住院老年综合征患者的现状调查

目的 了解我国住院患者中常见老年综合征的发生率,分析不同老年综合征之间的关系.方法 采用便利抽样的方法对成都市3所三级甲等医院的老年科和内科300例患者进行横断面调查.本调查由事前经过培训的5名调查员完成.结果 共发放量表300份,回收问卷300份,问卷回收率100.0％.其中有效问卷277份,问卷有效回收率为92.3％.65岁以上的老年人中,跌倒高危占91.3％,疼痛占79.1％,慢性便秘占59.2％,有营养不良风险占49.1％,已存在营养不良占28.2％,压疮高危占32.5％,尿失禁占25.3％,吞咽障碍占17.0％.老年各综合征之间相关性较为明显.结论 住院患者老年综合征的发生率总体来说高于社区,且各老年综合征之间存在一定的相互影响,一个老年综合征往往是其他某些老年综合征的危险因素,有些甚至互为影响.

The investigation of geriatric syndromes in hospitalized patients

Objective To understand the incidence of common geriatric syndromes in hospitalized patients,and analyze the relationship between different kinds of geriatric syndromes.Methods A crosssectional study was conducted by five well-trained investigators-300 patients were chosen from geriatric department and medical department within 3 top three hospitals in Chengdu.Results 300 copies of questionnaires were distributed in total,and 300 questionnaires were returned （response rate 100％）.Among those,277 questionnaires were considered valid （valid response rate 92.3％）.Among those elderly which were above 65 years old,having risk of falling accounted for 91.3％,feeling pain accounted for 79.1％,chronic constipation accounted for 59.2％,having risk of malnutrition accounted for 49.1％,malnutrition accounted for 28.2％,having risk of pressure ulcers accounted for 32.5％,incontinence accounted for 25.3％,and dysphagia accounted for 17％.The correlation among these syndromes was signifcant.Conclusions The overall incidence of geriatric syndromes in hospitalized patients is higher than that in the community.These syndromes are correlated with each other.One can be a risk factor of other geriatric syndromes and also could affect each other.