住院老年患者日常生活能力受损的相关因素分析  

Related factors impairing activities of daily living in hospitalized elderly patients

作　　者：何艳[1] 高艳玲[1] 金沿欣 余报 张旭红 黄建[1] 胡勇 黄家贵[2] HE Yan;GAO Yan-Ling;JIN Yan-Xin;YU Bao;ZHANG Xu-Hong;HUANG Jian;HU Yong;HUANG Jia-Gui(Department of Geriatrics, the Second People’s Hospital of Yibin, Yibin 644000, China;Department of Neurology, the Second People’s Hospital of Yibin, Yibin 644000, China)

机构地区：[1]宜宾市第二人民医院老年医学科,宜宾644000 [2]宜宾市第二人民医院神经内科,宜宾644000

出　　处：《中华老年多器官疾病杂志》2018年第1期53-56,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

摘　　要：目的分析住院老年患者日常生活能力(ADL)受损相关因素,为老年人群提供合理的医疗照护服务。方法对2016年10月至2017年3月宜宾市第二人民医院老年医学科住院期间的100例老年患者进行老年综合评估,分析ADL受损与慢性疾病、居家照护、老年综合评估间的关系。应用SPSS 22.0软件进行统计学分析。根据数据类型,单因素相关分析连续变量采用Spearman相关分析,二分类变量采用χ2检验,多因素相关分析采用logistic回归法。结果纳入的100例老年患者中,ADL受损共37人,ADL(5.22±1.36)分。ADL受损单因素相关分析显示ADL与年龄、握力、微型营养评定法简版(MNA-SF)、简易精神状态量表(MMSE)、跌倒病史相关(P<0.05),多因素相关分析显示ADL与年龄、居家陪护、握力、跌倒病史相关(P<0.05);ADL受损程度与性别、MMSE独立相关(P<0.05),与其他各组分不能明确有无相关关系。结论针对ADL受损的老人,可以通过锻炼握力、预防跌倒、加强营养、预防痴呆等预防功能状态的下降。ObjectiveTo analyze the related factors impairing activities of daily living(ADL)in the hospitalized elderly patients in order to provide rational medical care services for them.MethodsComprehensive geriatric assessment was carried out on100elderly patients hospitalized in our geriatric department from October2016to March2017.The relationship of ADL with chronic disease,home care,and results of comprehensive geriatric assessment was analyzed.SPSS statistics22.0was used to analyze the data.The measurement data were expressed as mean±standard deviation.Spearman correlation analysis was employed for single continuous variable,Chi square test for binary variables,and logistic regression analysis for multiple factors.ResultsAmong the100participants,37peoples had activity impaired,with a score of(5.22±1.36).Single factor correlation analysis showed that age,grip strength,fall history,and results of short form Mini Nutritional Assessment(MNA SF)and Mini Mental State Examination(MMSE)were independent factors for ADL(P<0.05).While multiple factors correlation analysis indicated that age,grip strength,and fall history were correlated with ADL(P<0.05).The severity of impaired ADL were correlated with gender and MMSE(P<0.05),but whether there was relationship with other items remained unclear.ConclusionFor ADL impaired elderly people,they can prevent function decline by exercising grip strength,being cautious about fall,strengthening nutrition,and preventing dementia.

关 键 词：老年人 日常生活能力 老年综合评估 

分 类 号：R592[医药卫生—老年医学] R749.2[医药卫生—内科学]