张晓娟,王华丽,张宏强,徐艾琳,刘宝恩,罗帅,熊凌川,张海峰.住院老年痴呆患者营养状况及相关因素调查[J].四川精神卫生杂志,2019,32(5):431-436.
住院老年痴呆患者营养状况及相关因素调查
Investigation on nutritional status and related factors of inpatients with senile dementia
投稿时间:2019-03-11  
DOI:10.11886/j.issn.1007-3256.2019.05.010
中文关键词:  营养不良  痴呆  危险因素  横断面调查
英文关键词:Malnutrition  Dementia  Risk factors  Cross-sectional survey
基金项目:四川省卫生和计划生育委员会科研课题资助项目(16PJ151)
作者单位邮编
张晓娟 广元市精神卫生中心 628000
王华丽 北京大学第六医院国家精神心理疾病临床医学研究中心 100191
张宏强 广元市精神卫生中心 628000
徐艾琳 广元市精神卫生中心 628000
刘宝恩 广元市精神卫生中心 628000
罗帅 广元市精神卫生中心 628000
熊凌川 北京大学第六医院国家精神心理疾病临床医学研究中心 100191
张海峰 北京大学第六医院国家精神心理疾病临床医学研究中心 100191
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中文摘要:
      目的 调查住院老年痴呆患者营养状况并探索相关因素,为对老年痴呆患者开展整合型照护服务提供参考。方法 采用整群抽样方法选取在广元市精神卫生中心住院的339例老年痴呆患者为研究对象,采用简短营养状况量表(MNA)、简易精神状态评价量表(MMSE)、患者健康问卷抑郁量表(PHQ-9)和口腔卫生筛查量表(D-E-N-T-A-L)进行评定。依据MNA评分计算营养不良与潜在营养不良的发生率,采用有序Logistic回归分析和多元Logistic回归分析探索营养不良的影响因素。结果 共检出有营养问题的老年痴呆患者235例(69.3%),其中营养不良151例(44.5%),潜在营养不良84(24.8%)。住院老年痴呆患者营养状况的影响因素分别为已婚(OR=0.58,95% CI:0.35~0.95,P=0.03)、口腔健康状况(OR=1.26,95% CI:1.04~1.51,P=0.02)、抑郁(OR=1.09,95% CI:1.05~1.13,P<0.01)和认知功能(OR=0.92,95% CI:0.90~0.95,P<0.01)。结论 营养不良在住院老年痴呆患者中较常见,无配偶、口腔健康状况不良、存在抑郁情绪以及认知功能受损是营养不良的主要相关因素。
英文摘要:
      Objective To investigate the nutritional status of the inpatients with senile dementia and its related factors, and to provide references for the integrated care for them.Methods With the cluster sampling method,a total of 339 inpatients with senile dementia were recruited from Guangyuan Mental Health Center. All subjects were assessed with Mini-Nutritional Assessment (MNA), Mini-Mental State Examination (MMSE), Patient Health Questionnaire (PHQ-9) and DENTAL health screening (D-E-N-T-A-L). According to the score of MNA, the prevalence of malnutrition and at-risk of being undernourished were calculated. Ordinal Logistic regression and multivariate Logistic regression were used to explore potential risk factors of malnutrition.Results A total of 235 cases (69.3%) of senile dementia patients with nutritional problems were detected, including 151 cases (44.5%) of malnutrition and 84 cases (24.8%) of potential malnutrition. The influencing factors of nutritional status were being married (OR=0.58, 95% CI: 0.35~0.95, P=0.03), dental health (OR=1.26, 95% CI: 1.04~1.51, P=0.02), depression (OR=1.09, 95% CI: 1.05~1.13, P<0.01) and cognitive function (OR=0.92, 95% CI: 0.90~0.95, P<0.01).Conclusion Malnutrition is common among the inpatients with senile dementia. Absence of a spouse, poor dental health, depression and impaired cognitive function were the main factors associated with malnutrition
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