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首页> 外文期刊>Journal of Clinical Medicine Research >Influence of Geriatric Patients’ Food Preferences on the Selection of Discharge Destination
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Influence of Geriatric Patients’ Food Preferences on the Selection of Discharge Destination

机译:老年患者食品偏好对排放目的地选择的影响

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Background: The nonprotein calorie/nitrogen (NPC/N) ratio of food remains poorly investigated. Thus, this study examined the nutritional factors that influence the choice of discharge destination for geriatric patients. Methods: We retrospectively investigated the patient characteristics, clinical laboratory test results, and hospital food consumption of 65 geriatric patients (80.0 ± 8.2 years; 31 males, 34 females), who were receiving oral nutritional support at a small mixed-care hospital and further explored their discharge destinations. The NPC/N ratios were calculated according to the menus for the meals provided during the first 4 weeks after admission. For logistic regression analysis, the objective variables were discharge destinations (i.e., nursing care facilities including home or medical institutions) whereas the predictor variables were age, sex, nursing care level, hospitalization duration, serum albumin level (Alb), estimated glomerular filtration rate (eGFR), and NPC/N ratio. Results: Compared with age and nursing care level, sex (partial regression coefficient (B) = -5.140, P = 0.002), hospitalization duration (B = 0.077, P = 0.004), Alb (B = 3.223, P = 0.013), eGFR (B = -0.071, P = 0.019), and NPC/N ratio (B = -0.224, P = 0.001) are significantly correlated with the selection of discharge destination. Conclusions: For geriatric patients who went to medical institutions, the need for prolonged hospitalization, male sex, hospitalization duration, stable serum Alb, low eGFR, low NPC/N ratio (i.e., high protein proportion), and the quantity of hospital food consumed were the possible factors that influence their discharge destination.
机译:背景:食物的非蛋白卡路里/氮(NPC / N)比例仍然是较差的。因此,本研究检测了影响老年患者排放目的地选择的营养因素。方法:我们回顾性研究了65名老年患者的患者特征,临床实验室测试结果,临床实验室测试结果和医院食品消费(80.0±8.2岁; 31名男性,34名女性),他在一个小型混合医院接受口头营养支持,进一步接受口头营养支持探索了他们的排放目的地。根据入院后的前4周内提供的膳食的菜单计算NPC / N比。对于逻辑回归分析,客观变量是排出目的地(即包括家庭或医疗机构的护理设施),而预测因子变量是年龄,性别,护理水平,住院持续时间,血清白蛋白水平(ALB),估计肾小球过滤速率(EGFR)和NPC / N比。结果:与年龄和护理水平相比,性别(部分回归系数(b)= -5.140,p = 0.002),住院持续时间(b = 0.077,p = 0.004),ALB(B = 3.223,P = 0.013), EGFR(B = -0.071,P = 0.019)和NPC / N比(B = -0.224,P = 0.001)与选择出现目的地显着相关。结论:对于前往医疗机构的老年病患者,需要长期住院,男性性别,住院时间,稳定的血清ALB,低EGFR,低NPC / N比(即高蛋白质比例),以及所消耗的医院食物的数量是影响其排放目的地的可能因素。

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