营养风险对老年住院患者压疮发生的影响  

Effect of nutritional risk on incidence of pressure ulcer in hospitalized elderly patients

作　　者：段晓侠[1] 刘春芳[2] 

机构地区：[1]蚌埠医学院第二附属医院护理部,233000 [2]蚌埠医学院第一附属医院

出　　处：《中国实用护理杂志》2013年第19期14-17,共4页Chinese Journal of Practical Nursing

基　　金：蚌埠医学院自然科学课题（Byky1249）

摘　　要：目的探讨营养风险对老年住院患者压疮发生的影响，为制订针对性营养支持方案提供依据。方法应用营养风险筛查表（nutritionalriskscreening2002，NRS．2002）及相关营养指标对150例神经内科老年住院患者进行营养风险筛查与评估，分析营养风险对老年人压疮发生的影响。结果有营养风险者86例，压疮发生率为16．67％。无营养风险者64例，压疮发生率为42．67％。营养指标显示血红蛋白（HGB）、血清白蛋白（ALB）、前清白蛋白（PAB）、总淋巴细胞计数（TLC）在有营养风险组较营养正常组有差异。Logistic回归分析有营养风险老年患者压疮的发生率是营养正常者的6．99倍。结论对老年住院患者进行营养风险筛查，采取积极、合理的营养支持计划与护理干预，可有效降低老年住院患者压疮的发生。Objective To investigate the effects of nutritional risk on incidence of pressure ulcer in hospitalized elderly patients, and to provide a basis for medical staff to carry out effective preventive mea- sures. Methods Nutritional Risk Screening 2002 （NRS-2002） and nutrition index were applied in 150 elderly patients in the department of neurology for screening and evaluation of nutritional risk. Then the ef- fect of nutritional risk on incidence of pressure ulcer in elderly patients was analyzed. Results 86 cases with nutritional risk and 64 cases without nutritional risk were found. The incidence of pressure ulcer was 16.67% and 42.67% respectively. The comparison was made among hemoglobin, serum albumin, pre-albu- min and total lymphocyte count, the difference was statistically significant between the two groups. The in- cidence of pressure ulcer in elderly patients with nutritional risk was 6.99 times higher than those without nutritional risk. Conclusions To given nutritional risk screening, active and reasonable nutritional sup- port plan to hospitalized elderly patients can reduce the incidence of pressure Ulcer.

关 键 词：营养风险 营养风险筛查 老年患者 压疮 

分 类 号：R473[医药卫生—护理学]