在重症监护室的失消症老年患者:营养不良和妄想之间的关联
Xin Liang1, Xinya Li1, Hongtao Cheng1
1School of Nursing, Jinan University, Guangzhou, China.
Nursing in critical care
|August 15, 2024
概括
营养不良与老年重症监护室 (ICU) 患有食症的 Delirium 发病率较高有关. 早期的营养干预对这个高危人群至关重要.
科学领域:
- 老年医学 老年医学
- 密集护理医学 密集护理医学
- 临床营养学 临床营养学
背景情况:
- 缺食症是重症监护室 (ICU) 中常见的老年综合征.
- 营养不良,通常是由于食不良引起的,与像妄等不良ICU结果有关.
- 早期识别和干预营养不良和痴呆症至关重要,但在ICU护理中强调不足.
研究的目的:
- 为了研究营养不良和痴呆发病率之间的关系,在老年ICU患有失症的患者.
主要方法:
- 使用密集护理医疗信息中心-IV. 的数据进行了回顾性研究.
- 包括2273名老年患者 (65岁以上) 进入ICU.
- 后勤回归和倾向分数匹配 (PSM) 用于分析营养不良和妄想之间的关联.
主要成果:
- 13%的患者营养不良,狂妄发病率为55.9%.
- 没有营养不良的组有35.6%的狂妄发病率.
- 营养不良与 Delirium 发病率的增加显著相关 (调整后 OR = 1.96,95% CI = 1.47-2.62),PSM 证实了这一点.
结论:
- 营养不良是老年ICU患者食症 Delirium 的重要危险因素.
- 需要在ICU临床实践中更加关注营养不良问题.
- 早期的营养干预可能会降低医疗保健成本.
相关概念视频
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
94
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
94
Enteral Nutrition I: Orogastric and Nasogastric Feeding
226
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
226
Anorexia Nervosa
53
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
53
Pneumonia V: Nursing management and Prevention
1.9K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.9K
Esophageal Varices-II: Clinical Features and Management
57
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
57
Pneumonia II: Pathophysiology
237
The pathophysiology of pneumonia involves the following steps:
237


