摘要
目的调查老年糖尿病足溃疡患者的营养状况并分析其影响因素。方法采用方便抽样法,选取老年糖尿病足溃疡患者182例,应用微型营养评估量表对患者进行营养状况评估,收集患者的相关临床资料,检测糖化血红蛋白、血红蛋白、血清白蛋白和C反应蛋白浓度。结果 182例患者的微型营养评分为(16.36±3.68)分,其中121例(66.48%)发生营养不良,61例(33.52%)存在营养不良风险。不同年龄、糖尿病病程、膳食摄入情况、糖化血红蛋白、感染、C反应蛋白、足溃疡分级的老年糖尿病足溃疡患者的微型营养评估量表得分进行比较,差异具有统计学意义(P<0.05);足溃疡Wagner 3级以上患者的营养不良发生率、C反应蛋白浓度高于足溃疡Wagner 1~2级的患者,血红蛋白、血清白蛋白浓度低于足溃疡Wagner 1~2级的患者,两者比较,差异有统计学意义(P<0.05)。结论老年糖尿病足溃疡患者营养不良发生率较高,并与炎症状态密切相关,医护人员应及时提供针对性的干预措施,改善患者的营养状况。
Objective To investigate the nutritional status of elderly patients with diabetic foot ulcers and to explore its influencing factors and relationship. Methods Convenience sampling method was used to recruit 182 elderly patients with diabetic foot ulcers. The mini nutritional assessment （MNA） was adopted to assess nutritional status,and patients＇ clinical information,hemoglobin A lc,hemoglobin,serum albumin,C-reactive protein were also collected. Results The average score of MNA was 16.36±3.68 for 182 patients,and 121 patients suffered from malnutrition（66.48%） ,while 61 patients suffered from potential malnutrition（33.52%）. The occurrence of malnutrition positively correlated with age, course of diabetes, classification of foot ulcer, infection, C-reactive protein, hemoglobin Ale and food intake （P〈0.05）; the incidence of malnutrition and C-reactive protein for patients with Wagner grade 3 and above were higher than those for patients with low Wagner grades,and hemoglobin Ale and hemoglobin were lower for patients with Wagner grade 3 and above（P〈0.05）. Conclusion There was high incidence rate of malnutrition in elderly patients with diabetic foot ulcers,closely related to inflammatory state. Health care providers should provide targeted interventions in time ,improve condition of malnutrition,and promote rehabilitation.
出处
《中华护理杂志》
CSCD
北大核心
2017年第3期332-335,共4页
Chinese Journal of Nursing
基金
佛山市科技创新平台项目(2015AG10014)
关键词
糖尿病足
营养评价
营养不良
影响因素分析
Diabetic Foot
Nutrition Assessment
Malnutrition
Root Cause Analysis
作者简介
吕丽雪：女，本科，护士长，E—mail：lvlixue2009@163．com.
