老年营养风险指数在肺癌患者护理风险预警中的作用  

Effect of Geriatric Nutritional Risk Index in Nursing Risk Warning of Lung Cancer Patients

作　　者：陈姣[1] 张旭东[1] 范新杰 邢季伟 CHEN Jiao;ZHANG Xudong;FAN Xinjie;XING Jiwei(Beijing Friendship Hospital,Capital Medical University,Beijing 100058,China)

机构地区：[1]首都医科大学附属北京友谊医院,北京100058

出　　处：《中外医学研究》2023年第30期69-74,共6页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨老年营养风险指数(geriatric nutritional risk index,GNRI)在肺癌患者跌倒、压力性损伤、肺部感染三种护理风险中的预警作用。方法:采用便利抽样法选择2021年1—12月在首都医科大学附属北京友谊医院肿瘤科化疗的242例肺癌患者作为研究对象,根据GNRI分为营养不良高危组、营养不良低危组和营养正常组,随访记录化疗期间跌倒、压力性损伤、肺部感染事件发生情况,比较化疗期间不同跌倒、压力性损伤、肺部感染发生情况患者GNRI,采用Kaplan-Meier法分析三种护理风险事件累积发生率,Log-Rank检验比较不同GNRI分组的三种护理风险事件累积发生率差异。结果:242例患者中,239例完成全部化疗疗程和资料收集,营养不良高危组54例、营养不良低危组86例、营养正常组99例;化疗期间跌倒、压力性损伤、肺部感染的发生率分别为8.79%(21/239)、13.81%(33/239)、28.03%(67/239)。营养正常组、营养不良低危组和营养不良高危组跌倒、压力性损伤、肺部感染发生率依次升高,三组跌倒、压力性损伤、肺部感染发生率比较,差异有统计学意义(P<0.05)。发生跌倒、压力性损伤、肺部感染患者GNRI低于未发生患者,差异有统计学意义(P<0.05)。营养正常组、营养不良低危组和营养不良高危组跌倒、压力性损伤、肺部感染累积发生率依次升高,不同GNRI患者跌倒、压力性损伤、肺部感染事件累积发生率比较,差异有统计学意义(Log-Rankχ^(2)=48.718、49.549、57.477,P<0.001)。结论:肺癌化疗患者跌倒、压力性损伤、肺部感染三种护理风险事件发生与GNRI密切相关,以GNRI判断营养不良危险程度可以预警护理风险事件发生风险,营养不良危险程度越高风险越大。Objective:To explore the warning effect of geriatric nutritional risk index(GNRI)in the three nursing risks of falls,pressure injury and pulmonary infection of lung cancer patients.Method:A total of 242 patients with lung cancer who received chemotherapy in the Department of Oncology,Beijing Friendship Hospital,Capital Medical University from January to December 2021 were selected as the study objects by convenience sampling method,they were divided into high-risk malnutrition group,low-risk malnutrition group and normal nutrition group according to GNRI,the incidence of fall,pressure injury and pulmonary infection during chemotherapy were recorded,GNRI was compared in patients with different fall,pressure injury and pulmonary infection during chemotherapy.Kaplan-Meier method was used to analyze the cumulative incidence of three nursing risk events,Log-Rank test was used to compare the cumulative incidence of three nursing risk events in different GNRI groups.Result:Among 242 patients,239 patients completed all chemotherapy courses and data collection,including 54 patients in the high-risk malnutrition group,86 patients in the low-risk malnutrition group and 99 patients in the normal nutrition group.The incidence of fall,pressure injury and pulmonary infection during chemotherapy was 8.79%(21/239),13.81%(33/239)and 28.03%(67/239),respectively.The incidence of falls,pressure injuries and pulmonary infections in the normal nutrition group,the low-risk malnutrition group and the high-risk malnutrition group increased successively,and the incidence of falls,pressure injuries and pulmonary infections in the three groups were compared,the differences were statistically significant(P<0.05).The GNRI of patients with fall,pressure injury and pulmonary infection was lower than that of patients without it,and the differences were statistically significant(P<0.05).The cumulative incidence of falls,pressure injuries and pulmonary infections in the normal nutrition group,the low-risk malnutrition group and the high-risk malnut

关 键 词：肺癌 老年营养风险指数 护理风险 跌倒 压力性损伤 肺部感染 

分 类 号：R473.73[医药卫生—护理学]