老年精神疾病住院患者营养状况及发生营养不良的影响因素  

Analysis of Nutritional Status and Influencing Factors of Malnutrition in Hospitalized Elderly Patients with Mental Disorders

作　　者：李轩 李超 焦雪平 段德阳 LI Xuan;LI Chao;JIAO Xueping(The Ninth People's Hospital of Zhengzhou,Zhengzhou Henan 450000)

机构地区：[1]郑州市第九人民医院,河南郑州450000

出　　处：《医学临床研究》2024年第1期78-80,84,共4页Journal of Clinical Research

摘　　要：【目的】探讨老年精神疾病住院患者营养状况及发生营养不良的影响因素。【方法】选择2018年1月至2021年12月本院收治397例老年精神疾病住院患者,采用营养风险筛查2002(NRS 2002)量表将其分为营养不良组(n=63)和营养良好组(n=334)。收集两组患者临床资料,采用Logistic多因素回归模型分析影响老年住院精神病患者发生营养不良的影响因素。【结果】营养不良组吞咽功能、营养支持、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、阳性与阴性症状量表(PANSS)与营养良好组比较,差异有统计学意义(P<0.05)。Logistic回归分析显示,吞咽功能障碍、无营养支持、SDS评分>41.84分、SAS评分>42.41分、PANSS评分>57.92分是老年住院精神病患者发生营养不良的危险因素。【结论】老年住院精神病患者营养不良发生风险较高,吞咽功能、营养支持、SAS、SDS、PANSS评分是其影响因素,临床医师可据此制定针对性治疗方案,以进一步改善患者预后。【Objective】To explore the nutritional status and influencing factors of malnutrition in hospitalized elderly patients with mental disorders.【Methods】A total of 397 hospitalized elderly patients with mental disorders admitted to our hospital from January 2018 to December 2021 were selected.They were divided into malnutrition group(n=63)and malnutrition group(n=334)using the Nutrition Risk Screening 2002(NRS 2002)scale.We collected clinical data from two groups of patients and analyzed the influencing factors of malnutrition in elderly hospitalized psychiatric patients using a logistic multiple regression model.【Results】The swallowing function,nutritional support,SDS score,SAS score,PANSS score of the malnutrition group were compared with those of the malnutrition group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that swallowing dysfunction,lack of nutritional support,SDS score>41.84,SAS score>42.41,and PANSS score>57.92 were risk factors for malnutrition in elderly hospitalized psychiatric patients.【Conclusion】Elderly hospitalized psychiatric patients have a higher risk of malnutrition,with swallowing function,nutritional support,SDS score,SAS score,and PANSS score as influencing factors.Clinicians can develop targeted treatment plans based on this to further improve patient prognosis.

关 键 词：精神病性障碍 精神病人 营养不良 老年人 影响因素分析 

分 类 号：R192.3[医药卫生—卫生事业管理]