摘要
目的 了解老年糖尿病足溃疡患者营养状况,并分析营养不良的危险因素.方法 选取2021年6月至2022年10月老年糖尿病足患者208例,采用一般情况调查表、MNA-SF营养筛查量表、Barthel指数量表进行问卷调查,采用单因素分析和多因素Logistic回归模型筛查患者营养不良的危险因素.结果 208例老年糖尿病足溃疡患者营养不良的发生率为61.54%.多因素Logistic回归分析显示:高龄(OR=2.792)、Wagner分级为3～5级(OR=5.086)、足溃疡感染(OR=1.932)、糖化血红蛋白>7%(OR=1.509)、多重用药(OR=3.205)、存在睡眠障碍(OR=1.418)是老年糖尿病足溃疡患者营养不良的危险因素(P<0.05).血清白蛋白≥35 g/L(OR=0.218)、Barthel指数>60分(OR=0.375)是老年糖尿病足溃疡患者营养不良的保护因素(P<0.05).结论 老年糖尿病足溃疡患者营养不良风险较高,与年龄、Wagner分级、足溃疡感染、血清白蛋白水平、糖化血红蛋白、多重用药、日常活动水平、睡眠质量等因素有关.
Abstract
Objective To understand the nutritional status of elderly diabetic foot ulcers and analyze the risk factors of malnutrition.Methods 208 elderly patients with diabetes foot who were treated in the Department of Endocrinology of Hangzhou Geriatric Hospital from June 2021 to October 2022 were selected.The questionnaire was conducted using the general situation questionnaire,MNA-SF nutrition screening scale,Barthel finger number scale,and univariate analysis and multivariate Logistic regression model were used to screen risk factors of malnutrition in patients.Results The incidence of malnutrition in 208 elderly patients with diabetes foot ulcer was 61.54%.Multivariate Logistic regression analysis showed that older age(OR=2.792),Wagner grade 3-5(OR=5.086),foot ulcer infection(OR=1.932),glycosylated hemoglobin(%)>7(OR=1.509),multiple drugs(OR=3.205),and sleep disorder(OR=1.418)were the influencing factors of malnutrition in elderly patients with diabetes foot ulcer(P<0.05).Albumin 35 g/L(OR=0.218)and Barthel index>60(OR=0.375)were protective factors for malnutrition in elderly patients with diabetic foot ulcers(P<0.05).Conclusion The risk of malnutrition in elderly patients with foot ulcer of diabetes is higher,which is related to age,Wagner grade,serum albumin level,glycosylated hemoglobin,multiple drugs,daily activity level,sleep quality and other factors.
基金项目
浙江省医药卫生科技计划项目(2023KY159)
浙江省医药卫生科技计划项目(2022KY936)
浙江省基础公益研究计划项目(LGF22H250005)
NETL
NSTL
万方数据