老年慢性阻塞性肺疾病病人营养不良发生率及影响因素的Meta分析

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AbstractObjective：Tosystematicallreviewtheincidenceandinfluencingfactorsformalnutrioninelderlypatientswithhronic obstructivepulmonarydisease （COPD）.Methods：Literatureontheincidenceofmalnutritionanditsinfluencing factorsinelderlyCOPD patients published from the establishmentofdatabases to December 2024wereretrievedfromCNKl，WanFang Data，VIP，CBM， PubMed，EMbase，WebofScienceandCochraneLibrary.Tworesearchersindependentlyconductedliteraturescrening，quality evaluation，anddataextraction.DataanalysiswasperformedusingStata17.OandRevan5.4software.Results：Twentyarticleswere included，comprising52participants.TesultsofMetaanalysissowedtattepoledprevaleneofalnrtritioninedrlyOPD patients was 48% .The main influencing factors for malnutrition were duration of illness （OR=1.50，95%CI1.16-1.94，P<0.05） ，degree of dyspnea （OR =2.29 95% CI 1.51-3.46， P<0.001 ），multimorbidity （OR=1.94，95%CI1.40-2.70，P<0.001） ，ventilator use （OR ∘eq 5.68，95%CI1.48AA-21.80，P<0.05） ，CAT score（OR ：=1.25 95% CI 1.14-1.39， P<0.001 ），number of acute exacerbations in the past 1 year（OR ⋅=2.16 ， 95% CI 1.51-3.08， P<0.001 ），and severity of illness（O 1R=1.55 ， 95% CI 1.19-2.02， P<0.001 ）. Conclusion： The incidenceofmautritionisghiderlyOPpatientsithultipleotributigfactosEarlydenticatioofiskfactorial planing，and interventions are essential to reduce malnutrition and adverse outcomes.

Keywordtheelderly；chronicobstructivepulmonarydisease，COPD；malnutrion;incidence;influencingfactors；Metaaalysis; evidence-based nursing

摘要目的：系统评价老年慢性阻塞性肺疾病（COPD）病人营养不良的发生率及其影响因素。（剩余12832字）