耐多药结核病患者营养不良的危险因素分析  

Analysis of risk factors for malnutrition in patients with multidrug resistant tuberculosis

作　　者：杨慧琼[1] 李静虹[2] 周燕红[3] YANG Huiqiong;LI Jinghong;ZHOU Yanhong(Department of Nursing,Jiangxi Chest Hospital,Nanchang 330006,Jiangxi,China;Department of Infectious Diseases,Jiangxi Chest Hospital,Nanchang 330006,Jiangxi,China;Department of Tuberculosis Prevention and Management,Jiangxi Chest Hospital,Nanchang 330006,Jiangxi,China)

机构地区：[1]江西省胸科医院护理部,江西南昌330006 [2]江西省胸科医院感染性疾病科,江西南昌330006 [3]江西省胸科医院结核病防治管理科,江西南昌3300061

出　　处：《中国现代医生》2024年第16期1-3,32,共4页China Modern Doctor

基　　金：江西省应用研究培育计划项目(20212BAG70015)。

摘　　要：目的 分析耐多药结核病(multidrug resistant tuberculosis,MDR-TB)患者发生营养不良的危险因素。方法 选取2021年9月至2023年3月江西省胸科医院收治的96例MDR-TB患者为研究对象,使用微型营养评定简表评价患者的营养不良状况,调查患者的基础资料,采用Logistic回归分析探讨MDR-TB患者发生营养不良的危险因素。结果 96例MDR-TB患者中51例营养不良,发生率为53.12%;Logistic回归分析结果显示,年龄≥60岁、合并慢性病、失眠、焦虑抑郁、家庭功能障碍均是MDR-TB患者发生营养不良的危险因素(P<0.05)。结论 MDR-TB患者营养不良风险高,受年龄、合并慢性病、睡眠状况、心理状况、家庭功能等因素影响,可针对上述因素制订护理方案,如睡眠指导、心理支持、家庭干预等,以降低患者营养不良的发生风险。Objective To analyze the risk factors of malnutrition in multidrug resistant tuberculosis(MDR-TB) patients.Methods A total of 96 MDR-TB patients admitted to Jiangxi Chest Hospital from September 2021 to March 2023 were selected as study objects.The malnutrition status of patients was evaluated by using mini-nutritional assessment short-form,and the basic data of patients were investigated.Logistic regression analysis was used to investigate the risk factors of malnutrition in MDR-TB patients.Results Of 96 MDR-TB patients,51 cases(53.12%) were malnourished.Logistic regression analysis results showed that age ≥60 years old,chronic diseases,insomnia,anxiety and depression,and family dysfunction were all risk factors for malnutrition in MDR-TB patients(P<0.05).Conclusion MDR-TB patients have a high risk of malnutrition,which is affected by age,chronic diseases,sleep status,psychological status,and family function.Nursing programs can be formulated according to the above factors,such as sleep guidance,psychological support,and family intervention,in order to reduce the risk of malnutrition in patients.

关 键 词：肺结核 耐多药 营养不良 影响因素 

分 类 号：R521[医药卫生—内科学]