老年消化系疾病住院患者营养风险筛查与护理  

Assessment of Nutritional Risk in Elderly Inpatients with Digestive Diseases and the Nursing Measures

作　　者：任莉[1] 王健[1] 邹军[1] 朱玉群[1] 徐有青[1] 

机构地区：[1]首都医科大学附属北京天坛医院消化内科,北京100050

出　　处：《湖南中医药大学学报》2013年第2期111-113,共3页Journal of Hunan University of Chinese Medicine

摘　　要：目的应用NRS2002营养风险筛查评估老年消化系统疾病住院患者的营养风险,探讨其临床意义及护理对策。方法采用NRS2002评定标准,由经培训的护士完成消化科住院老年患者的营养风险评分,与同期住院的中青年组对比,并了解营养支持情况。结果老年住院患者营养风险的发生率为32.95%,明显高于同期住院中青年患者的18.28%,差异有统计学意义(P<0.05);消化道恶性肿瘤、肝硬化、消化性溃疡、胆道疾病和慢性胃炎的营养风险发生率位于前5位;其中72.41%有营养风险的和50.85%无营养风险的老年住院患者住院期间给予了肠内或肠外营养支持。老年营养不足、超重和肥胖的发生率分别为13.64%、28.41%和10.23%。结论消化科老年住院患者营养风险的发生率高,应针对不同患者给予相应营养支持和护理。Objective Using NRS-2002, to assess the nutritional risk of elderly inpatients with digestive diseases and evaluate its clinical significance, and discuss the nursing measures. Methods In according with NRS-2002, completed by trained nurses, we surveyed the rates of the nutritional risk and the nutritional support situations of the elderly patients 965 y） suffered with digestive diseases, and then compared to the younger ones（〈 65 y） Results The rate of nutritional risk of the elderly inpatients with digestive diseases was significant higher than the one of the controls （32.95% vs 18.28%, P〈0.05）. In the 5 tops of nutritional risk, were the digestive malignant tumor, liver cirrhosis, peptic ulcer, biliary disease, and chronic gastritis. However, 72.41% elderly inpatients with nutritional risk and 50.85% with no risks were given enteral or parenteral nutritional support during the hospitalized period. The incidence rates of elderly nutrition deficiency, overweight and obesity are 13.64%, 28.41%, and 10.23%. Conclusion There was high nutritional risk rate in elderly inpatients with digestive diseases. For different patients, should give appropriate nutritional support and nursing care.

关 键 词：营养风险 消化系疾病 老年 营养支持 护理 

分 类 号：R57[医药卫生—消化系统]