Survey on nutritional status of elderly inpatients and analysis of nutritional intervention
Objective:To analyze the relationship between nutritional intervention and clinical prognosis by studying the nutritional status and nutritional intervention in elderly hospitalized patients.Methods:The miniature nutritional assessment-short form(MNA-SF)was used to assess the nutritional risk and nutritional status of patients who were admitted to a Grade-A tertiary hospital in Shandong Province(hereinafter referred to as our department)from August 2020 to July 2021 and met the inclusion criteria,and to obtain the nutritional interventions during hospitalization,and to statistically analyze the clinical prognosis of the patients after nutritional interventions.Results:422 patients were included in the study,of whom 156 patients were at nutritional risk(malnutrition+risk of malnutrition)with a prevalence of 36.9%,and the prevalence increases with age and number of disease types.All patients with malnutrition received nutritional intervention(50/50)and none of the patients with normal nutrition received nutritional intervention(0/266).Among the patients who received nutritional intervention,enteral nutrition(EN)was the main mode of intervention,and the application ratio of EN,parenteral nutrition(PN),and combined nutrition(EN+PN)was 1.68∶1.00∶1.09.67 patients received the 2nd nutritional risk assessment after 1 week of admission,and 42 patients received the 3rd nutritional risk assessment after 2 weeks.The results of the 2 assessments showed that the patients who received nutritional intervention had significant improvement in nutritional indicators(prealbumin,hemoglobin,and lymphocyte count).Conclusion:Elderly hospitalized patients have a high incidence of nutritional risk,and rational nutritional intervention has a significant effect on the improvement of nutritional status of elderly patients,and it is extremely important to select appropriate nutritional interventions in an individualized and detailed way.
elderly patientsrisk of malnutritionmalnutritionnutritional support