Prevalence and risk factors associated with dehydration of patients with dysphagia in eastern China: A cross-sectional study

IF 1.9 4区医学 Q2 NURSING International Journal of Nursing Practice Pub Date : 2024-01-18 DOI:10.1111/ijn.13236

Mengchao Li Master Degree, Mengru Li Master Degree, Erli Mao Bachelor Degree, Min Li Bachelor Degree, Yan Cui Master Degree, Shen Chen Doctor Degree

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Abstract

Aims

Dehydration is one of the common complications of dysphagia and poses significant risks including hospitalization and mortality, but the relationship between dysphagia and dehydration has received little attention. This study aims to determine the prevalence and risk factors for dehydration of patients with dysphagia in eastern China, and to provide reference for early identification and prevention of dehydration.

Methods

A descriptive, cross-sectional design was conducted. Three hundred and thirty-seven (n = 337) patients with dysphagia participated in the study between August and December 2022.

Information relating to participants' demographic variables, nutrition, cognition, functional, hydration status and fluid intake was collected. Univariate analysis was used to examine related impact factors, and then binary logistic regression analysis was conducted to determine reliable impact factors.

Results

Among 337 patients with dysphagia, the average age was 63.47 ± 16.96, most participants were male (72.1%) and married (91.7%). The prevalence of dehydration was calculated to be 43.9%, the mean plasma osmolality score was 293.53 mmol/L. Diseases with the highest prevalence were stroke (78.3%), followed by hypertension (63.5%). The risk for dehydration increased with older age, usage of more medicines such as diuretics and beta-blockers, worse functional status and lower fluid intake.

Conclusion

This study found a high percentage of dehydration in patients with dysphagia. Findings can provide a basis for targeted nursing interventions for clinical prevention and treatment of dehydration.

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中国东部地区吞咽困难患者脱水的发生率及相关风险因素：一项横断面研究。

目的：脱水是吞咽困难的常见并发症之一，具有住院和死亡等重大风险，但吞咽困难与脱水之间的关系很少受到关注。本研究旨在确定华东地区吞咽困难患者脱水的发生率和风险因素，为早期识别和预防脱水提供参考：方法：采用描述性横断面设计。337名（n=337）吞咽困难患者参与了2022年8月至12月期间的研究。研究收集了参与者的人口统计学变量、营养、认知、功能、水合状态和液体摄入量等相关信息。研究人员采用单变量分析法研究相关影响因素，然后采用二元逻辑回归分析法确定可靠的影响因素：在 337 名吞咽困难患者中，平均年龄为（63.47±16.96）岁，大多数参与者为男性（72.1%）和已婚者（91.7%）。脱水发生率为 43.9%，血浆渗透压平均值为 293.53 mmol/L。发病率最高的疾病是中风（78.3%），其次是高血压（63.5%）。年龄越大、使用利尿剂和β-受体阻滞剂等药物越多、功能状态越差、液体摄入量越少，脱水的风险就越大：本研究发现，吞咽困难患者脱水的比例很高。研究结果可为临床预防和治疗脱水提供有针对性的护理干预依据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.