Objective: to elaborate and validate face and content of a multi-professional educational booklet for the education of caregivers of patients in use of Home Enteral Nutrition Therapy. Method: a methodological study, conducted in two stages: (1) elaboration of the educational booklet, divided in four phases; and (2) validation of the educational material by 12 experts. A minimum agreement rate of 80% was considered to ensure validation of the material. Results: the material is structured in 16 items that were considered pertinent by the experts. Content assessment by the experts presented a global Content Validity Index of 0.87. The agreement level of the categories assessed varied from 83% to 90%. The suggestions in relation to content, clarity, pertinence and relevance were addressed and modified for the final version of the material. Conclusion: the educational booklet is considered valid regarding content. It is suggested that it may contribute to the understanding in health education in caregivers and family members of patients in use of enteral nutrition therapy.
a RESUMOOBJETIVO: Caracterizar o estado nutricional de idosos com demência em diferentes estágios da doença e identificar fatores associados com a subnutrição nesse grupo. MÉTODOS: Estudo transversal realizado com 92 idosos demenciados em diferentes estágios da doença, de acordo com o Clinical Dementia Rating (CDR: 1-3). Foram avaliados dados demográficos, clínicos, antropométricos e exames laboratoriais relacionados ao estado nutricional, sendo que o diagnóstico nutricional foi determinado por uma combinação de fatores antropométricos e exames laboratoriais. RESULTADOS: Do total, 64,1% eram mulheres e a média de idade do grupo foi de 80,2 ± 6,8 anos. De acordo com o estado nutricional, 52,1% dos pacientes foram classificados como subnutridos, sendo encontradas diferenças significativas entre as medidas antropométricas e os grupos. Foi observado que idosos com demência moderada e avançada apresentaram maior risco de subnutrição do que idosos com demência em estágio inicial (p = 0,04), sendo que os idosos com história de perda ponderal involuntária apresentaram chance três vezes maior de desenvolver subnutrição. CONCLUSÃO: A subnutrição foi identificada em mais da metade dos idosos com demência estudados, sendo que o comprometimento cognitivo avançado e a perda ponderal recente estão diretamente associados com o prejuízo do estado nutricional desse grupo de idosos. PALAVRAS-CHAVE: idoso; demência; estado nutricional; desnutrição. ABSTRACT OBJECTIVE:To characterize the nutritional status of elderly people with dementia at different stages of the disease and to identify factors associated with malnutrition in this group. METHODS: Cross-sectional observational study with 92 elderly demented in various stages of the disease according to the Clinical Dementia Rating (CDR: 1-3). Demographic, clinical and anthropometric data, as well as laboratory tests related to nutritional status were evaluated; the nutritional diagnosis was determined using a combination of laboratory and anthropometric measurements. RESULTS: Of the total, 64.1% were female and the mean age of the group was 80.2 ± 6.8 years. According to nutritional status, 52.1% of the patients were classified as undernourished, being found significant differences between the anthropometric measures and the groups. It was observed that elderly with moderate and advanced dementia had higher risk of malnutrition than elderly with dementia an initial stage (p = 0.04); the elderly with history of unintentional weight loss presented three times greater chance of developing malnutrition. CONCLUSION: The malnutrition was identified in more than half of elderly people with dementia; the advanced cognitive impairment and recent weight loss are directly associated with the injury of the nutritional status of this group of elderly.
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