中华护理杂志 ›› 2022, Vol. 57 ›› Issue (19): 2316-2323.DOI: 10.3761/j.issn.0254-1769.2022.19.002
高静(), 蔡壮(), 李菲菲, 许冬梅, 张健一, 费琤, 张仁霞, 叶晓露
收稿日期:
2021-12-03
出版日期:
2022-10-10
发布日期:
2022-10-10
通讯作者:
蔡壮,E-mail: cai-zhuang001@163.com作者简介:
高静:女,硕士,副主任护师,护士长,E-mail: dy5823415@163.com
基金资助:
GAO Jing(), CAI Zhuang(), LI Feifei, XU Dongmei, ZHANG Jianyi, FEI Cheng, ZHANG Renxia, YE Xiaolu
Received:
2021-12-03
Online:
2022-10-10
Published:
2022-10-10
摘要:
目的 构建老年住院精神障碍患者营养不良风险预测模型,为临床营养状况评估提供依据。 方法 采用便利抽样法,将2020年6月—2021年6月在北京市某精神疾病医院住院的584例老年精神障碍患者分为无营养不良组(152例)、有营养不良风险组(129例)、营养不良组(303例)3组,采用一般资料调查表、衰弱筛查量表、微型营养评估量表、简易体能状况量表、Barthel指数评定量表、家庭关怀度指数测评量表对患者进行调查,采用Logistic回归分析及Graphpad Prism软件绘制受试者操作特征曲线,检验模型拟合度及预测效果。 结果 老年住院精神障碍患者营养不良发生率为51.88%,高龄(OR=1.049)、衰弱(OR=2.578)、BMI(OR=0.629)是有营养不良风险的独立危险因素(P<0.05);高龄(OR=1.031)、诊断(OR=2.150)、衰弱(OR=2.485)、肌体功能障碍(OR=2.123)是营养不良的独立危险因素(P<0.05),衰弱是有营养不良风险转化为营养不良的最大危险因素;有营养不良风险的受试者操作特征曲线下面积为0.732,约登指数为0.388,最佳临界值为0.473,预测模型的灵敏度为0.736,特异度为0.651;营养不良的受试者操作特征曲线下面积为0.808,约登指数为0.531,最佳临界值为0.581,预测模型的灵敏度为0.865,特异度为0.667,显示两个预测模型准确可靠。 结论 该研究构建的住院老年精神障碍患者营养风险预测模型具有较高的准确性,可为老年住院精神障碍患者营养状况风险评估及防治提供依据。
高静, 蔡壮, 李菲菲, 许冬梅, 张健一, 费琤, 张仁霞, 叶晓露. 老年住院精神障碍患者营养不良风险预测模型的构建[J]. 中华护理杂志, 2022, 57(19): 2316-2323.
GAO Jing, CAI Zhuang, LI Feifei, XU Dongmei, ZHANG Jianyi, FEI Cheng, ZHANG Renxia, YE Xiaolu. Nutritional risk prediction model for elderly hospitalized patients with mental disorders[J]. Chinese Journal of Nursing, 2022, 57(19): 2316-2323.
表2 老年住院精神障碍患者营养不良的单因素Logistic回归分析
Table 2 Univariate logistic regression analysis of malnutrition in elderly hospitalized patients with mental disorders
表3 老年住院精神障碍患者有营养不良风险的多因素Logistic回归分析(n=281)
Table 3 Multivariate Logistic regression analysis of elderly hospitalized patients with mental disorders at risk of malnutrition(n=281)
表4 老年住院精神障碍患者营养不良的多因素Logistic回归分析(n=432)
Table 4 Multivariate Logistic regression analysis of malnutrition in elderly hospitalized patients with mental disorders(n=432)
图1 老年住院精神障碍患者有营养不良风险的风险模型ROC曲线图 注:ROC为受试者工作特征曲线,AUC为曲线下面积。
Figure 1 ROC plot of the risk model with malnutrition risk of elderly hospitalized patients with mental disorders
图2 老年住院精神障碍患者营养不良的风险模型ROC曲线图 注:ROC为受试者工作特征曲线,AUC为曲线下面积。
Figure 2 ROC plot of the risk model for malnutrition of elderly hospitalized patients with mental disorders
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