养老机构老年人衰弱现状及影响因素分析  

Frailty in institutionalized elderly people and the influencing factors

作　　者：张小梅 张娟[2] 付阿丹[2] 叶梅[3] 张静 孙鑫章 Zhang Xiaomei;Zhang Juan;Fu Adan;Ye Mei;Zhang Jing;Sun Xinzhang(Medical Faculty of Yangtze University,Jingzhou 434023,China)

机构地区：[1]长江大学医学部,湖北荆州434023 [2]华中科技大学同济医学院附属武汉中心医院护理部 [3]武汉市中心医院谌家叽医养结合示范院区

出　　处：《护理学杂志》2019年第18期8-11,共4页Journal of Nursing Science

摘　　要：目的了解养老机构老年人衰弱现状,分析其影响因素,为制订养老机构老年人衰弱干预计划提供参考。方法选取武汉市养老机构老年人245人为调查对象,采用自行设计的一般情况调查表、老年人衰弱评估量表修订版、中文版健康促进生活方式量表、生活质量量表简版(SF-12)进行面对面调查。结果衰弱140人(57.14%),衰弱总评分为(8.16±3.72)分,生理衰弱维度最为严重。多元线性回归分析显示,性别、年龄、文化程度、慢性病、入住时长、睡眠质量、健康促进生活方式是养老机构老年人衰弱的影响因素(均P<0.01)。不同衰弱程度老年人生活质量得分比较,差异有统计学意义(P<0.01)。结论养老机构老年人衰弱现象普遍,且受多种因素影响,需采取针对性干预措施,改善老年人衰弱现状,延缓衰弱进程。Objective To investigate prevalence of and factors associated with frailty in the institutionalized elderly,and to provide reference for formulating intervention measures.Methods A total of 245 institutionalized elderly persons in Wuhan were investigated using a self-designed demographic data questionnaire,the revised Elderly Frailty Assessment Form,Health-Promoting Life style Profile-Ⅱand 12-Item Short-Form Health Survey.Results The prevalence of frailty was 57.14%in institutionalized elderly people,with the frailty score of 8.16±3.72,and physical frailty was most serious.Multiple regression analysis indicated that gender,age,education backgrounds,presence of chronic diseases,time living in the institution,sleep quality,and level of health promoting lifestyle were factors affecting frailty in the elderly(P<0.01 for all).Quality of life in the elderly who had frailty was poorer than those without frailty(P<0.01).Conclusion Frailty was common in institutiona-lized elderly people and affected by several factors,so targeted intervention measures should be taken to improve frailty parameters and delay progression of frailty.

关 键 词：养老机构 老年人 衰弱 生理衰弱 健康促进生活方式 生活质量 

分 类 号：R473.2[医药卫生—护理学] R212.7[医药卫生—临床医学]