Influencing factors and countermeasures of malnutrition in patients with chronic liver failure
10.3760/cma.j.cn115682-20211118-05179
- VernacularTitle:慢性肝衰竭患者营养不良的影响因素及对策研究
- Author:
Shufang YU
1
;
Weihong ZHU
;
Lina WANG
;
Pingping LUO
;
Lifen WANG
;
Panpan CEN
Author Information
1. 杭州市第一人民医院感染科,杭州 310006
- Keywords:
Chronic liver failure;
Malnutrition;
Influencing factors;
Adverse events;
Nursing countermeasures
- From:
Chinese Journal of Modern Nursing
2022;28(27):3740-3743
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influencing factors and related countermeasures of malnutrition in patients with chronic liver failure (CLF) .Methods:The convenient sampling method was used to select 80 CLF patients admitted to Hangzhou First People's Hospital from March 2019 to March 2021. The clinical data of CLF patients were collected and patients were divided into the malnutrition group (57 cases) and the non-malnutrition group (23 cases) according to the presence or absence of malnutrition. Logistic regression analysis was used to explore the influencing factors of malnutrition in CLF patients, and to propose corresponding nursing strategies.Results:The incidence of malnutrition in 80 CLF patients was 71.25%. Between malnutrition group and non-malnutritrion group, there were statistical differences in age, smoking, body mass index (BMI) , disease course, etiological composition, Child-Push classification, number of adverse events, triceps skin fold thickness (TSF) , arm muscle circumference (AMC) , gastrocnemius muscle circumference (GC) , prealbumin (PA) and albumin (ALB) ( P<0.05) . Multivariate Logistic regression analysis showed that age, smoking, etiology, Child-Push classification and number of adverse events were the influencing factors of malnutrition in CLF patients ( P<0.05) . Conclusions:There are many influencing factors of malnutrition in CLF patients, and medical staff should warn the relevant factors and give targeted predictive nursing interventions to reduce the risk of malnutrition in patients.