老年卧床患者营养状况及相关因素分析  

Nutritional Status of Elderly Bedridden Patients and Its Related Factors

作　　者：王晓玲[1] 钟文逸[1] 陈茜[1] 周蕾[1] 

机构地区：[1]四川大学华西医院老年医学中心,成都610041

出　　处：《华西医学》2013年第6期894-897,共4页West China Medical Journal

基　　金：四川省卫生厅资助项目(080033)~~

摘　　要：目的了解老年卧床患者营养状况及其相关因素,为临床治疗及健康宣教提供依据。方法采用简易营养评价精法(MNA-SF)简化量表调查2010年11月-2012年3月成都市住院老年卧床患者的营养状况,同时采用自行设计的问卷调查其相关因素。结果老年卧床患者82.4%营养不良,而且不同文化程度、年龄、性别及病情的患者营养状况不同,差异有统计学意义(P<0.05),多因素分析发现,年龄、病情、卧床分级、抑郁是影响老年卧床患者营养的主要因素,病情重,年龄大、抑郁得分高、卧床分级高的老年卧床患者营养状况越差。结论老年卧床患者营养状况受多种因素影响,应根据患者不同情况进行营养相关知识宣教,改善患者的健康状况。Objective To understand the nutritional status of elderly bedridden patients and its related factors,in order to provide suggestions for clinical treatment and health education.Methods MNA-SF simplified scale was used to survey hospitalized bedridden elderly patients＇ nutritional status from November 2010 to March 2012,and at the same time,we used self-designed questionnaire to investigate its related factors.Results The malnourishment rate of elderly bedridden patients was 82.4%,and different cultural degree,age,gender and disease played significant roles in the nutritional status of elderly bedridden patients,and their differences were statistically significant（P〈0.05）.Multivariate analysis identified that age,illness,bedridden grading,and depression were the main factors affecting the nutritional status of elderly bedridden patients.Patients with severe illness,old age,high depression scores and bedridden grading had poor nutrition status.Conclusions The elderly bedridden patients＇ nutritional status is affected by many factors.We should improve their nutrition-related knowledge and their health status based on different situations of the patients.

关 键 词：老年 卧床 营养状况 

分 类 号：R473[医药卫生—护理学]