CAJ | 학술논문

目的：分析老年住院患者经口摄入不足的危险因素及探讨针对性护理措施。方法总结2012年2月~2014年2月入住本院经口进食老年患者489例的临床资料，采用多因素Logistic回归分析老年住院患者经口摄入不足的危险因素，并提出针对性护理措施。结果单因素分析显示老年经口摄入不足与食欲欠佳、吞咽困难、疼痛、照顾者不周、口腔不适、多重用药6个因素有关。多因素Logistic回归分析显示，食欲欠佳(P<0.01)、吞咽困难(P<0.01)、疼痛(P<0.01)及多重用药(P<0.01)是住院老年患者经口摄入不足的独立危险因素。结论经口摄入不足在老年住院患者中存在较高的发生率，并且与多种危险因素相关；根据危险因素采取有针对性的护理措施，可以明显降低老年营养不良的发生率，改善预后。
목적：분석노년주원환자경구섭입불족적위험인소급탐토침대성호리조시。방법총결2012년2월~2014년2월입주본원경구진식노년환자489례적림상자료，채용다인소Logistic회귀분석노년주원환자경구섭입불족적위험인소，병제출침대성호리조시。결과단인소분석현시노년경구섭입불족여식욕흠가、탄인곤난、동통、조고자불주、구강불괄、다중용약6개인소유관。다인소Logistic회귀분석현시，식욕흠가(P<0.01)、탄인곤난(P<0.01)、동통(P<0.01)급다중용약(P<0.01)시주원노년환자경구섭입불족적독립위험인소。결론경구섭입불족재노년주원환자중존재교고적발생솔，병차여다충위험인소상관；근거위험인소채취유침대성적호리조시，가이명현강저노년영양불량적발생솔，개선예후。
Objective To investigate the risk factors of inadequate oral intake in elderly in-patients and corresponding nursing measures. Methods Data of 489 elderly patients with reduced oral intake admitted into our hospital from February 2012 to June 2014 were summarized.The risk factors of reduced oral intake in elderly in-patients were ana-lyzed by multivariate Logistic regression analysis.Corresponding nursing measures were proposed. Results Univariate analysis showed that elderly patient with reduced oral intake was associated with six factors including poor appetite,dif-ficulty swallowing,pain,loose caregivers,oral discomfort,multiple drugs.Multiariable Logistic regression analysis showed that poor appetite (P<0.01),difficulty swallowing (P<0.01),pain (P<0.01)and polypharmacy (P<0.01)was independent risk factor of elderly patients with reduced oral intake respectively. Conclusion It is high incidence rate of inadequate oral intake in elderly in-patients.Taking targeted nursing measures according to risk factors can significantly reduce the in-cidence rate of malnutrition,so as to improve prognosis.