首页|老年医学科患者衰弱合并营养不良的危险因素分析

老年医学科患者衰弱合并营养不良的危险因素分析

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目的 分析老年医学科患者衰弱合并营养不良的发生情况,并对其危险因素进行差异化分析.方法 对2021年10月-2022年12月在海南医学院第二附属医院老年医学科住院的患者进行调查.按照患者是否存在衰弱合并营养不良,分为衰弱合并营养不良组(n=162)与非衰弱合并营养不良组(n=324).采用二元Logistic回归分析衰弱合并营养不良的危险因素.结果 衰弱合并营养不良的发生率为33.33%.年龄≥75岁[OR=1.061,95%CI(1.022~1.101),P=0.002]、失能[OR=1.210,95%CI(1.057~1.385),P=0.006]、认知障碍[OR=2.257,95%CI(1.676~3.039),P<0.001]、Charlson合并症评分≥5分[OR=1.413,95%CI(1.172~1.704),P<0.001]、服用药物数量≥5种[OR=1.038,95%CI(1.001~1.076),P=0.044]是衰弱合并营养不良发生的危险因素.结论 在老年医学科患者中,衰弱和营养不良具有较高的重叠.在临床实践中应基于衰弱合并营养不良的危险因素,有效补充及整合干预措施.
Analysis of risk factors for frailty combined with malnutrition in elderly patients of geriatric medicine
Objective To analyze the occurrence of frailty combined with malnutrition in geriatric patients and conduct differentiated analysis of the risk factors. Methods A survey was conducted on geriatric patients admitted to the Second Affiliated Hospital of Hainan Medical College from October 2021 to December 2022. According to whether the patients had frailty combined with malnutrition,they were divided into frailty combined with malnutrition group (n=162) and non-frailty combined with malnutrition group (n=324). Binary logistic regression analysis was used to analyze the risk factors of frailty combined with malnutrition. Results The incidence of frailty combined with malnutrition was 33.33%. Age ≥ 75 years old[OR=1.061,95%CI (1.022-1.101),P=0.002],disability[OR=1.210,95%CI (1.057-1.385),P=0.006],cognitive impairment[OR=2.257,95%CI (1.676-3.039),P<0.001],Charlson comorbidity score ≥ 5[OR=1.413,95%CI (1.172-1.704),P<0.001],and the quantity of medication taken ≥5[OR=1.038,95%CI (1.001-1.076),P=0.044]were risk factors for the occurrence of frailty combined with malnutrition. Conclusion There is a high overlap between frailty and malnutrition in geriatric patients. In clinical practice,effective intervention measures should be supplemented and integrated based on the risk factors of frailty combined with malnutrition.

frailtymalnutritiongeriatric medicineelderlyrisk factor

梁丽花、袁玉冰、陈花娇、卢曼玲

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海南医学院第二附属医院老年医学科,海口 570311

衰弱 营养不良 老年医学科 老年人 危险因素

海南省卫生健康行业科研项目

21A200193

2024

长春中医药大学学报
长春中医药大学

长春中医药大学学报

CSTPCD
影响因子:0.916
ISSN:1007-4813
年,卷(期):2024.40(5)
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