金华市某医院老年抑郁症住院患者营养状况及其相关因素分析OA
Nutritional Status and Related Factors Analysis of Elderly Inpatients with Depression in One Hospital
目的:探究金华市某医院老年抑郁症(LLD)住院患者的营养现状,明确其发生营养不良风险的独立危险因素,为临床开展针对性营养干预提供参考依据.方法:选取2021年2月—2025年2月于金华市某医院接受住院治疗的257例老年抑郁症患者作为研究对象,应用微型营养评价量表(MNA)全面评估患者营养状况,同步收集并整理患者各项临床资料,采用国内社区老年人咀嚼功能评估问卷评估咀嚼功能,采用营养素养评估问卷(NLit量表)评估患者营养素养,通过有序多分类Logistic回归分析,筛选影响老年抑郁症住院患者营养不良风险发生的独立危险因素.结果:患者MNA量表评分范围为9～25分,平均评分为(17.25±2.97)分;营养不良患者占比 29.18％(75/257),存在营养不良风险患者占比 57.98％(149/257),营养良好患者仅占12.84％(33/257).中重度抑郁、焦虑型抑郁亚型、月经济收入<5 000元、咀嚼功能障碍、每周运动频率≤1天、照顾者营养素养水平偏低、NLit量表评分降低是某医院老年抑郁症住院患者发生营养不良风险的独立危险因素.结论:老年抑郁症住院患者整体营养状况不佳,受情绪、经济、生理、照护、自身营养素养等多重因素影响,临床需针对上述因素采取干预措施防控营养风险.
[Objective]To investigate the nutritional status of elderly patients with depression(LLD)hospital-ized in a certain hospital,identify the independent risk factors for the occurrence of malnutrition,and provide a reference basis for clinical implementation of targeted nutritional intervention.[Method]A total of 257 elderly patients with depression who received inpatient treatment at a certain hospital from February 2021 to February 2025 were selected as the research subjects.The Mini Nutritional Assessment Scale(MNA)was used to comprehensively evaluate the nutritional status of the patients.At the same time,various clinical data of the patients were collected and sorted.The chewing function of the elderly in the community was evaluated using the questionnaire for assessing chewing function in elderly people,and the nutritional literacy of the patients was evaluated using the Nutritional Literacy Assessment Questionnaire(NLit scale).Through ordered multinomial Logistic regression analysis,independent risk factors affecting the risk of malnutrition in elderly inpatients with depression were screened.[Result]The MNA scale score of the patients ranged from 9 to 25,with an average score of(17.25±2.97)points.The proportion of malnourished patients was 29.18％(75/257),the proportion of patients with a risk of malnutrition was 57.98％(149/257),and the proportion of patients with good nutrition was only 12.84％(33/257).Moderate to severe depression,anxiety-type depression subtype,monthly income of less than 5 000 yuan,chewing dysfunction,weekly exercise frequency of≤1 day,low nutritional literacy level of caregivers,and decreased NLit scale score were independent risk factors for the occurrence of malnutrition in elderly inpatients with depression in a certain hospital.[Conclusion]The overall nutritional status of elderly patients with depression who are hospitalized is poor.It is affected by multiple factors such as emotions,economy,physiology,care,and their own nutritional literacy.In clinical practice,interventional strategies ad-dressing the aforementioned factors need to be applied for the prevention of nutritional risk.
宋昌群;吴珍;王玉玲;童丽琴
金华市第二医院睡眠中心,浙江 金华 321000金华市第二医院护理部,浙江 金华 321000金华市第二医院睡眠中心,浙江 金华 321000金华市第二医院睡眠中心,浙江 金华 321000
老年抑郁症营养状况影响因素
depression in the elderlynutritional statusinfluencing factor
《中国食物与营养》 2026 (9)
30-36,7
金华市公益类科学技术研究计划资助项目(项目编号:2021-4-295).
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