西宁地区老年慢性阻塞性肺疾病患者营养状况与生活质量的关系

目的：研究西宁地区老年慢性阻塞性肺疾病患者营养状况与生活质量的关系。方法：对328名60岁以上老人采用微型营养评定量表（MNA）进行营养状况调查。根据营养评价结果分为营养正常组和营养不良组,两组进行生活质量测定,观察指标包括：生活自理能力测定（ALD）、老年抑郁量表（GDS）、社会支持量表（SSRS）。结果：328例患者中,182例患者营养状况良好,占55.5%;146例患者为营养不良,占44.5%。营养不良组的ADL（25.10±10.85）分、GDS（6.03±3.14）分、SSRS（35.43±5.82）分,均低于营养良好组ADL（19.76±8.00）分、GDS（4.40±2.32）分、SSRS（38.70±6.36）分,差异有统计学意义（P〈0.05）。结论：老年COPD患者营养状况与生活质量密切相关,提高老年人生活自理能力、抑郁状况、社会支持水平,缩短住院时间,可以改善老年患者生存质量。

The Relationship of Nutritional Status and Living Quality with Chronic Obstructive Pulmonary Disease in Elderly Patients at Plateau Area

Objective： To study the relationship of nutritional status and living quality with chronic obstructive pulmonary disease（ COPD） in elderly Patients at plateau area. Methods： The present survey used applied miniature nutrition rating（ MNA） scale to evaluate the nutrition status in 328 elderly（ ages equal to 60 or older）. According to the results of survey,they were divided into normal nutrition group and malnutrition group. Quality of life was measured in the both groups,including： ability of daily living（ ALD）,Geriatric Depression survey（ GDS） and Social Support Rating Scale（ SSRS）. Results： among those 328 patients,182 patients were well nourished,accounted for 55. 5%; 146 patients were rated as malnutrition,malnutrition rate was 44. 6%. ADL（ 25. 10 ± 10. 85）,GDS（ 6. 03 ± 3. 14） and SSRS（ 35. 43 ± 5. 82） in malnutrition group were lower than those（ ADL： 19. 76 ± 8. 00）,（ GDS ： 4. 40 ± 2. 32）,（ SSRS： 38. 70 ± 6. 36） in normal nutrition group. And the difference was statistically significant（ P 0. 05）. Conclusion： Nutritional status of the elderly patients with COPD is closely related to the quality of life. Developing the living skills,Improving the status of depression,giving enough social support and advantage for shorter hospital stay can improve the quality of life in elderly patients with COPD.