老年住院患者老年综合征的相关因素分析  

Analysis of the influence factors ofgeriatric syndrome inthe elderly inpatients

作　　者：韩增敏[1] 张春玉[1] 刘新[1] 王顺钰[1] 李艳华[1] 

机构地区：[1]大连医科大学附属第二医院老年科,116023

出　　处：《中国医师进修杂志》2017年第2期148-152,共5页Chinese Journal of Postgraduates of Medicine

基　　金：大连市科技计划项目（2015E12SF152）

摘　　要：目的：探讨老年住院患者老年综合征的罹患情况及其影响因素。方法对2014年11月至2015年11月住院的180例年龄≥65岁老年患者进行老年综合评估，分析患者发生老年综合征的情况。结果入选180例患者中视力下降、多病共存、多重用药、日常生活能力下降、尿失禁、慢性便秘及慢性疼痛的发生率分别为86.11%（155/180）、85.56%（154/180）、82.78%（149/180）、56.11%（101/180）、49.44%（89/180）、46.67%（75/180）和42.22%（76/180）。女性罹患尿失禁[56.70%（55/97）比40.96%（34/83）]、慢性疼痛[56.70%（55/97）比25.30%（21/83）]、日常生活能力下降[64.95%（63/97）比45.78%（38/83）]和跌倒高风险[43.30%（42/97）比21.69%（18/83）]的发生率均比男性高，差异有统计学意义（P＜0.05）。随着年龄增长，听力下降、慢性便秘发生率相应升高，服药种类相应增多；随着文化程度提高，尿失禁、日常生活能力下降发生率呈下降趋势。糖尿病患者疾病种类[（10.59±3.72）种比（8.29±4.03）种]、疾病＞5种[94.59%（105/111）比71.01%（49/69）]、服药种类[（10.07±3.77）种比（6.87±3.07）种]、药物＞5种[89.19%（99/111）比72.46%（50/69）]及日常生活能力下降发生率[62.16%（69/111）比46.38%（32/69）]均高于非糖尿病患者，差异有统计学意义（P＜0.05）。随着糖尿病慢性并发症数量增多，视力下降、慢性便秘、疾病＞5种的发生率增高（P＜0.05）。结论老年患者普遍存在视力下降、多病共存、多重用药、日常生活能力下降及尿失禁等老年综合征，合并糖尿病者更容易发生多病共存、多重用药和日常生活能力下降。Objective To evaluate the morbidity and the influence factors of the geriatric syndrome in the elderly inpatients. Methods The characteristics of comprehensive geriatric assessment of180 elderly inpatients （83 male and 97 female） with age older than 65 in geriatric department from November 2014 to November 2015 were analyzed. Results Of 180 elderly patients, the incidences of visual loss, multiple co-morbidity, polypharmacy, impairment in activities of daily living, urinary incontinence, chronic constipation and chronic pain were 86.11%（155/180）, 85.56%（154/180）, 82.78%（149/180）, 56.11%（101/180）, 49.44%（89/180）, 46.67%（75/180） and 42.22%（76/180）. Female patients had more incidences compared with male in urinary incontinence [56.70%（55/97） vs. 40.96%（34/83）], chronic pain [56.70% （55/97） vs. 25.30%（21/83）] , impairment in activities of daily living [64.95%（63/97） vs. 45.78%（38/83）] and high risk of falling [43.30%（42/97） vs. 21.69%（18/83）], and there were significant differences （P〈0.05）. In addition, it was found that with the increasing of age, the incidences of hearing loss and chronic constipation, as well as medications were accordingly higher. When the patients′education level was higher, the incidences of urinary incontinence and impairment in activities of daily living were generally declined. Compared with non-diabetes mellitus group, diabetes mellitus group had higher incidences of comorbidities, multiple co-morbidity, medications, polypharmacy and impairment in activities of daily living：（10.59 ± 3.72） kinds vs. （8.29 ± 4.03） kinds, 94.59%（105/111） vs. 71.01%（49/69）, （10.07 ± 3.77） kinds vs. （6.87 ± 3.07） kinds, 89.19%（99/111） vs. 72.46%（50/69）, 62.16%（69/111） vs. 46.38% （32/69）. With the increasing of the numbers of diabetes- related chronic complications, the incidences of visual loss, chronic constipation and multiple co- morbidity, comorbidities and medications were higher （P〈0.0

关 键 词：老年人 糖尿病 老年综合评估 老年综合征 

分 类 号：R592[医药卫生—老年医学]