缺血性脑卒中老年患者入院初期脱水状况及影响因素  

Dehydration developed early after hospital admission and its influencing factors in elderly patients with ischemic stroke

作　　者：戚文艳 张静[1] Sally Wai-Chi Chan Qi Wenyan;Zhang Jing;Sally Wai-Chi Chan(Bengbu Medical College,Bengbu 233000,Chin)

机构地区：[1]蚌埠医学院护理学院,安徽蚌埠233000 [2]纽卡斯尔大学护理与助产学院

出　　处：《护理学杂志》2018年第12期17-19,共3页Journal of Nursing Science

基　　金：蚌埠医学院研究生创新计划项目(Byycx1629)

摘　　要：目的调查缺血性脑卒中老年患者入院初期脱水状况与影响因素,为临床采取针对性护理干预提供参考。方法对197例缺血性脑卒中老年患者在入院第2天根据空腹静脉血生化检验单计算血液渗透压检测脱水状况,同时收集患者一般资料,采用老年抑郁量表调查抑郁状况。结果197例患者入院初期脱水发生率为42.6%。多因素分析显示年龄、性别、参加活动种类、伴吞咽呛咳、抑郁情绪是脱水的影响因素(P<0.05,P<0.01)。结论缺血性脑卒中老年患者入院初期脱水患病率较高,受年龄、性别、活动、吞咽呛咳及抑郁影响。护士应对脱水高危人群进行针对性的健康教育,增加水分摄入,积极预防与控制脱水,以改善疾病预后。Objective To investigate dehydration developed early after hospital admission and its influencing factors in elderly patients with ischemic stroke,and to provide reference for targeted clinical intervention.Methods Early after hospital admission,results of fasting venous blood test on the 2 nd day of hospitalization in 197 elderly patients with ischemic stroke were used to calculated serum osmolality to judge whether patients developed dehydration.Then a demographic questionnaire and the Geriatric Depression Scale（GDS）were used to investigate the patients.Results Of 197 patients recruited,42.6% were dehydrated.Logistic regression suggested that age,sex,the type of activities,swallowing problem and depression were predictors of dehydration（P〈0.05 for all）.Conclusion Prevalence of dehydration is high early after hospital admission in elderly patients with ischemic stroke,and it is influenced by age,sex,the type of activity,swallowing problem and depression.Nurses should provide targeted guidance to patients at high risk of dehydration,assist them in increasing fluid intakes,so as to prevent and control dehydration,improve disease outcome and the quality of life of patients.

关 键 词：老年人 缺血性脑卒中 入院初期 脱水 抑郁 

分 类 号：R473.5[医药卫生—护理学]