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中华养生保健 ›› 2025, Vol. 43 ›› Issue (2): 4-7.

• 论著 • 上一篇    下一篇

老年住院患者营养状况调查及营养不良相关因素分析

吴秀琴1, 刘淑明1, 陈清祥2, 杨华娟2   

  1. 1.三明市中西医结合医院临床营养科,福建 三明, 365001;
    2.三明市中西医结合医院健康管理部,福建 三明, 365001
  • 出版日期:2025-01-16 发布日期:2025-01-23
  • 作者简介:吴秀琴(1990—),女,汉族,籍贯:福建省南平市,硕士研究生,主治医师,研究方向:临床营养。
  • 基金资助:
    福建中医药大学校管科研课题(XB2022123)

Investigation of Nutritional Status and Analysis of Related Factors of Malnutrition in Elderly Inpatients

WU Xiu-qin1, LIU Shu-ming1, CHEN Qing-xiang2, YANG Hua-juan2   

  1. 1. Department of Clinical Nutrition, Sanming Integrated Medicine Hospital,Sanming Fujian 365001, China;
    2. Department of Health management department, Sanming Integrated Medicine Hospital,Sanming Fujian 365001, China
  • Online:2025-01-16 Published:2025-01-23

摘要: 目的 对住院老年患者的营养状况进行调查分析,探讨老年住院患者营养不良的危险因素,为老年患者营养支持提供依据。方法 采取随机抽样法选取2023年1月—2023年12月三明市中西医结合医院营养科参与营养会诊的老年患者,年龄≥60周岁,对入选的262例老年患者采取营养风险筛查(NRS2002)、主观整体评(SGA)等方式进行全面的营养状况评估,发放262份问卷,回收262份有效问卷,有效率为100%,分析患者实验室检查指标及临床资料等方面的资料,采用logistic回归分析营养不良的影响因素。结果 本研究中营养科会诊的262例老年患者中的营养风险发生率(NRS≥3分)为81.3%,营养不良的发生率为72.9%,根据其是否存在营养不良进行分组,分为营养不良组(n=191)和营养良好组(n=71),logistic多因素分析发现,感染情况、活动能力、患病种类、平素是否进食充分是老年患者发生营养不良的影响因素(P<0.05)。结论 60岁及以上住院患者营养风险发生率、营养不良率高,老年住院患者发生营养不良与多种因素相关,临床应高度重视,及早进行营养不良识别及营养干预。

关键词: 老年人, 营养风险筛查, 营养不良

Abstract: Objective To investigate and evaluate the nutritional status of hospitalized elderly patients, and explore the risk factors of malnutrition in hospitalized elderly patients, so as to provide basis for nutritional support for elderly patients. Methods A random sampling method was adopted to select the elderly patients who participated in nutrition consultation in the nutrition Department of Sanming Hospital of Integrated Chinese and Western Medicine from January 2023 to December 2023. The 262 elderly patients were enrolled by nutritional risk screening (NRS2002) and subjective overall assessment (SGA) for comprehensive nutritional status assessment. 262 questionnaires were distributed and 262 valid questionnaires were recovered, with an effective rate of 100%. The data of laboratory examination indicators and clinical data of patients were analyzed, and the influencing factors of malnutrition were analyzed by logistic regression. Results In this study, the incidence of nutritional risk (NRS≥3 points) and malnutrition was 81.3% and 72.9% in 262 elderly patients consulted by the Department of Nutrition. According to whether they had malnutrition, they were divided into malnutrition group (n=191) and good nutrition group (n=71). logistic multivariate analysis found that, Infection, activity, disease type and sufficient diet were the influencing factors of malnutrition in elderly patients (P <0.05). Conclusion The incidence of nutritional risk and malnutrition in hospitalized patients aged 65 and above is high. The occurrence of malnutrition in hospitalized elderly patients is related to many factors. Clinical attention should be paid to malnutrition identification and nutrition intervention as soon as possible.

Key words: the elderly, mutritional risk screening, malnutrition

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