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中国人民解放军总医院
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中国人民解放军总医院老年心血管病研究所
中国科技出版传媒股份有限公司
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中华老年多器官疾病杂志编辑委员会
100853, 北京市复兴路28号
电话:010-66936756
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E-mail: zhlndqg@mode301.cn
创刊人 王士雯
总编辑 范利
副总编辑 陈韵岱
执行主编 叶大训
编辑部主任 王雪萍
ISSN 1671-5403
CN 11-4786
创刊时间 2002年
出版周期 月刊
邮发代号 82-408
友情链接
微型营养评估简表在老年慢性病住院患者营养筛查中的应用
Application of Mini Nutritional Assessment-Short Form in Nutrition Screening of Elderly Inpatients with Chronic Diseases
投稿时间:2018-10-31  修订日期:2018-12-15
DOI:
中文关键词:  微型营养评定简表;营养不良风险;营养不良
英文关键词:Mini Nutritional Assessment-Short; Form Malnutrition risk; malnutrition
基金项目:四川省科技支撑计划项目
作者单位E-mail
张燕 成都市亲睦家爱立康老年病医院营养科 12362811@qq.com 
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中文摘要:
      目的 评价微型营养评定简表(MNA-SF)工具在老年慢性病住院患者营养状况评估中的应用价值。 方法 选取2016年3月至2018年5月在成都东虹老年病医院住院,年龄≥65岁的老年患者2861例,在入院后48h内用MNA-SF进行营养筛查,并进行营养相关指标检测,包括体重指数、小腿围、血清白蛋白、前白蛋白、转铁蛋白、血红蛋白、血糖和C反应蛋白水平,评价MNA-SF的信度和效度,观察MNA-SF评分与各检测指标的变化。结果 MNA-SF量表的克隆巴赫系数为0.711;2861例老年慢性病住院患者中MNA-SF 评估得出营养不良发生率为52.3%,存在营养不良风险者达36.6%,而营养状况正常的患者只占有11.1%; MNA-SF评估结果与传统的单一营养状况评价指标(体重指数、小腿围、血清白蛋白、前白蛋白、转铁蛋白、血红蛋白)均显著相关(P<0.05);KMO值为0.827,累计方差贡献率达到83.141%;当诊断界值取10分时,MNA-SF量表的灵敏度和特异度相对较平衡,分别为78.93%、83.59%,ROC曲线下的面积值为0.797。 结论 MNA-SF适用于老年慢性病住院患者的营养评估,老年慢性病住院患者营养不良发生率较高,应当尽早进行营养干预。
英文摘要:
      Objective Application value of evaluation micronutrient assessment summary (MNA-SF) tool in nutritional status assessment of elderly patients with chronic diseases. Methods A total of 2861 elderly patients aged over 65 years were selected from Donghong Geriatric Hospital of Chengdu from March 2016 to May 2018. Nutrition screening was conducted with MNA-SF within 48 hours after admission. Nutrition-related indicators were detected, including body mass index, calf circumference, serum albumin, prealbumin, transferrin, hemoglobin, blood sugar and C. The level of reactive protein, the reliability and validity of MNA-SF were evaluated, and the changes of MNA-SF score and each test index were observed. Results The Cronbach's alpha of the MNA-SF scale was 0.711; the MNA-SF assessment of 2861 elderly inpatients with chronic diseases showed that the incidence of malnutrition was 52.3%, the risk of malnutrition was 36.6%, while the normal nutritional status only accounted for 11.1%.MNA-SF evaluation results were significantly correlated with traditional single nutritional status indicators (body mass index, calf circumference, serum albumin, prealbumin, transferrin, hemoglobin) (P<0.05); KMO value was 0.827 The cumulative variance contribution rate reached 83.141%; when the diagnostic threshold was 10 points, the sensitivity and specificity of the MNA-SF scale were relatively balanced, 78.93% and 83.59%, respectively, and the area under the ROC curve was 0.797.Conclusion MNA-SF is suitable for nutritional assessment of elderly patients with chronic diseases. The incidence of malnutrition in elderly patients with chronic diseases is high, and nutrition intervention should be carried out as soon as possible.
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