非急性期脑卒中患者营养状况评估及影响因素分析
Assessment of nutritional status and analysis of influencing factors in non-acute stroke patients
齐楚怡 1谭薇 2谢小华 2韩碧园 3吕慧兰3
作者信息
- 1. 广西中医药大学(广西壮族自治区 南宁市,530000)
- 2. 深圳市第二人民医院(广东省深圳市,518035)
- 3. 深圳市第二人民医院大鹏新区医疗集团南澳医院护理部(广东省深圳市,518035)
- 折叠
摘要
目的 探讨社区康复医院非急性期脑卒中患者的营养状况,分析其发生营养不良的影响因素,以及早治疗营养不良、改善患者的临床结局.方法 采取横断面调查的方法,选取某社区康复医院 2022 年 3 月—2023 年 4 月收治的 144 例脑卒中患者作为研究对象,在入院的 48h内对患者进行营养状况评估,并收集其一般资料及实验室检查数据,采用多因素回归分析其发生营养不良的影响因素.结果 144 例患者中存在营养不良患者 93 例,营养不良发生率为 64.58%.多因素分析显示,年龄、性别、认知障碍、上臂围、上臂肌围、NRS2002 评分为社区康复医院非急性期脑卒中患者发生营养不良的独立影响因素,差异有统计学意义(P<0.05).结论 社区康复医院非急性期脑卒中患者营养不良、营养风险的发生率高,年龄、性别、认知障碍、上臂围、上臂肌围、NRS-2002 评分是影响社区康复医院非急性期脑卒中患者发生营养不良的主要因素,应加强对康复患者的营养状况重视,对患者发生营养不良的影响因素及时尽早干预,以改善患者预后,提高患者生活质量.
Abstract
Objective To explore the nutritional status of non-acute stroke patients in community rehabilitation hospitals,analyze the influencing factors of malnutrition,and treat malnutrition early to improve the clinical outcomes of patients.Methods A cross-sectional survey method was adopted to select 144 stroke patients admitted to a community rehabilitation hospital from March 2022 to April 2023 as the research subjects.The nutritional status of the patients was assessed within 48 hours of admission,and their nutritional status was collected.General information and laboratory examination data were analyzed using multi-factor regression to analyze the influencing factors of malnutrition.Results Among the 144 patients,93 were malnourished,and the incidence of malnutrition was 64.58%.Multivariate analysis showed that the age,gender,cognitive impairment,upper arm circumference,upper arm muscle circumference,and NRS-2002 score were independent factors that affected the occurrence of malnutrition in non-acute stroke patients in community rehabilitation hospitals,the differences were statistically significant(P<0.05).Conclusion The incidence of malnutrition and nutritional risks in non-acute stroke patients in community rehabilitation hospitals was high.Age,gender,cognitive impairment,upper arm circumference,upper arm muscle circumference,and NRS-2002 score were main factors that affected the occurrence of malnutrition in non-acute stroke patients in community rehabilitation hospitals.As the main factors,we should pay more attention to the nutritional status of rehabilitation patients,and intervene in the influencing factors of malnutrition in time and as early as possible to improve the patient's prognosis and improve the patient's quality of life.
关键词
非急性期/脑卒中/营养不良/影响因素/社区医院/营养风险/康复/预后/生活质量Key words
Non-acute/Stroke/Malnutrition/Influencing factors/Community hospital/Nutritional risk/Rehabilitation/Prognosis/Quality of life引用本文复制引用
基金项目
深圳市高水平医院建设项目()
深圳市第二人民医院临床研究项目(20223357018)
出版年
2024
NETL
NSTL
万方数据