老年住院患者衰弱综合征与营养状况的相关性分析  

Correlation between the frailty and nutritional status of elderly hospitalized patients

作　　者：陈凌燕[1] 楼高波[1] 褚娇娇[1] 沈珊珊[1] 辛红菊[1] 管惠兰[1] 

机构地区：[1]浙江医院老年综合示范病房,杭州310013

出　　处：《中华现代护理杂志》2017年第16期2121-2124,共4页Chinese Journal of Modern Nursing

基　　金：浙江省医药卫生科技计划项目（2016139072）

摘　　要：目的 探讨老年住院患者衰弱综合征与营养状况的相关性.方法 选取笔者所在医院住院老年患者244例.应用老年综合评估问卷,采用统一的指导语言由专人进行问卷评估,研究对象回答,研究人员统一输入电脑软件系统.结果 与非衰弱患者相比,衰弱患者的年龄较大（P〈0.001）,能自己照顾自己的比率较低（P〈0.001）,需要子女和保姆照顾的比率相对较高（P〈0.01）,有抑郁症状的比率高（P=0.016）,有认知功能障碍的比率高（P〈0.001）,有日常生活功能缺陷的比率高（P〈0.001）,并且营养不良及营养不良风险的比率也高（P〈0.001）.回归分析显示衰弱和营养状况呈负相关（P=0.005）.结论 营养不良和衰弱密切相关,营养不良及营养不良风险的患者更易衰弱.Objective To investigate the correlation between the frailty and nutritional status of the elderly hospitalized patients.Methods A total of 244 hospitalized patients were enrolled in this investigation. By using comprehensive geriatric assessment （CGA）,patients answered these questions together with experts （questionnaire assessment by professional instructions）. Researchers input the result into computer at same time. Results Compared with normal patients,frailty patients were older （P〈0.001）,and had lower ability to take care of themselves （P〈0.001）,in other words,they had more demands from their families and carers in terms of medical care （P〈0.01）. In addition, frailty patients had higher risks of having depressive symptom （P=0.016）,cognitive impairment （P〈0.001）, living function disability （P〈0.001）,as well as malnutrition （P〈0.001）. Regression analysis result showed a negative correlation between frailty and nutrition （P=0.005）.Conclusions Malnutrition is closely related to frailty,and malnutrition patients and patients with risks of malnutrition were easily to acquire frailty.

关 键 词：营养状况 老年人 衰弱 

分 类 号：R473[医药卫生—护理学]