运城地区肿瘤患者营养状况调查及营养素养影响因素分析  

Nutritional status of tumor patients in Yuncheng Region and factors influencing nutritional literacy

作　　者：廖芬[1] 靳峰妮 石婷娟 LIAO Fen;JIN Fengni;SHI Tingjuan(Department of Clinical Nutrition,Yuncheng Central Hospital Affiliated to Shanxi Medical University 044000,China;Department of Gastroenterology,Yuncheng Central Hospital Affiliated to Shanxi Medical University 044000,China)

机构地区：[1]山西医科大学附属运城市中心医院临床营养科,山西运城044000 [2]山西医科大学附属运城市中心医院消化内科,山西运城044000

出　　处：《公共卫生与预防医学》2025年第2期156-160,共5页Journal of Public Health and Preventive Medicine

摘　　要：目的探究运城地区肿瘤患者营养状况并分析营养素养的影响因素。方法选取2021年2月至2024年2月于山西医科大学附属运城市中心医院就诊的消化系统恶性肿瘤患者为研究对象,收集患者的一般资料,采用营养风险筛查2002(NRS 2002)和患者主观整体评估(PG-SGA)评估患者的营养状态;采用自制的营养素养量表调查患者的营养素养情况,通过logistic回归分析消化系统恶性肿瘤患者营养素养水平的影响因素。结果486例消化系统恶性肿瘤患者中,存在营养风险的患者达49.59%(241例),营养不良患者有185例(38.07%),其中中度营养不良发生率为26.13%(127例),重度营养不良的发生率为11.93%(58例);患者的营养素养得分均分为(49.22±7.67)分,≥60分的患者仅87例(17.90%)。logistic回归结果显示,性别、年龄、文化水平、婚姻状况、居住地、月收入、社会支持评分都是消化系统恶性肿瘤患者营养素养水平的影响因素。结论消化系统恶性肿瘤患者的营养不良发生率较高,营养素养水平有待提升,可根据这些特点开展针对性的措施来提高患者的营养素养水平。Objective To investigate the nutritional status of tumor patients in yuncheng region and to identify the factors influencing nutritional literacy.Methods Among the 486 patients with malignant digestive system tumors who attended our hospital from February 2021 to January 2024 were selected.The general data were collected in all patients.All patients were assessed using nutritional risk screening 2002,Patient-Generated Subjective Global Assessment(PG-SGA)and Self-made Nutrition Literacy Scale.Then the prevalence of malnutrition was recorded,and factors affecting the nutritional literacy in patients with malignant digestive system tumors were screened using Logistic regression analysis.Results A total of 486 patients,The number of patients with nutritional risks reached 49.59%(241/486)and 185(38.07%)developed malnutrition,of which the incidence of moderate malnutrition was 26.13%(127/486)and the incidence of severe malnutrition was 11.93%(58/486).The mean nutritional literacy score of all patients was(49.22±7.67)and only 87 patients(17.90%)had a score of≥60.Logistic regression analysis denoted that gender(OR=1.531,95%CI:1.146-1.876),age(OR=1.483,95%CI:1.061-1.724),educational background(OR=1.788,95%CI:1.247-2.334),marital status(OR=1.925,95%CI:1.436-2.846),place of residence(OR=2.102,95%CI:1.520-3.282),monthly income(OR=1.863,95%CI:1.386-2.622),and social support score(OR=1.972,95%CI:1.395-2.743)were all influencing factors of nutritional literacy level in patients with malignant digestive system tumors(P<0.05).Conclusion Patients with malignant digestive system tumors are at high risk of malnutrition,and their level of nutrient literacy needs to be improved.Targeted measures can be carried out based on these characteristics to improve the nutritional quality of patients.

关 键 词：肿瘤 营养状况 营养素养 

分 类 号：R181[医药卫生—流行病学]