实用老年医学 ›› 2022, Vol. 36 ›› Issue (8): 809-812.doi: 10.3969/j.issn.1003-9198.2022.08.014

• 临床研究 • 上一篇    下一篇

应用老年综合评估技术分析老年脑卒中恢复期病人营养状态的影响因素

王小娇, 王宁, 崔宏, 叶童, 郭佳怡, 王晓明, 贾新   

  1. 710032 陕西省西安市,空军军医大学第一附属医院老年病科
  • 收稿日期:2021-09-03 出版日期:2022-08-20 发布日期:2022-08-23
  • 通讯作者: 贾新,Email: jiaxin_09@hotmail.com
  • 基金资助:
    陕西省重点研发计划(2020SF-225)

Analysis of the influencing factors of nutritional status in elderly patients with stroke during convalescence by comprehensive geriatric assessment

WANG Xiao-jiao, WANG Ning, CUI Hong, YE Tong, GUO Jia-yi, WANG Xiao-ming, JIA Xin   

  1. Department of Geriatrics, the Frist Affiliated Hospital, Air Force Medical University, Xi'an 710032, China
  • Received:2021-09-03 Online:2022-08-20 Published:2022-08-23

摘要: 目的 应用老年综合评估(comprehensive geriatric assessment,CGA)技术分析老年脑卒中恢复期病人营养状态的影响因素并提出干预策略。 方法 选择2019年8月至2021年4月我院收治的脑卒中住院病人114例(年龄≥60岁,住院时间>24 h),按照年龄分为3组,38例年龄≥80岁为高龄组、40例年龄79~70岁为中龄组、36例年龄69~60岁为低龄组。采用营养状态评估量表(mini-nutritional assessment,MNA)评估病人的营养状况。所有病人均接受CGA,采用多因素Logistic回归分析老年脑卒中恢复期病人营养不良的影响因素,并根据评估结果提出干预措施。 结果 114例病人中,存在营养不良风险者34例(29.82%)、营养不良者32例(28.07%)。高龄组与低龄组相比,营养不良的发生率差异有统计学意义(P<0.05)。多因素Logistic回归分析结果提示,年龄、脑卒中病程、日常生活能力、吞咽障碍、牙齿脱落或老化影响进食、心理障碍、认知障碍、无子女照顾是老年脑卒中恢复期病人营养不良的独立影响因素。 结论 CGA能够更全面地评估老年脑卒中恢复期病人营养状况的影响因素,有助于制定个体化的管理措施。

关键词: 脑卒中, 营养状态, 影响因素, 老年综合评估

Abstract: Objective To analyze the influencing factors of the nutritional status in the elderly patients with stroke during convalescence by comprehensive geriatric assessment (CGA). Methods A total of 114 patients with stroke ( age≥60 years old, the length of stay>24 h) in our hospital from August 2019 to April 2021 were selected, and were divided into 3 groups: the old aged group (aged ≥80 years old, n=38), the middle aged group ( aged 70-79 years old, n=40) and the young aged group ( aged 60-69 years old, n=36). The nutritional status of the patients were assessed by mini-nutritional assessment (MNA). All the patients received CGA. The influencing factors of malnutrition in the elderly patients with stroke during convalescent were analyzed by multivariate Logistic regression. Results Among the 114 patients, 34 patients presented with malnutrition risk (29.82%) and 32 patients with malnutrition (28.07%). There was significant difference in the incidence of malnutrition between the old aged group and the young aged group (P< 0.05). Multivariate Logistic regression analysis showed that age, the course of stroke, activities of daily living, dysphagia, tooth loss or aging affecting eating, psychological disorders, cognitive impairment and offspring looking after their parents were the independent influencing factors of malnutrition in the elderly patients with stroke during convalescence. Conclusions CGA can more comprehensively evaluate the influencing factors of nutritional status in the elderly patients with stroke during convalescence, which is helpful for the development of individualized management measures.

Key words: stroke, nutritional status, influencing factor, comprehensive geriatric assessment

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