重庆地区老年住院患者营养风险、营养不良发生率及营养支持现状调查  

Prevalence of nutritional risks and malnutrition and application of nutritional support in the elderly inpatients of Chongqing

作　　者：张慧[1] 牟绍玉[1] 谭人福[1] 

机构地区：[1]重庆医科大学护理学院,重庆400016

出　　处：《激光杂志》2012年第6期87-88,共2页Laser Journal

基　　金：重庆市科技攻关计划项目(编号:cstc2012gg-yyjs10001)

摘　　要：目的:了解重庆三甲医院老年患者营养风险、营养不良发生率及营养支持的现状。方法:采用定点连续采样法,于2012年1月至2012年7月,使用NRS2002营养风险筛查工具对重庆某三甲医院的消化内科、胃肠外科、神经内科及呼吸内科住院老年患者进行营养风险筛查。NRS2002评分≥3分判断为有营养风险。如患者的体重指数(BMI)<18.5,临床一般情况差,则判断为营养不足。记录患者住院期间实际接受营养支持的热量、氨基酸量和营养支持持续的天数等实况。结果:1276名住院患者参加本研究,其中1243名(97.4%)患者完成营养风险筛查和病情治疗观察的全过程。总营养风险发生率为46.6%(579例),营养不足发生率为19.1%(238例),有营养风险患者接受规范的营养支持为8.8%(51例),且均为肠外营养支持。结论:住院老年患者进行NRS2002营养风险筛查简易可行。重庆地区住院老年患者营养风险发生率、营养不良(营养不足)发生率高,但营养支持使用率低且使用不规范。Objective： To investigate nutritional risks, undemutrition rates and nutritional interventions among elderly inpatients of Chongqing. Methods： Elderly inpatients in the department of gastroenterology, gastrointestinal surgery, neurology, and respiratory medical of First Affiliated Hospital of Chongqing Medical University were consecutively enroll from January 2012 to July 2012. NRS2002 score ≥ 3 judged at nutritional risk. The patient ＇ s body mass index （BMI） 〈 18.5 and at poor physical condition, judged as undemutrition. Nutritional support was investigated during the hospitalization. Result： A total of 1276 patients were enrolled,and 1243 patients（97.4% ） underwent NRS2002. The overall prevalence of nutritional risk was 46.6% and undemutrition was 19.1%. For the patients who were at nutritional risk, only 8.8 % of them were given nutritional support, and are parenteral nutrition support only. Conclusion： NRS2002 was feasible when used in inpatients. The incidence of nutritional risks and undemutrition among hospitalized elderly patients in Chongqing was high. However the result showed the application of nutritional interventions were not reasonable.

关 键 词：老年患者 营养风险 营养风险筛查(NRS2002) 营养不良 营养支持 

分 类 号：R477[医药卫生—护理学]