老年冠心病患者自我营养管理状况及影响因素分析  

Analysis of self-nutrition management status and influencing factors in elderly patients with coronary heart disease

作　　者：李亚飞[1] 张俊梅[2] 陈颂歌[3] Li Ya-fei;Zhang Jun-mei;Chen Song-ge(School of Nursing and Health,Zhengzhou University,Zhengzhou 450003,China;Henan Provincial People's Hospital,Zhengzhou 450003,China;Department of Cardiovascular Medicine,Henan Provincial People's Hospital,Zhengzhou 450003,China)

机构地区：[1]郑州大学护理与健康学院,河南郑州450003 [2]河南省人民医院,河南郑州450003 [3]河南省人民医院心血管科,河南郑州450003

出　　处：《四川生理科学杂志》2025年第3期528-533,共6页

摘　　要：目的:探讨老年冠心病患者自我营养管理现状并分析其影响因素。方法:选取2023年3月-12月期间在本院心血管内科住院的冠心病患者284例做为研究对象。使用基线资料调查表、营养行为调查问卷、营养素养量表进行调查。采用多元线性回归分析老年冠心病患者自我营养管理的影响因素。结果:老年冠心病患者营养素养得分为(128.12±28.52)分,营养行为得分(50.94±7.86)分。单因素分析结果显示:不同的性别、人均月收入、居住地、婚姻状况、文化程度、职业、合并慢病个数、BMI指数、吸烟、饮酒、既往住院次数、NRS2002在营养素养的得分比较,差异有统计学意义。不同性别、医疗方式、职业、病程、人均月收入、慢病个数、居住方式、文化水平、心功能分级、NRS2002得分、饮酒、BMI指数在营养行为的得分比较,差异有统计学意义(P<0.05)。多元线性回归分析显示,文化水平与人均月收入、居住方式和婚姻状况、居住地、吸烟和饮酒、NRS2002营养评分、合并慢病个数、既往住院次数是老年冠心病患者营养管理的影响因素(P<0.05)。结论:老年冠心病患者自我营养管理水平处于中等偏下水平。文化水平与人均月收入、居住方式和婚姻状况、居住地、吸烟和饮酒、NRS 2002营养评分、合并慢病个数、既往住院次数是老年冠心病患者营养管理的影响因素。Objective:To investigate the status quo of self-nutrition management in elderly patients with coronary heart disease and analyze its influencing factors.Methods:284 patients with coronary heart disease(CHD)who were hospitalized in the cardiovascular department of our hospital from March to December 2023 were selected as the study objects.Baseline data questionnaire,nutrition behavior questionnaire and nutrition literacy Scale were used to investigate.Multiple linear regression was used to analyze the influencing factors of self-nutrition management in elderly patients with coronary heart disease.Results:The scores of nutritional literacy and nutritional behavior were(128.12±28.52)and(50.94±7.86)respectively.The results of univariate analysis showed that there were statistically significant differences among different gender,per capita monthly income,place of residence,marital status,educational level,occupation,number of chronic diseases combined,BMI index,smoking,drinking,previous hospitalization,and NRS2002 scores in nutritional literacy.There were statistically significant differences in nutritional behavior scores among different gender,medical treatment,occupation,course of disease,per capita monthly income,number of chronic diseases,living style,educational level,cardiac function grade,NRS 2002 score,alcohol consumption and BMI index(P<0.05).Multiple linear regression analysis showed that educational level,per capita monthly income,living style and marital status,place of residence,smoking and drinking,NRS 2002 nutrition score,number of chronic diseases,and previous hospitalization were the influential factors of nutrition management in elderly patients with coronary heart disease(P<0.05).Conclusion:The self-nutrition management level of elderly patients with coronary heart disease is in the lower middle level.Educational level and per capita monthly income,living style and marital status,place of residence,smoking and drinking,NRS 2002 nutrition score,number of combined chronic diseases,and previous hosp

关 键 词：冠心病 老年 自我营养管理 影响因素 

分 类 号：R54[医药卫生—心血管疾病]