Nutritional Status Of Elderly Inpatients And Its Influencing Factors

ObjectiveThe main purpose of this study is to investigate the nutritional status of elderly hospitalized patients in Guangzhou through cross-sectional study.The aim of this study is to study the nutritional status of elderly hospitalized patients in Guangzhou and to explore the relevant influencing factors,Take interventions to provide a scientific basis to improve the health of the elderly.While the elderly to master nutrition knowledge,strengthen their own nutrition and health care,improve nutrition and health status of the elderly,improve their quality of life,to achieve healthy aging.MethodsIn this study,a cross-sectional survey was conducted to investigate all residents aged over 60 who were hospitalized in a hospital in Guangzhou from January 2016 to July 2016.ADL and the nutritional status of elderly hospitalized patients,and obtained anthropometry and physical examination by physical measurement and laboratory examination.The results were as follows:(1)The general situation of the study subjects was collected from the structured questionnaire,the living habits and health status,the degree of depression,the Activity of Daily Living(ADL)Biochemical indicators related information.The raw data was recorded.sorted and analyzed using SPSS 20.0 statistical software.Data collation analysis using the frequency,composition ratio,mean and standard deviation of the survey results for statistical description.The data of the counting data are expressed by the constituent ratio.The continuity test and the variance homogeneity test are carried out.The independent samples are tested with independent samples and variance analysis.If they are not satisfied,the Mann Whitney U test and Kruskal-Wallis H Check;count data using chi-square test.The influencing factors were analyzed by single factor test to select the variables that were statistically significant for nutritional status,and then included in multiple stepwise regression,using Ordial logistic regression analysis and multiple regression analysis.Results1.This study investigated a hospital in Guangzhou,365 hospitalized patients,including 215 cases of male(accounting for 58.90%),150 cases of women(accounting for 41.10%).2.The prevalence of chronic diseases,97.53%of the elderly hospitalized patients with chronic diseases,of which 18.36%of elderly hospitalized patients suffering from a chronic disease,48.77%of elderly hospitalized patients suffering from 2-3 cases of chronic diseases,30.41%Of the elderly hospitalized patients suffering from>4 kinds of chronic diseases;survey population prevalence of hypertension was 58.08%,the prevalence of diabetes was 50.14%.3.The average score of depression score of 3.65,365 hospitalized patients,88 people suffering from mild depression,accounting for about 24.11%;23 people with severe depression,accounting for about 6.30%.4.Barthel index score was 56.39 ± 11.78.365 hospitalized patients,rated as good(score>60 points)in patients with 87(23.8%),rated as moderate(score 60 to 41 points)in patients Of the 198(54.25%),80(23.8%)were poor(score?40).5.With the increase of age,body weight and BMI,albumin(ABL)showed a downward trend,while body fat hundred percent increased with age;with the increase in BMI in elderly patients,the body weight,body Fat content,waist circumference,hip circumference,waist-to-hip ratio,body fat percentage,hemoglobin,albumin,total cholesterol,triglycerides,and low-density lipoprotein cholesterol also increased,the mean density of high-density lipoprotein cholesterol BMI increased and decreased.6.MAN results showed that 365 patients had an average MNA score of 24.87 ± 4.32,24(6.6%)patients with malnutrition,88(24.1%)had a malnutrition risk(1 7 ? MNA score?23.5),253(69.3)Nutritional normal(MNA score ?24).7.The main factors influencing the nutritional status of elderly patients were:economic status,the number of chronic diseases,age,ability of daily activities,scores of depression,and whether they focused on nutrition knowledge.Which was negatively correlated with the number of illnesses,age and depression of chronic diseases,and positively correlated with economic status,daily activities and whether or not attention was paid to nutrition knowledge.Conclusion1.among the 365 hospitalized patients,24(6.6%)had malnutrition and 88(24.1%)had a malnutrition risk(1 7 ? MNA score? 2 3-5)according to the MNA score,,253(69.3)normal nutrition(MNA score ?24).2.The main factors influencing the nutritional status of elderly patients were:economic situation,the number of chronic diseases,age,daily ability,depression score,and whether they focused on nutrition knowledge.3.the relevant medical institutions should be on the elderly hospitalized the nutritional status of early screening and assessment to early detection of the risk of malnutrition in the crowd,combined with the relevant factors,the development of specific and practical three-level prevention program.