老年脑卒中住院患者吞咽体验与衰弱和营养状况的相关性

Correlation of Swallowing Experience to Frailty and Nutrition in Old Stroke Inpatients

目的探讨老年脑卒中住院患者吞咽体验与衰弱和营养状况的关系。方法2019年3月至7月,本院年龄>60岁脑卒中住院患者174例采用吞咽障碍指数量表(DHI)、FRAIL量表和微型营养评定简表(MNA-SF)进行问卷调查。DHI评分与FRAIL量表和MNA-SF评分的相关性采用Pearson相关分析;以DHI维度分和总分为因变量,以FRAIL量表和MNA-SF评分为自变量进行多元逐步回归分析。结果患者年龄(76.16±9.908)岁,DHI评分(50.34±28.325)分,其中身体维度(17.68±10.254)分,功能维度(20.31±11.085)分,情感维度(12.36±9.193)分;FRAIL量表评分(3.16±1.301)分;MNA-SF评分(8.95±2.529)分。患者DHI评分与FRAIL量表评分呈显著正相关(r=0.575,P<0.001),与MNA-SF评分呈显著负相关(r=-0.544,P<0.001)。FRAIL量表和MNA-SF评分共解释DHI身体维度34.4%,功能维度38.7%,情感维度36.1%,以及DHI总分42.4%的变化。结论改善老年脑卒中住院患者衰弱水平和营养状况,可能会减少患者吞咽不良体验。

Objective To investigate the relationship of swallowing experience to frailty and nutrition in old stroke inpatients.Methods From March to July,2019,174 stroke inpatients aged above 60 were investigated with Dysphagia Handicap Index(DHI),FRAIL Scale and Mini Nutritional Assessment Short Form(MNA-SF).The correlation of DHI score to scores of FRAIL Scale and MNA-SF was analyzed with Pearson correaltion analysis.Multiple regression was analyzed using the scores of dimensions and total score of DHI as dependent variables,and the scores of FRAIL Scale and MNA-SF as independent variables.Results The inpatients aged(76.16±9.908)years.The DHI score was(50.34±28.325),in which the body score was(17.68±10.254),the function score was(20.31±11.085)and the emotion score was(12.36±9.193).The FRAIL Scale score was(3.16±1.301),and the MNA-SF score was(8.95±2.529).The DHI scores positively correlated with the FRAIL Scale score(r=0.575,P<0.001)and negatively correlated with the MNA-SF score(r=-0.544,P<0.001).The scores of FRAIL Scale and MNA-SF explained the 34.4%of variable for body,38.7%for function,36.1%for emotion and 42.4%for DHI total score.Conclusion Improving the frailty and nutrition may reduce the poor swallowing experience for old stroke inpatients.