NGHIÊN CỨU TÌNH TRẠNG DINH DƯỠNG VÀ YẾU TỐ LIÊN QUAN Ở NGƯỜI BỆNH PHỔI TẮC NGHẼN MẠN TÍNH ĐIỀU TRỊ NGOẠI TRÚ TẠI HUYỆN CHÂU THÀNH, TỈNH HẬU GIANG NĂM 2021-2022

Abstract

  Background: Globally, death from chronic obstructive pulmonary disease (COPD) ranks fourth. Malnutrition accounts for a relatively high rate in people with COPD and is considered a co-morbidity with COPD. Malnutrition accounts for 30-60% of inpatients, 20-40% of outpatients. People with COPD accompanied by malnutrition lead to reduced effectiveness of treatment and reduced quality of life, increased hospital admissions and prolonged hospital stay for exacerbations, increased risk of treatment failure leading to death in the long-term hospital. The mortality rate of underweight patients is higher than that of normal weight and overweight patients. Objectives: To determine the situation of malnutrition and factors related to malnutrition in COPD outpatients in Chau Thanh district, Hau Giang province in 2021-2022. Materials and method: A cross-sectional study design was conducted with a sample of 444 patients with COPD from March 2021 to March 2022. Results: The proportion of malnutrition in COPD patients is 17.3%. Factors related to malnutrition include: Economic status (poor, near-poor) (OR=2.026, 95% CI: 1.090-3.766, p=0.026), smoking status (OR=2.742, 95% CI : 1.522-4.942, p=0.001), degree of influence of COPD according to COPD assessment test (CAT) (OR=2.555, 95% CI: 1.032-6.325, p=0.043), number of COPD exacerbation (OR=2.174, 95% CI: 1.267-3.729, p=0.005) and illness time (OR=5.702, 95% CI: 2.656-12.242, p<0.001). Conclusions: The proportion of malnutrition in COPD patients is quite high. Some related factors include: Poor economic status, smoking status, disease effects, number of disease exacerbations. It is necessary to focus on appropriate health education communication measures, increase knowledge and raise people's awareness about malnutrition prevention in COPD patients.