骨肿瘤病人肌少症发生现状及影响因素  

Status quo and influencing factors of sarcopenia in patients with bone tumor

作　　者：余俊 陈烟雨 陈剑 路昱琳 张琳[1] 尤少梅 YU Jun;CHEN Yanyu;CHEN Jian;LU Yulin;ZHANG Lin;YOU Shaomei(Peking University Cancer Hospital Yunnan Hospital/Yunnan Cancer Hospital/The Third Affiliated Hospital of Kunming Medical University,Yunnan 650118 China;Yunnan Medical and Health Vocational College)

机构地区：[1]北京大学肿瘤医院云南医院/云南省肿瘤医院/昆明医科大学第三附属医院,云南650118 [2]云南医药健康职业学院

出　　处：《护理研究》2025年第5期820-826,共7页Chinese Nursing Research

基　　金：云南省教育厅科学研究基金项目,编号:2024J0359;教学联盟本科教育教学研究项目,编号:JXYJ20230105。

摘　　要：目的:分析骨肿瘤病人肌少症发生现状及影响因素,为制定有效的干预方案提供参考。方法:采用便利抽样方法,选取2023年8月—2024年1月云南省某三级甲等医院骨科收治的198例骨肿瘤病人,收集病人的临床资料,测量病人的肌肉力量(握力)、身体活动能力(步行速度)及肌肉质量(四肢骨骼肌指数),采用病人整体营养状况评估表、恐动症评估简表、Fried身体表型衰弱量表、阿森斯失眠量表对病人进行评估,通过多因素Logistic回归分析筛选骨肿瘤病人肌少症发生的影响因素。结果:骨肿瘤病人肌少症发生率为27.27%。Logistic回归分析显示,体质指数、规律锻炼、骨质疏松、恐动情况和衰弱情况是骨肿瘤病人肌少症发生的影响因素(P<0.05)。结论:骨肿瘤病人肌少症患病率较高,医护人员应及时识别肌少症高危人群,并行营养、运动及心理干预,改善病人预后。Objective:To analyze the current status and influencing factors of sarcopenia in patients with bone tumors and to provide a reference for developing effective intervention programs.Methods:Using a convenience sampling method,198 patients with bone tumors admitted to the orthopedics department of a tertiary grade A hospital in Yunnan province between August 2023 and January 2024 were recruited.Clinical data were collected,and muscle strength(grip strength),physical activity capacity(walking speed),and muscle mass(appendicular skeletal muscle index)were measured.Patients were assessed using the Patient⁃Generated Subjective Global Assessment,Kinesiophobia Scale⁃Short Form,Fried Physical Phenotype Frailty Scale,and Athens Insomnia Scale.Multivariate Logistic regression analysis was conducted to identify the influencing factors of sarcopenia in patients with bone tumors.Results:The incidence of sarcopenia among patients with bone tumors was 27.27%.Logistic regression analysis revealed that body mass index(BMI),regular exercise,osteoporosis,kinesiophobia,and frailty were significant influencing factors of sarcopenia in patients with bone tumors(P<0.05).Conclusion:The prevalence of sarcopenia is high in patients with bone tumors.Healthcare professionals should promptly identify high⁃risk groups for sarcopenia and implement nutritional,exercise,and psychological interventions to improve patient outcomes.

关 键 词：骨肿瘤 肌少症 影响因素 运动干预 心理干预 营养支持 调查研究 

分 类 号：R473.73[医药卫生—护理学]