首页|老年慢性阻塞性肺疾病稳定期患者营养不良的现状及影响因素分析

老年慢性阻塞性肺疾病稳定期患者营养不良的现状及影响因素分析

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目的 了解老年慢性阻塞性肺疾病(COPD)稳定期患者营养不良的现状并分析其影响因素。方法 采用便利抽样法选取 2022年 1月至 2023年 3月在金华市中心医院门诊复诊的 84 例COPD稳定期患者作为研究对象,采用一般情况调查表、精简微型营养评价量表(MNA-SF)、美国心血管健康研究(CHS)衰弱评估表、6 分钟步行试验(6MWT)、COPD评估测试(CAT)及呼吸困难指数(mMRC)对其进行调查。结果 84 例老年COPD稳定期患者营养不良风险发生率为 83。33%,营养不良与衰弱呈正相关(P<0。01)。多因素logistic回归分析结果显示,不同体重指数(BMI)和衰弱是老年COPD稳定期患者营养不良风险的影响因素(P<0。05)。结论 老年COPD稳定期患者营养不良风险发生率较高。医护人员及家庭照护者应加以重视,结合影响因素制定针对性干预方案,以降低老年COPD稳定期患者营养不良风险。
Analysis of the current status and influencing factors of malnutrition in elderly patients with chronic obstructive pulmonary disease in stable stage
Objective To understand the current status of malnutrition in elderly patients with chronic obstructive pul-monary disease(COPD)in the stable stage and analyze its influencing factors.Methods Eighty-four patients with stable COPD who were rechecked at the outpatient clinic of the Jinhua Central Hospital from January 2022 to March 2023 were selected by convenience sampling method as study subjects,and were assessed using a general information questionnaire,the mini nutritional assessment short-form(MNA-SF),the Cardiovascular Health Study(CHS)frailty assessment scale,the 6-minute walk test(6MWT),COPD assessment test(CAT)and modified medical research council(mMRC)were investigat-ed.Results The prevalence of malnutrition risk in 84 elderly patients with stable COPD was 83.33%.Malnutrition was posi-tively correlated with frailty(P<0.01),and different body mass indexes(BMI)and frailty were influential factors in the risk of malnutrition in elderly patients with stable COPD(P<0.05),as shown by multiple linear regression analysis.Conclusion Elderly patients with stable COPD have a high prevalence of malnutrition risk.Healthcare professionals and family care-givers should pay attention to this issue and develop targeted intervention programs that combine the influencing factors to reduce the risk of malnutrition in elderly patients with stable COPD.

Chronic obstructive pulmonary diseaseStable stageMalnutritionInfluencing factors

金爱蕾、颜喜梅

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浙江省金华市中心医院呼吸与危重症医学科,浙江金华 321000

慢性阻塞性肺疾病 稳定期 营养不良 影响因素

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(25)