老年骨质疏松患者营养状况及影响因素分析
Analysis of the nutritional status and influencing factors in elder patients with osteoporosis
  
DOI:10.3969/j.issn.1006.7108.2016.07.021
中文关键词:  骨质疏松患者  老年  营养状况  影响因素
英文关键词:Patients with osteoporosis  Elderly  Nutritional status  Influencing factors
基金项目:国家社科基金课题(12BRK017)
作者单位
李秀霞 宋志雪 陈长香* 华北理工大学护理与康复学院唐山063000 
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中文摘要:
      目的 探讨老年骨质疏松(osteoporosis, OP)患者营养状况的影响因素,为指导老年骨质疏松患者的疾病康复提供依据。方法 采用便利抽样的方法,使用微型营养评价量表(MNA)对2014年7月-2014年12月就诊于华北理工大学附属医院的老年骨质疏松患者412人进行问卷调查。结果 在老年骨质疏松患者中,MNA≥24分者占总人数的39.6%,17≤MNA <24分者占总人数的51%,MNA<17分者占总人数的9.4%;性别、文化程度、婚姻、月收入、吸烟、饮酒、牛奶、运动、疼痛程度、OP类型、OP程度是老年人骨质疏松症患者营养状况的影响因素,差异具有统计学意义(P<0. 05),其中,性别、婚姻、吸烟、运动、疼痛程度和OP类型对老年人骨质疏松症患者营养总分的影响大于文化程度、月收人、饮酒、牛奶和OP程度;多因素分析中,性别、婚姻、月收人、牛奶、运动、疼痛程度、OP类型、OP程度是老年人骨质疏松症患者营养状况的影响因素,差异有统计学意义(P <0. 05),性别对骨质疏松患者营养状况的影响最大,其次是OP类型、婚姻、月收人、OP程度、疼痛程度、饮用牛奶和运动情况。结论多种因素对老年人骨质疏松症患者的营养状况有影响,具有各种降低营养状况因素的老年骨质疏松患者应通过改善生活方式、积极治疗骨质疏松等措施改善其营养状况。
英文摘要:
      Objective To investigate the nutritional status and influential factors in elderly patients with osteoporosis (OP),in order to provide a guide of rehabilitation for those patients. Methods Using the method of convenience sampling, 412 elderly patients with OP in the Affiliated Hospital of North China University of Science and Technology were investigated with the Mini Nutritional Assessment (MNA) questionnaire from July 2014 to December 2014. Results In the elderly OP patients, the MNA proportions of over 24 points, between 17 and 24 points, or less than 17 points were 39. 6%,51%,and 9. 4%,respectively. Gender, education, marriage, income, smoking, alcohol consumption, milk intake, exercise, pain, OP type, and OP level were influential factors of nutritional status in the elderly patients,and the difference was statistically significant (P < 0. 05). Among those, the impact of gender, marriage, smoking, exercise, pain,and OP type was more than that of education, income, alcohol consumption, milk intake, and OP level. Gender, marriage, income, milk, exercise, pain, OP type, and OP level were the factors affecting the nutritional status in the elderly patients in the multivariate analysis,and the difference was statistically significant (P < 0.05). The most impact was gender, followed by OP type, marriage, income, OP level, the degree of pain, milk intake, and exercise. Conclusion A variety of factors influence the nutritional status of elderly patients with OP. The patients with those factors that reduce the nutritional status should improve their nutritional status by changing the life style and by treating OP.
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