广州地区老年住院患者营养状态与日常生活能力相关性研究

doi:10.3969/j.issn.1000-8535.2020.02.015

广州医药 ›› 2020, Vol. 51 ›› Issue (2): 68-72.DOI: 10.3969/j.issn.1000-8535.2020.02.015

广州地区老年住院患者营养状态与日常生活能力相关性研究

陈梅霞, 楼慧玲, 袁辉辉, 周艳颜

广州市第一人民医院(广州 510180)

收稿日期:2019-10-30 出版日期:2020-03-20 发布日期:2021-11-28
通讯作者: 楼慧玲,E-mail:huilinglou@163.com
基金资助:
广州市卫生和计划生育委员会一般引导项目(20181A011008)

Relationship between nutritional status and activities of daily living in elderly inpatients in Guangzhou

CHEN Meixia, LOU Huiling, YUAN Huihui, ZHOU Yanyan

Guangzhou First People's Hospital,Guangzhou 510180,China

Received:2019-10-30 Online:2020-03-20 Published:2021-11-28

摘要/Abstract

摘要： 目的探讨广州地区老年住院患者营养状态与日常生活能力(ADL)的相关性。方法选取2018年7月—2019年6月在广州市第一人民医院住院年龄≥60岁的老年人共275例,收集其一般资料信息,各项临床营养指标(BMI、血清白蛋白、血红蛋白、总胆固醇、甘油三酯)、并运用营养风险筛查2002(NRS2002)评估营养风险、采用Barthel指数评定量表评估日常生活能力;分析老年住院患者营养状态与ADL之间的相关性。结果在本组研究中,根据NRS2002评分(营养风险:NRS2002≥3;无营养风险NRS2002＜3),营养风险发生率58.9%(162/275);无营养风险发生率41.1%(113/275)。老年住院患者的NRS2002评分与ADL评分呈负相关关系(r=-0.393,P＜0.05);ADL评分与BMI、血清白蛋白、总胆固醇、血红蛋白水平呈正相关关系(P＜0.05)。结论广州地区老年住院患者NRS2002为日常生活能力的影响因素,通过降低NRS2002评分来减少营养风险可改善老年人的日常生活能力;老年人的营养风险发生率高,应当尽早进行营养干预。

关键词: 老年住院患者, 营养, 日常生活能力, 营养风险筛查2002

Abstract: Objective To investigate relationship between nutritional status and activities of daily living(ADL) in elderly inpatients in Guangzhou. Methods Total of 275 people older than 60 were included in this study from Guangzhou First People's Hospital from July 2018 to June 2019. Their nutritional markers(including BMI, plasma albumin, hemoglobin, total cholesterol, triglyceride),the activities of daily living(ADL) were evaluated with Barthel index and the nutrition risk screening 2002(NRS2002)used to assess the nutritional risk status were collected to analyze the relationship between nutrition and ADL. Results In these subjects, based on the NRS2002 scores(nutritional risk that the NRS2002 scores were equal or greater than 3, and the non-nutritional risk that the NRS2002 scores were less than 3),58.9%(162/275) patients were having nutritional risk and 41.1%(113/275) were having non-nutritional risk. In elderly inpatients,NSR2002 were negatively associated with ADL(r=-0.393,P＜0.05). ADL was positively associated with BMI, plasma albumin and hemoglobin level(P<0.05). Conclusion In the old, the NRS2002 is an influencing marker of activities of daily living in Guangzhou. Reducing the nutritional risk by lowering the NRS2002 scores can improve ADL in the elderly. The incidence of nutritional risk is highly prevalent in elderly and early nutritional treatment will be needed.

Key words: Elderly, Nutritional status, Activities of daily living, Nutrition risk screening 2002

陈梅霞, 楼慧玲, 袁辉辉, 周艳颜. 广州地区老年住院患者营养状态与日常生活能力相关性研究[J]. 广州医药, 2020, 51(2): 68-72.

CHEN Meixia, LOU Huiling, YUAN Huihui, ZHOU Yanyan. Relationship between nutritional status and activities of daily living in elderly inpatients in Guangzhou[J]. Guangzhou Medical Journal, 2020, 51(2): 68-72.

