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KMID : 0367020190310060585
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Journal of Korean Academic of Adult Nursing
2019 Volume.31 No. 6 p.585 ~ p.594
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Risk Factors for Nutritional Status in Patients with Chronic Obstructive Pulmonary Disease
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Jang Jun-Hee
Min Hye-Sook
Park Jin-Han
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Abstract
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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.
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KEYWORD
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Pulmonary disease,, chronic obstructive, Nutritional status, Symptom assessment
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