Nutritional status and its influencing factors in elderly patients with diabetic foot ulcers
10.3761/j.issn.0254-1769.2017.03.016
- VernacularTitle:老年糖尿病足溃疡患者营养状况调查及其影响因素分析
- Author:
Lixue Lü
;
Lirong HUANG
;
Meiling LAO
;
Funeng WANG
;
Zhaohong YU
;
Aisheng WEI
- Keywords:
Diabetic Foot;
Nutrition Assessment;
Malnutrition;
Root Cause Analysis
- From:
Chinese Journal of Nursing
2017;52(3):332-335
- CountryChina
- Language:Chinese
-
Abstract:
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 A1c,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 was positively correlated with age,course of diabetes,classification of foot ulcer,infection,C-reactive protein,hemoglobin A1c 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 A1c 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.