参考文献

[1] CHIESI F, GRAZZINI M, INNOCENTI M, et al. Older people living in nursing homes: an oral health screening survey in Florence, Italy[J]. Int J Environ Res Public Health, 2019,16(18): 3492.
[2] RIOBÓ SERVÁN P, SIERRA POYATOS R, SOLDO RODRÍGUEZ J, et al. Special considerations for nutritional studies in elderly[J]. Nutr Hosp, 2015,3(31): 84-90.
[3] ZHU C, WANG B, GAO Y, et al. Prevalence and relationship of malnutrition and distress in patients with Cancer using questionnaires[J]. BMC Cancer, 2018,18(1):1272.
[4] 张燕,王利仙,吕晓华, 等. 微型营养评估简表在老年慢性病住院患者营养筛查中的应用[J]. 中华老年多器官疾病杂志,2019,18(2):107-111.
[5] de LAS PEÑAS R, MAJEM M, PEREZ-ALTOZANO J, et al. SEOM clinical guidelines on nutrition in cancer patients(2018) [J]. Clin Translat Oncol, 2019,21(1): 87-93.
[6] BAKKER M, BAKKER M, VISSINK A, SPPPRENBERG S, et al. Are Edentulousness, oral health problems and poor health-related quality of life associated with malnutrition in community-dwelling elderly(aged 75 years and over)? a cross-sectional study [J]. Nutrients, 2018,10(12): 1965.
[7] 董碧蓉, 老年综合评估及其应用[J]. 中华老年病研究电子杂志, 2015, 2(4): 16-18.
[8] BEAUDART C, RIZZOLI R, BRUYERE O, et al. Sarcopenia: burden and challenges for public health[J]. Arch Public Health, 2014,72(1): 45.
[9] CONNOLLY D J, GARVE Y, MCKEE G. Factors associated with ADL/IADL disability in community dwelling older adults in the Irish longitudinal study on ageing(TILDA) [J]. Disabil Rehabil, 2017,39(8): 809-816.
[10] 陈胜芳,吴萍,申颖, 等. 老年住院患者营养状况与日常生活能力的关系[J]. 同济大学学报(医学版),2013,34(6):102-106.
[11] ABD AZIZ N S, TENG M F, AB HAMID M R, et al. Assessing the nutritional status of hospitalized elderly[J]. Clin Interv Aging, 2017(12): 1615-1625.
[12] HALAWI R, MOUKHADDER H, TAHER A. Anemia in the elderly: a consequence of aging[J]. Expert Rev Hematol, 2017,10(4): 327-335.
[13] 黄珮,蒋作锋,余慧文, 等. 老年冠心病患者营养风险与各项指标的关系[J]. 广州医药,2019,50(1):24-27.

广州地区老年住院患者营养状态与日常生活能力相关性研究

Relationship between nutritional status and activities of daily living in elderly inpatients in Guangzhou

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 5

编辑推荐

Metrics

本文评价

[1]	黄俏, 洪宝珊, 罗利霞, 黄婷, 黄丹佳, 杨永红. 品管圈活动在降低肠内营养相关性腹泻发生率中的应用[J]. 广州医药, 2021, 52(3): 71-73.
[2]	李宝瑜, 谭楚婷, 黄彩玲, 宋杰丽, 刘艳红. 运用品管圈模式提高临床全肠外营养合理应用率的效果评价[J]. 广州医药, 2021, 52(1): 123-129.
[3]	梁倩芳, 潘丹峰, 沈峰, 黄文静. 黄陈枳术汤合肠内营养对胃肠道肿瘤手术患者RBP/ALB/CRP的影响[J]. 广州医药, 2020, 51(6): 71-74.
[4]	张惠丽, 成秋生, 陈希, 李泽. 一个以心脏损害为首发症状的杜氏肌营养不良症家系的遗传学及临床研究[J]. 广州医药, 2020, 51(3): 36-41.
[5]	彭慧芸, 袁瑜, 谢文瑞, 吴礼浩. 早期经鼻肠内营养对中-重度急性胰腺炎患者的疗效观察[J]. 广州医药, 2020, 51(2): 77-80.