摘要
目的:探讨第3腰椎骨骼肌指数(L3-SMI)对成年住院病人跌倒风险的影响。方法:选取2022年12月—2024年6月山东省山东大学某三级甲等医院的429例病人为研究对象,对病人一般资料进行调查,对病人入院跌倒风险、L3-SMI、营养风险、自理能力、疼痛状况进行评估。结果:429例成年住院病人中跌倒中高风险病人163例(38.00%);正常L3-SMI病人358例(83.45%),低L3-SMI病人71例(16.55%)。多因素Logistic回归分析结果显示,调整年龄、性别、所在科室、用药种类、所在科室护患比、营养风险、自理能力、高血压病史、糖尿病病史后L3-SMI是跌倒中高风险的影响因素(P<0.05)。亚组分析结果显示,在年龄>65岁、体质指数<24.0 kg/m2、自理能力为独立或轻度依赖的病人中,低L3-SMI病人具有更高的跌倒中高风险(P<0.05)。结论:低L3-SMI的成年住院病人跌倒中高风险更高,L3-SMI可作为筛查指标识别跌倒中高风险人群,为成年住院病人跌倒风险管理及临床决策提供依据。
Objective:To investigate the effect of skeletal muscle index at the third lumbar vertebra(L3⁃SMI)on fall risk in adult inpatients.Methods:A total of 429 patients admitted to a tertiary grade A hospital in Jinan city,Shandong province were selected from December 2022 to June 2024.General patient data of patients was investigated.While admission fall risk,L3⁃SMI,nutritional risk,self⁃care ability,and pain were assessed.Results:Among the 429 adult inpatients,163(38.00%)were at moderate⁃to⁃high fall risk.Normal L3⁃SMI was observed in 358 patients(83.45%),while low L3⁃SMI was found in 71 patients(16.55%).Results of multivariate Logistic regression analysis showed that after adjusting for age,sex,department,number of medications,nurse⁃to⁃patient ratio,nutritional risk,self⁃care ability,history of hypertension,and history of diabetes,L3⁃SMI was a significant influencing factor for moderate⁃to⁃high fall risk(P<0.05).Results of subgroup analysis showed that among patients aged>65 years,with BMI<24.0 kg/m²,and with independent or mildly dependent self⁃care ability,those with low L3⁃SMI had a significantly higher fall risk(P<0.05).Conclusions:Adult inpatients with low L3⁃SMI were at moderate⁃to⁃high fall risk.L3⁃SMI may serve as a screening indicator to identify individuals at moderate⁃to⁃high fall risk.It also may provide a basis for fall risk management and clinical decision⁃making in adult inpatients.
作者
戴彦君
石萍
程晓雪
姜亦凡
王璇
徐志勇
亓琳
张敏
DAI Yanjun;SHI Ping;CHENG Xiaoxue;JIANG Yifan;WANG Xuan;XU Zhiyong;QI Lin;ZHANG Min(School of Nursing and Rehabilitation,Shandong University,Shandong 250012 China;Qilu Hospital of Shandong University)
出处
《护理研究》
北大核心
2025年第14期2467-2473,共7页
Chinese Nursing Research
