Nutritional risk investigation and influencing factors analysis of elderly patients with community-acquired pneumonia
10.3969/j.issn.1006-2483.2024.06.033
- VernacularTitle:老年社区获得性肺炎患者营养风险调查及影响因素分析
- Author:
Hong CHEN
1
;
Zhen NI
1
;
Shengjun JI
2
;
Yu XIAO
1
;
Hongyong LI
1
Author Information
1. Department of Infection , Western Theater General Hospital , Chengdu , Sichuan 610000 , China
2. Department of Urology , Western Theater General Hospital , Chengdu , Sichuan 610000 , China
- Publication Type:Journal Article
- Keywords:
Elderly;
Community-acquired pneumonia;
Nutritional risk
- From:
Journal of Public Health and Preventive Medicine
2024;35(6):145-148
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the nutritional risk investigation and influencing factors of elderly patients with community-acquired pneumonia (CAP). Methods The clinical data of 239 elderly patients with CAP in Western Theater General Hospital were retrospectively analyzed from January 2022 to January 2024. Nutritional risk screening scale (NRS2002) was used to investigate the nutritional risk of patients. According to the nutritional risk investigation results, 239 elderly patients with CAP were divided into higher risk group (NRS2002≥3 points) and lower risk group (NRS2002<3 points). Univariate analysis was used to compare the gender, age, education level, body mass index (BMI), family monthly income, living condition, severity of pneumonia, smoking history, presence or absence of chronic diseases, cognitive dysfunction and self-care ability. The independent risk factors of nutritional risk in elderly patients with CAP were analyzed by binary logistic regression analysis. Results According to NRS2002 score, there were 87 cases (36.4%) in higher risk group and 152 cases (63.6%) in lower risk group. The NRS2002 scores in higher risk group were significantly higher than those in lower risk group (P<0.05). There were no obvious differences in gender, BMI, family monthly income and presence or absence of smoking history between groups (P>0.05). The higher risk group had significantly higher rates of age>70 years old, education level (high school and below), living condition (living alone), severity of pneumonia (high-risk pneumonia), chronic disease, cognitive dysfunction and poor self-care ability than the lower risk group (P<0.05). Binary logistics regression analysis showed that age>70 years old , education level of high school and below, living condition (living alone), severity of pneumonia (high-risk pneumonia), chronic diseases, cognitive dysfunction and self-care ability (poor) were independent risk factors for nutritional risk in elderly CAP patients (P<0.05). Conclusion Elderly patients with CAP have high nutritional risk, which may be affected by many factors such as age, education level, living condition, severity of pneumonia, presence or absence of chronic diseases, cognitive dysfunction and self-care ability. It is necessary to formulate targeted intervention measures according to the above factors to improve the nutritional risk of patients.
