| 郭佳玉,肖露微,冷娟娟,李健芝.不同射血分数类型心衰患者营养风险筛查分析[J].上海护理,2022,22(4): |
| 不同射血分数类型心衰患者营养风险筛查分析 |
| Analysis of Nutritional Status of Heart Failure Patients with Different Types of Ejection Fraction |
| DOI： |
| 中文关键词: 心力衰竭 营养不良 风险筛查 射血分数 |
| 英文关键词:Heart failure Malnutrition Risk screening Ejection fraction |
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| 中文摘要: |
| 摘要：目的 调查不同射血分数类型慢性心衰患者存在营养不良风险的情况，并分析患者营养不良风险的影响因素。方法 以2020年8—12月收治于衡阳市某三甲医院心内科的慢性心衰患者作为调查对象。采用一般资料调查问卷、营养风险筛查量表（NRS-2002）进行调查及评估。结果 共调查患者329例，其中存在营养不良风险者155例，占47.11%。其中，射血分数降低组患者中存在营养不良风险者占57.71%，高于射血分数中间值组（37.50%）和射血分数保留组（32.93%）。Logistic回归分析显示，年龄≥70岁、N末端B型利钠肽前体（NT-proBNP）及射血分数＜40%是慢性心衰营养不良风险的影响因素（P＜0.05），淋巴细胞数值是其保护性因素（P＜0.05）。结论 慢性心衰患者存在较高的营养不良风险，其中射血分数降低的慢性心衰患者营养不良风险更高。临床护理工作中，应对年龄≥70岁、射血分数＜40%及NT-proBNP升高的慢性心衰患者实施有针对性的营养评估，以及时发现患者的营养问题并进行干预，进而改善患者预后、提高患者生存质量。 |
| 英文摘要: |
| 【Abstract】Objective Carry out nutritional risk screening for patients with heart failure with different ejection fraction types and analyze their risk factors. Methods Enrolled 329 patients with heart failure admitted to the Department of Cardiology of a tertiary hospital in Hengyang from August to December 2020. General and objective data were collected and NRS-2002 was used for nutritional risk screening. Use t-test, nonparametric test and chi-square test for single factor analysis, and use binary logistic regression for risk factor analysis. Results Among 329 patients, the detection rate of malnutrition risk was 47.11%, including 175 patients in the HFrEF group, 72 patients in the HFmrEF group, and 82 patients in the HFpEF group. The detection rates of malnutrition risk were 57.71%, 37.50%, and 32.93%, respectively. Age ≥70 years, NT-proBNP, ejection fraction <40% are risk factors for malnutrition risk in patients with heart failure (P<0.05), lymphocyte value is its protective factor (P<0.05), the risk of malnutrition in the HFrEF group was 4.8 times that of the HFpEF group. Conclusion The detection rate of malnutrition risk in patients with chronic heart failure is high, and the detection rate of malnutrition risk in patients with heart failure with reduced ejection fraction is higher. Targeted nutritional screening and nutritional assessment are implemented for patients with heart failure aged ≥70 years, ejection fraction <40%, and elevated NT-proBNP, so as to detect the patient’s health in time Nutritional problems and intervention are an important part of improving the prognosis of patients with heart failure. |
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