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Risk Factors for Nutritional Status in Patients with Chronic Obstructive Pulmonary Disease

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KMID : 0367020190310060585
ÀåÁØÈñ ( Jang Jun-Hee ) - µ¿¾Æ´ëÇб³ °£È£Çаú

¹ÎÇý¼÷ ( Min Hye-Sook ) - µ¿¾Æ´ëÇб³ °£È£Çаú
¹ÚÁøÇÑ ( Park Jin-Han ) - ÀÎÁ¦´ëÇб³ ÇØ¿î´ë¹éº´¿ø È£Èí±â³»°ú

Abstract

Purpose: The purpose of this study was to identify the characteristics of nutritional status and its risk factors in patientswith Chronic Obstructive Pulmonary Disease (COPD).

Methods: Participants included 136 patients with COPD inDonga University hospital and Haeundae paik hospital in Busan city. The data, collected by a trained researchassistant from January 10 to July 18, 2017, were analyzed using Fisher¡¯s exact test, the Mann-Whitney U test, andlogistic regression analysis with SPSS/WIN 21.0.

Results: Among the 136 patients with COPD, 31 (22.8%) hadabnormal nutritional status. According to the results of the logistic regression analysis, gender (Odds Ratio [OR]=5.27,95% Confidence Interval [CI]=1.18~23.49, p=.029), percent predicted forced expiratory volume in one second[FEV1%] (OR=1.04, 95% CI=0.92~0.99, p=.012), symptom experience (OR=16.19, 95% CI=3.08~85.00, p=.001),carbohydrate intake (OR=1.01, 95% CI=1.00~1.02, p=.037), protein intake (OR=1.06, 95% CI=0.90~0.99, p=.012),and fat intake (OR=1.04, 95% CI=1.01-1.08, p=.015) were associated with nutritional status in patients with COPD.

Conclusion: In order to improve the nutrutional status of COPD patients, nursing education is needed with intensivescreen on female patients and patients with low lung function, managing symptoms and increasing protein intake.
KeyWords
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Pulmonary disease,, chronic obstructive, Nutritional status, Symptom assessment
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ÇмúÁøÈïÀç´Ü(KCI) KoreaMed