营养状况变化与心力衰竭老年患者日常生活活动能力的关系：按虚弱状态分层分析。
Association between changes in nutritional status and ability to perform activities of daily living in older patients with heart failure: A stratified analysis by frailty status.
机构信息
Department of Rehabilitation Medicine, Kawasaki Municipal Kawasaki Hospital, 12-1, Shinkawa-dori, Kawasaki-ku, Kawasaki-City, Kanagawa 210-0013, Japan; Graduate School of Comprehensive Human Sciences, University of Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo 112-0012, Japan.
Faculty of Health Sciences, Tsukuba University of Technology, 4-12-7 Kasuga, Tsukuba-city, Ibaraki 305-8521, Japan.
出版信息
Geriatr Nurs. 2024 Sep-Oct;59:208-214. doi: 10.1016/j.gerinurse.2024.06.043. Epub 2024 Jul 22.
OBJECTIVES
We aimed to determine the association between changes in nutritional status and the activities of daily living (ADL) at discharge, considering frailty status of older patients with heart failure (HF).
METHODS
This study included 491 older inpatients with HF categorized into the following groups based on their clinical frailty scale (CFS) scores: low, intermediate, and high. Changes in nutritional status were assessed using the Controlling Nutritional Status score at admission and discharge. The outcome variable was Barthel Index (BI) at discharge.
RESULTS
Multivariate logistic regression analysis indicated an association between improvement in nutritional status and high BI at discharge in both the low and intermediate CFS groups (odds ratio [OR], 2.18 [95% confidence interval, 1.04-4.58]), (OR, 2.45 [1.21-4.95]), respectively.
CONCLUSIONS
Improvement in the ADL at discharge in older patients with HF was associated with improved nutritional status during hospitalization in the low and intermediate CFS groups.
目的
本研究旨在探讨衰弱状况对老年心力衰竭（HF）患者的影响，明确营养状态变化与出院时日常生活活动（ADL）能力之间的关系。
方法
本研究纳入了 491 例老年 HF 住院患者，根据临床虚弱量表（CFS）评分将其分为低危、中危和高危组。入院时和出院时采用 Controlling Nutritional Status 评分评估营养状态变化，以 Barthel 指数（BI）作为出院时的结局变量。
结果
多变量逻辑回归分析显示，在低危和中危 CFS 组中，营养状态的改善与出院时高 BI 独立相关（比值比 [OR]，2.18 [95%置信区间，1.04-4.58]），（OR，2.45 [1.21-4.95]）。
结论
在低危和中危 CFS 组中，HF 老年患者出院时 ADL 改善与住院期间营养状态的改善有关。
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