实用临床医药杂志2024,Vol.28Issue(7) :67-71.DOI:10.7619/jcmp.20233705

高龄住院失能患者失能程度的影响因素及失能与营养不良、肌少症的相关性分析

Influencing factors of disability degree and correlations of disability with malnutrition and sarcopenia in elderly hospitalized patients with disability

李远远 陈劲 郁秀娟 熊凌杰 刘丹丹
实用临床医药杂志2024,Vol.28Issue(7) :67-71.DOI:10.7619/jcmp.20233705

高龄住院失能患者失能程度的影响因素及失能与营养不良、肌少症的相关性分析

Influencing factors of disability degree and correlations of disability with malnutrition and sarcopenia in elderly hospitalized patients with disability

李远远 1陈劲 1郁秀娟 1熊凌杰 1刘丹丹1
扫码查看

作者信息

  • 1. 安徽省合肥市第二人民医院老年医学科,安徽合肥,230011
  • 折叠

摘要

目的 探讨高龄住院失能患者失能程度的影响因素及失能与营养不良、肌少症的相关性.方法 选取234例高龄住院失能患者作为调查对象,分别采用日常生活能力(ADL)评估量表、微型营养评定简表(MNA-SF)、肌少症五条目联合小腿围量表(SARC-CalF)对患者的失能、营养、肌少症状况进行调查.比较不同类型患者的临床特征,采用Pearson相关分析法分析失能与营养不良、肌少症的相关性.采用多重线性回归分析探讨患者失能程度的影响因素.结果 234例患者中,46.58%(109/234)轻度失能,45.30%(106/234)中度失能,8.12%(19/234)重度失能.Pearson相关分析法结果显示,高龄住院失能患者失能程度(ADL评分)与营养不良程度(MNA-SF评分)、肌少症(SARC-CalF评分)均显著相关(r=0.177、-0.193,P=0.007、0.003).多重线性回归分析显示,营养不良、肌少症是高龄住院失能患者失能程度的影响因素(P<0.05).结论 高龄住院失能患者失能程度与营养不良、肌少症存在相关性,合并营养不良、肌少症患者的失能加重风险显著上升,临床医师需尽早识别高危患者并给予针对性干预措施.

Abstract

Objective To explore the influencing factors of disability degree in elderly hospital-ized patients with disability and the correlations of disability with malnutrition and sarcopenia.Meth-ods A total of 234 elderly hospitalized patients with disability were selected as study subjects.The Activities of Daily Living(ADL)scale,Mini-nutritional Assessment Short Form(MNA-SF),and Sarcopenia Five-item Criteria with calf circumference(SARC-CalF)were used to investigate the sta-tus of disability,nutrition,and sarcopenia in patients.The clinical characteristics of different types of patients were compared,and correlations of disability with malnutrition and sarcopenia were analyzed using Pearson correlation analysis.Multiple linear regression analysis was used to explore the influen-cing factors of the degree of disability in patients.Results Of the 234 patients,46.58%(109/234)had mild disability,45.30%(106/234)had moderate disability,and 8.12%(19/234)had severe disability.The results of Pearson correlation analysis showed that the degree of disability(ADL score)in elderly hospitalized patients with disability was significantly correlated with the degree of malnutrition(MNA-SF score)and sarcopenia(SARC-CalF score)(r=0.177,-0.193,P=0.007,0.003).Multiple linear regression analysis showed that malnutrition and sarcopenia were in-fluencing factors of the degree of disability in elderly hospitalized patients with disability(P<0.05).Conclusion There are correlations of disability with malnutrition and sarcopenia in elderly hospital-ized patients with disability.The risk of exacerbation of disability is significantly increased in patients with malnutrition and sarcopenia.Therefore,clinicians need to identify high-risk patients as early as possible and provide targeted intervention measures.

关键词

高龄/住院患者/失能/营养不良/肌少症

Key words

elderly/hospitalized patients/disability/malnutrition/sarcopenia

引用本文复制引用

基金项目

蚌埠医学院自然科学类项目(2020byzd318)

出版年

2024
实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
参考文献量21
段落导航相关论文