慢性肝衰竭患者营养不良的影响因素及对策研究  

Influencing factors and countermeasures of malnutrition in patients with chronic liver failure

作　　者：俞淑芳[1] 诸伟红[1] 王莉娜[1] 罗平平[1] 汪利芬[1] 岑盼盼 Yu Shufang;Zhu Weihong;Wang Lina;Luo Pingping;Wang Lifen;Cen Panpan(Department of Infection,Hangzhou First People's Hospital,Hangzhou 310006,China)

机构地区：[1]杭州市第一人民医院感染科,杭州310006

出　　处：《中华现代护理杂志》2022年第27期3740-3743,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨慢性肝衰竭(CLF)患者营养不良的影响因素及相关对策。方法采用便利抽样法选取2019年3月—2021年3月杭州市第一人民医院收治的80例CLF患者,收集CLF患者的临床资料,根据有无发生营养不良分为营养不良组(57例)与无营养不良组(23例)。采用Logistic回归分析探讨CLF患者发生营养不良的影响因素,提出对应护理对策。结果80例CLF患者的营养不良发生率为71.25%;营养不良组和无营养不良组的年龄、吸烟、体重指数(BMI)、病程、病因构成、Chid-Push分级、不良事件次数、肱三头肌皮褶厚度(TSF)、上臂肌围(AMC)、腓肠肌围(GC)、前白蛋白(PA)、白蛋白(ALB)比较,差异有统计学意义(P<0.05);多因素Logistic回归分析显示,年龄、吸烟、病因构成、Child-Push分级、不良事件次数是CLF患者发生营养不良的影响因素(P<0.05)。结论CLF患者发生营养不良的影响因素较多,医护人员应警示相关因素,予以针对性预见护理干预,以降低患者营养不良的发生风险。Objective To explore the influencing factors and related countermeasures of malnutrition in patients with chronic liver failure(CLF).Methods The convenient sampling method was used to select 80 CLF patients admitted to Hangzhou First People's Hospital from March 2019 to March 2021.The clinical data of CLF patients were collected and patients were divided into the malnutrition group(57 cases)and the non-malnutrition group(23 cases)according to the presence or absence of malnutrition.Logistic regression analysis was used to explore the influencing factors of malnutrition in CLF patients,and to propose corresponding nursing strategies.Results The incidence of malnutrition in 80 CLF patients was 71.25%.Between malnutrition group and non-malnutritrion group,there were statistical differences in age,smoking,body mass index(BMI),disease course,etiological composition,Child-Push classification,number of adverse events,triceps skin fold thickness(TSF),arm muscle circumference(AMC),gastrocnemius muscle circumference(GC),prealbumin(PA)and albumin(ALB)(P<0.05).Multivariate Logistic regression analysis showed that age,smoking,etiology,Child-Push classification and number of adverse events were the influencing factors of malnutrition in CLF patients(P<0.05).Conclusions There are many influencing factors of malnutrition in CLF patients,and medical staff should warn the relevant factors and give targeted predictive nursing interventions to reduce the risk of malnutrition in patients.

关 键 词：慢性肝衰竭 营养不良 影响因素 不良事件 护理对策 

分 类 号：R473.5[医药卫生—护理学]