishod bolesti (≤ 34 g/L). Nutritivna potpora može se davati oralnim, enteralnim ili parenteralnim putem. Probir na disfagiju potrebno je učiniti što ranije po primitku u bolnicu, a ukoliko je ona prisutna, i daljnju procjenu i gradaciju. Kod bolesnika koji nemaju disfagiju, a imaju ili su pod rizikom od malnutricije preporučljivo je davati visokoenergetske oralne nutritivne suplemente, najčešće između obroka. Time se bolesniku omogućuje dovoljan energetski unos, a takva praksa povezuje se s višom kvalitetom života, oporavkom nutricionalnog statusa, kognitivnih i motoričkih sposobnosti, manjim gubitkom tjelesne težine. Kod dobro uhranjenih bolesnika, davanje visokoenergetskih oralnih suplemenata nije preporučljivo.
Abstract (english)
Stroke is one of the leading causes of mortality and disability in Croatia and worldwide. Patients with stroke are often at risk of malnutrition. Acute illness, hormonal response, muscle weakness, imobilization, dysphagia and depression are just some of the factors involved in induction of malnutrition. Sarkopenia associated with stroke is a condition which is manifested by slowed contraction and decreased muscle strength. Performing screening and evaluation of malnutrition on a regular basis is a key of its prevention. NRS2002 is usually used for screening malnutrition, it should be done whithin first 48 hours, and during the hospitalization at least once a week. In patients at risk and patients with malnutrition, nutritional status should be evaluated by anthropometric and biochemical methods. The most commonly used is BMI, but also albumin, whose low serum levels are associated with poor outcome. Nutritional support can be administered by oral, enteral or parenteral route. Dysphagia screening should be made as early as possible, as well as its further evaluation. In patients without dysphagia, with malnutrition or at risk of malnutrition, it is advisable to administer high-energy oral supplements, most commonly between meals. This gives the patient sufficient energy input, and their appliance is associated with higher quality of life, recovery of nutritional status, cognitive and motor skills and less body weight loss. Administration of high-energy oral supplements in patients who are well-fed is not recommended.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:063939
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2020-01-15 08:47:07