握力与NRS 2002在恶性肿瘤患者营养风险筛查中的对比研究  

A Comparative Study of Handgrip Strength and NRS2002 in Nutritional Risk Screening of Patients with Malignant Tumors

作　　者：卢婷[1] 应燕萍[1] 徐谊[2] 袁丽秀[1] 周琼[1] 黄彪进 LU Ting;YING Yan-ping;XU Yi;YUAN Li-xiu;ZHOU Qiong;HUANG Biao-jin(The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China;Affiliated Tumor Hospital of Guangxi Medical University,Nannin 530021,China)

机构地区：[1]广西医科大学第一附属医院,广西南宁530021 [2]广西医科大学附属肿瘤医院,广西南宁530021

出　　处：《护理学报》2021年第9期1-4,共4页Journal of Nursing（China）

基　　金：国家自然科学基金项目(81860032);广西自然科学基金项目(2018GXNSFAA050081)。

摘　　要：目的比较握力与营养风险筛查2002(nutritional risk screening 2002,NRS2002)在恶性肿瘤患者营养风险筛查中的效果。方法选取广西某三级甲等医院肿瘤内科恶性肿瘤住院患者339例,测量其握力水平、人体测量学指标及实验室指标,采用NRS 2002进行营养风险筛查,比较握力与NRS 2002的筛查结果,并对握力及NRS 2002的筛查结果进行一致性检验。结果握力、NRS 2002的营养风险检出率分别为44.2%、38.9%;以握力作为筛查指标时,不同营养状况组间年龄、身高、体质量、BMI、臂围、小腿围、血红蛋白、前白蛋白、白蛋白之间的差异具有统计学意义(P<0.05);以NRS 2002进行评估时,不同营养状况组间的年龄、体质量、BMI、臂围、小腿围、血红蛋白、前白蛋白、白蛋白之间的差异具有统计学意义(P<0.05);握力与NRS 2002筛查结果的一致性检验差异具有统计学意义(P<0.05),Kappa值为0.576。结论握力与NRS2002的营养筛查结果具有中等一致性,但握力测量简单、方便、快捷,可考虑将握力与NRS 2002一起作为恶性肿瘤患者营养风险筛查的工具,提高营养筛查的广泛性及准确性。Objective To compare the effects of grip strength and nutritional risk screening 2002(NRS2002)in nutritional risk screening for patients with malignant tumors.Methods A total of 339 inpatients with malignant tumors in the Department of Oncology of a tertiary grade A hospital in Guangxi were selected to measure their handgrip strength,anthropometric indicators and laboratory indicators.A nutritional risk screening was carried out with NRS2002,and the result of grip strength was compared with that of nutritional risk screening with NRS2002.The consistency of grip strength and NRS2002 screening result was checked.Results The detection rate of nutritional risk by using grip strength and NRS2002 nutritional risk screening was 44.2%and 38.9%,respectively.when assessed by grip strength,there was statistical significance in terms of age,height,body weight,BMI,arm circumference,calf circumference,hemoglobin,prealbumin,and albumin(P<0.05)and when by NRS2002,there was statistical significance in terms of age,body weight,BMI,arm circumference,calf circumference,hemoglobin,prealbumin,and albumin(P<0.05).The difference between the consistency test of grip strength and the NRS2002 screening results is statistically significant(P<0.05),and the Kappa value was 0.576.Conclusion Handgrip strength and NRS2002 nutritional screening have moderate consistency,but the measurement of grip strength is simple,convenient and fast.Grip strength together with NRS2002 could be used as a tool for nutritional risk screening for patients with malignant tumors to improve the breadth and accuracy of nutritional screening.

关 键 词：握力 NRS 2002 营养风险筛查 恶性肿瘤 

分 类 号：R473.73[医药卫生—护理学]