徐伟文,高修明,项洁.ICF-d550与脑血管病患者营养状况的相关性分析[J].中华物理医学与康复杂志,2020,42(9):801-804 |
ICF-d550与脑血管病患者营养状况的相关性分析 |
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DOI:10.3760/cma.j.issn.0254-1424.2020.09.007 |
中文关键词: 国际功能、残疾、健康分类(ICF)d550 脑血管病 营养风险筛查NRS2002 |
英文关键词: International Classification of Functioning, Disability and Health Cerebrovascular disease Nutrition risk screening NRS2002 |
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中文摘要: |
目的 探讨国际功能、残疾和健康分类(ICF)d550条目与脑血管病患者营养状况的相关性。 方法 选取2018年12月至2019年6月在老年养护院住院的260例脑血管病患者,分别应用ICF-d550与NRS2002进行营养风险评估,采用Enter法分析临床因素与量表间的关系,利用Spearman相关系数讨论ICF-d550与NRS2002的相关性,以及临床因素对其的影响。 结果 应用ICF-d550评估后发现,患者营养障碍发生率为85.00%;应用NRS2002评估后发现,营养风险发生率为68.85%。整体上ICF-d550与NRS2002的相关系数为0.488;两量表间男性(0.531)的相关系数略高于女性(0.429);各阶段年龄(50~59岁、60~69岁、70~79岁、80~89岁、>90岁)的相关系数分别为0.352、0.413、0.460、0.526、0.771,随年龄增长而逐渐增大;BMI各等级(偏瘦、正常、超重)的相关系数分别为0.608、0.436、0.503。 结论 ICF-d550和NRS2002可应用于脑血管病患者的营养风险评估,具有较好的相关性。 |
英文摘要: |
Objective To explore any correlation between ratings using item d550 of the International Classification of Functioning, Disability and Health (ICF-d550) and the nutritional status of patients with cerebrovascular disease. Methods Nutritional assessments of 260 patients with cerebrovascular diseases hospitalized in a geriatric care hospital were carried out using the ICF-d550 and NRS2002 nutrition risk screening. The enter method was used to analyze the relationship between clinical factors and the scales. Spearman correlation coefficients quantified the correlation between ICF-d550 and NRS2002 results and the influence of clinical factors. Results According to the ICF-d550 ratings the incidence of nutritional disorders was 85.00% while the NRS2002 reported 68.85%. The correlation coefficient between the two sets of results was 0.49, with the correlation coefficient of the males (0.53) slightly higher than that of the females (0.43). The correlation strengthened with age. The correlation coefficients of thin, normal and overweight persons were 0.61, 0.44 and 0.50 respectively. Conclusions The ICF-d550 and NRS2002 can both be used to evaluate the nutritional risk of elderly patients with cerebrovascular disease, with good correlation. |
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