胃肠道疾病老年住院患者衰弱现况及影响因素研究  

Current Status of Frailty of Elderly Inpatients with Gastrointestinal Diseases and Its Influence Factors

作　　者：王燕秋[1] 韩斌如[1,2] 李非[2] 

机构地区：[1]首都医科大学护理学院,北京100069 [2]首都医科大学宣武医院,北京100053

出　　处：《护理学报》2016年第6期7-11,共5页Journal of Nursing（China）

基　　金：国家自然科学基金面上项目(81272756)

摘　　要：目的了解胃肠道疾病老年住院患者衰弱的发生状况,分析其影响因素。方法采用方便抽样的方法选取普通外科收治的134例胃肠道疾病老年住院患者,使用自行设计调查表收集患者的一般资料及疾病相关信息,使用Fried衰弱表型评估方法对患者进行衰弱评估,并采用基于最大似然法的logistic回归分析其影响因素。结果在胃肠道疾病老年住院患者中,衰弱患者占29.1%;Logistic回归结果显示年龄、日常生活活动能力得分、血红蛋白浓度是衰弱的主要影响因素(P<0.05),衰弱与年龄呈正相关,与日常生活活动能力和血红蛋白浓度呈负相关。结论胃肠道疾病老年住院患者衰弱的患病率较高,年龄、日常生活活动能力得分、血红蛋白浓度是其衰弱的主要影响因素。因此对胃肠道疾病老年住院患者尤其年长、日常生活活动能力较低、血红蛋白浓度较低者应采取相应措施,以减少其衰弱的发生。Objective To explore the current status of frailty of elderly inpatients with gastrointestinal diseases and its influence factors. Methods Through convenience sampling, frailty in 134 elderly inpatients with gastrointestinal diseases was assessed and surveyed with the Fried frailty index and general information questionnaire. Logistic regressive analysis was used for the analysis of its influence factors. Results Of the total, patients with frailty accounted for 29.1%. Logistic analysis indicated that age, score of ability of daily living（ADL） and hemoglobin concentration were influence factors of frailty and there was positive relationship between age and frailty but negative relationship among score of ADL and hemoglobin concentration（P〈0.05）. Conclusion There is high prevalence of frailty among elderly inpatients with gastrointestinal diseases and age, score of ADL and hemoglobin concentration are its main influence factors. Targeted measures should be put forward for elderly inpatients with gastrointestinal diseases especially those with advanced age, those with low score of ADL and those with low hemoglobin concentration so as to reduce the incidence of frailty.

关 键 词：衰弱 胃肠道疾病 老年人 

分 类 号：R473.57[医药卫生—护理学]