老年住院患者衰弱综合征现状及影响因素

 目的  老年住院患者衰弱综合征现状, 探讨其影响因素。方法  采用方便抽样法选取上海市某三甲医院外科、内科、老年科老年住院患者279例, 采用一般资料调查表、衰弱问卷式评分表(Frail scale)、基础疾病调查表研究衰弱的发生情况, 分析临床资料与衰弱程度的关系。结果  65岁以上住院老年人群衰弱前期的发生率为41.2%, 衰弱发生率为34.4%; 衰弱前期与衰弱期的高发年龄分别为65～70岁(27.0%)和86～90岁(34.4%)。衰弱程度与年龄、文化程度、家庭人均月收入、握力的比较差异具有统计学意义(P<0.01)。有序Logistic回归分析显示, 关节炎、脑卒中、慢性肺疾病与衰弱程度比较的结果具有统计学意义(P<0.05), 关节炎、脑卒中、慢性肺疾病患者的衰弱发生率通常是无关节炎、脑卒中、慢性肺疾病患者的6. 9、6. 0、2. 7倍。结论  老年住院患者衰弱综合征受多种因素影响, 与多种不良结局相关, 可作为医护人员提高老年护理质量的参考依据。

Frailty syndrome in hospitalized geriatric patients and its risk factors

Objective  To study the frailty syndrome in hospitalized geriatric patients and its risk factors. Methods  A convenience sample of 279 elderly patients in department of internal medicine, surgery and geriatrics completed the general information questionnaire, Frail scale, and the underlying disease questionnaire. The relationship between degree of frailty and clinical data was analyzed. Results  The frailty scale was available in all 279 patients, of which 41.2% were classified as being prefrail, and 34.4% as frail. Frailty degree had significant differences in patients' age, education, family per capita monthly income and grip strength (P<0.01). The high incidence age of frail was 86-90 years old (34.4%), and prefrail was 65-70 years old (27%). The results of ordinal Logistic regression analysis showed that arthritis, stroke, chronic lung disease had statistically significant (P<0.05). The frailty in patients with arthritis, stroke, and chronic lung disease were usually 6. 9, 6. 0, 2. 7 times than patients without arthritis, stroke, and chronic lung disease. Conclusions  The frailty degree of hospitalized geriatric patients were influenced by many different factors. As a predictor ofadverse outcome, it may be the reference for improving the nursing quality.