首页|老年痴呆患者的营养状况调查及其影响因素Logistic回归分析

老年痴呆患者的营养状况调查及其影响因素Logistic回归分析

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目的 探讨老年痴呆患者的营养状况及其影响因素Logistic回归分析.方法 回顾性分析 2021 年 1 月—2023 年8 月我院收治的 77例老年痴呆患者临床资料,均行营养状况评估,并以此分为营养不良组与营养正常组,收集两组年龄、性别、文化程度、婚姻状况、家庭月收入水平、吸烟状况、饮酒状况、慢性病数量、合并抑郁、口腔健康状况等多方面基础资料,行Logistic回归分析,获得影响营养状况的高危因素.结果 77 例患者共有 37例伴营养不良,发生率为 48.05%;两组年龄、婚姻状况、家庭月收入水平、慢性病数量、合并抑郁、口腔健康状况相比,组间差异有统计学意义(P<0.05);多因素显示,年龄≥75 岁(OR=3.102,95%置信区间=1.201~8.008)、离异或丧偶(OR=5.250,95%置信区间=1.909~14.437)、家庭月收入<5000 元(OR=4.400,95%置信区间=1.666~11.619)、慢性病数量≥2 种(OR=3.125,95%置信区间=1.227~7.959)、合并抑郁(OR=2.726,95%置信区间=1.078~6.894)、口腔健康状况欠佳(OR=3.429,95%置信区间=1.344~8.750)为影响老年痴呆患者营养状况的高危因素(P<0.05且OR>1).结论 老年痴呆患者营养不良与年龄≥75岁、离异或丧偶、家庭月收入<5 000 元、慢性病数量≥2 种、合并抑郁、口腔健康状况欠佳关系密切,需进行针对性管理,纠正机体营养状况.
A Survey on the Nutritional Status of Elderly Dementia Patients and Its Influencing Factors Through Logistic Regression Analysis
Objective To explore the nutritional status of elderly dementia patients and its influencing factors by Logistic regression analysis.Methods Clinical data of 77 patients with senile dementia admitted to our hospital from January 2021 to August 2023 were retrospectively analyzed.Nutritional status assessment was performed on all patients,and they were divided into a malnutrition group and a normal nutrition group.Basic data such as age,gender,education level,marital status,monthly family income,smoking status,drinking status,number of chronic diseases,combined depression and oral health status of the two groups were collected,and logistic regression analysis was performed to obtain the high-risk factors affecting the nutritional status.Results Among the 77 patients,37 cases were accompanied by malnutrition 48.05%.There were significant differences in age,marital status,monthly family income,number of chronic diseases,combined depression and oral health between the two groups(P<0.05).Multiple factors showed that age≥75 years old(OR=3.102,95%confidence interval=1.201~8.008),divorced OR widowed(OR=5.250,95%confidence interval=1.909~14.437),monthly family income<5000 yuan(OR=4.400,95%confidence interval=1.666~11.619),number of chronic diseases≥2(OR=3.125,95%confidence interval=1.227~7.959),combined depression(OR=2.726,95%confidence interval=1.078~6.894),poor oral health(OR=3.429,95%confidence interval=1.344~8.750)was a high risk factor affecting the nutritional status of Alzheimer's patients(P<0.05 and OR>1).Conclusion Malnutrition in elderly dementia patients is closely related to age≥75 years old,divorce or widowhood,monthly family income<5000 yuan,number of chronic diseases≥2,comorbidities with depression,and poor oral health.Targeted management is needed to correct the nutritional status of the body.

Elderly dementiaNutritional statusInfluencing factorsAge

高超明、刘建峰

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北京市西城区平安医院老年科,北京 100000

老年痴呆 营养状况 影响因素 年龄

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(5)
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