長期照護個案體重之推估

Estimates of Body Weight of Long-term Care Clients

10.6440/TZUCMJ.200012.0259

溫敏杰(Miin-Jye Wen)；葉莉莉(Lily Yeh)；金惠民(Huei-Min Linda Chin)；田玫(Tyan Mei)；陳清惠(Ching-Huey Chen)；陳惠姿(Huey-Tzy Justia Chen)

長期照護 ； 體重 ； 迴歸推估模式 ； long-term care ； body weight ； regression estimated model

慈濟醫學雜誌

12卷4期（2000 / 12 / 01）

259 - 265

繁體中文

目的：長期照護個案，多屬功能狀態差者，其活動力差、臥床時間長，日常生活活動需他人協助，此類個案要測體重有實上的困難。病人與方法：本研究以台灣地區北、中、南五所護理之家152位住民為研究對象，測量其體重（weight）、臀圍（HC）、上臂中圍（MAC）與膝長（KH）。資料輸入後，以SAS、Minitab與Statistica統計軟體進行嚴謹之統計分析，以逐步迴歸選取法篩選出主要的自變數；再由判定係數（R的2次方），均方差（MSE）與Cp值來判斷模式的擬合程度，並以殘差分析說明模式的好壞。結果：本研究最後得到之男、女性體重最佳迴歸推估模式為：男性Weight= -33.420+0.793HC+0.791MAC（R的2次方=0.841）；女性Weight = -37.187+0.745HC+0.831MAC（R的2次方=0.843）。若衡量時間、量測便利與精簡之原則，亦可考量下列之迴歸推估模式：男性Weight= -33.813+1.032HC（R的2次方=0.804）；女性Weight=-42.673+1.059HC（R的2次方=0.796）。結論：對行動不便，體重測量不易之長期照護個案，可參考本研究結果所得，由個案之臂圍與上臂中圍推估其體重。

Objective: Long-term care (LTC) clients are usually bed-ridden, have por mobility and are unable to perform activities of daily living. To measure body weight (Weight) of LTC clients is difficult in diverse settings. Patients and Methods: In order to estimate LTC clinets’ Weight, we selected five nursing homes and measured the resident’s Weight, hip circumference (HC), mid-upper arm circumference (MAC), and knee height (KH). Data were analyzed with SAS, Minitab and Statistica computer software. Results: rigorous statistic analysis helped us select the best equation for estimating LTC clients’ Weight as follow: Male =-33.420+0.793HC+0.791MAC (R2=0.841); Female=-37.187+0.745HC+0.831MAC (R2=0.843). The second best equation for estimating Weight was as follows: Male=-33.813+1.032HC (R2=0.804); Female=-42.673+1.059HC (R2=0.796). Conclusions: For LTC clients, we can use HC and MAC to estimate their body weight.