住院老年慢性病共病患者营养情况的影响因素分析

doi:10.20047/j.issn1673-7210.2023.04.24

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Abstract Objective To explore the nutritional status in hospitalized senile patients with comorbidity chronic diseases and its influencing factors. Methods A total of 628 hospitalized patients with comorbidity chronic diseases aged ≥65 years old in the Department of Geriatrics, Tongling People’s Hospital, Anhui Province from January 2021 to March 2022 were selected for nutritional risk assessment by the nutritional risk screening scale 2002. According to the assessment results, they were divided into nutritional risk group (465 cases) and non-nutritional risk group (163 cases). The difference of clinical indexes between the two groups was compared, and the nutritional risk situation and its influencing factors were analyzed. Results The proportion of age ≥85 years old, the proportion of the number of comorbidities ＞ six kinds, the proportion of respiratory diseases, the proportion of multiple drugs ≥ five kinds, and creatinine level in nutritional risk group were all higher than those in non-nutritional risk group, and the level of body mass index (BMI), the score of activities of daily living (ADL) scale, hemoglobin, and albumin (ALB) in nutritional risk group were all lower than those in non-nutritional risk group, the differences were statistically significant (P＜0.05). The results of multivariate analysis showed that BMI (OR=0.822, 95%CI: 0.763-0.886, P＜0.001), the number of comorbidities (OR=4.810, 95%CI: 2.725-8.490, P＜0.001), the number of multiple drugs (OR=11.711, 95%CI: 5.068-27.066, P＜0.001), ADL scale score (OR=0.987, 95%CI: 0.975-0.999, P=0.037), ALB (OR=0.829, 95%CI: 0.781-0.880, P＜0.001) were independent factors of nutritional risk in hospitalized senile patients with comorbidity chronic diseases. Conclusion The incidence of nutritional risk in hospitalized senile patients with comorbidity chronic diseases is high. Therefore, we should attach great importance to the screening of nutritional risk and timely implement nutritional support for elderly patients with nutritional risk.

Key words： Hospitalized senile patient Chronic diseases Comorbidity Nutritional risk screening Influencing factor

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	XIA Yinping YU Fei▲ YANG Hong ZHU Cheng LU Shuang WANG Lanlan

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XIA Yinping YU Fei▲ YANG Hong ZHU Cheng LU Shuang WANG Lanlan. Analysis of influencing factors of nutritional status in hospitalized senile patients with comorbidity chronic diseases[J]. 中国医药导报, 2023, 20(4): 108-111.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.04.24 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I4/108

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