老年骨质疏松患者衰弱的现状及与健康素养的相关性  

Current situation of frailty in elderly patients with osteoporosis and its correlation with health literacy

作　　者：覃海兵[1] 邹爱元[1] 陈荣彬 李勇[1] QIN Hai-bing;ZOU Ai-yuan;CHEN Rong-bin;LI Yong(The Third Division of Orthopaedic Department,Zhuhai Hospital of Guangdong Traditional Chinese Medicine Hospital,Zhuhai,Guangdong 519000,China)

机构地区：[1]广东省中医院珠海医院骨三科,广东珠海519000

出　　处：《中国临床研究》2020年第9期1260-1263,共4页Chinese Journal of Clinical Research

基　　金：广东省中医药局科研项目(20194010)。

摘　　要：目的了解老年骨质疏松患者衰弱及健康素养的现状,并分析健康素养对衰弱的影响作用。方法2018年5月至2019年9月,通过便利抽样的方法选择广东省珠海市某医院就诊的老年骨质疏松患者,应用健康素养调查表和衰弱综合评估工具进行调查。结果共发放200份问卷,有效回收191份(95.5%)。191例老年骨质疏松患者的健康素养得分为54~119(94.23±14.81)分,衰弱得分为30~93(52.76±16.14)分。不同年龄、有无合并糖尿病及高血压、生活自理能力及抑郁情况均对衰弱具有影响作用(P<0.05,P<0.01)。Pearson相关性分析显示,健康素养各维度得分与衰弱各维度得分呈负相关关系(r=-0.525^-0.216,P<0.01);多元线性回归分析示,健康素养各维度中的基本保健、疾病防控、安全与急救均为衰弱的影响因素(P<0.01),共可解释25.9%的方差变异量。结论老年骨质疏松患者的衰弱情况相对严重,且健康素养水平相对较低,健康素养是降低衰弱的影响因素,临床医护人员应注意加强患者健康素养的评估和干预。Objective To study the status of health literacy and frailty level in elderly osteoporosis patients and the to analyze association between health literacy and frailty.Methods Using convenience sampling method,191 elderly osteoporosis patients from May 2018 to September 2019 were selected and investigated by health literacy questionnaire(HLQ)and comprehensive frailty assessment instrument(CFAI).Results A total of 200 questionaires were distributed and 191 questionaires were effectively recavered(95.5%).HLQ was 54-119(94.23±14.81),and CFAI was 30-93(52.76±16.14)in the patients.Different ages,diabetes mellitus,hypertension,degree of self-care ability and depression had significant impacts on the frailty(P<0.05,P<0.01).Pearson correlation analysis showed that the scores of each dimension of health literacy were negatively correlated with those of CFAI(P<0.01).Multiple linear regression analysis showed that basic health care,disease prevention and control,safety and first aid in each dimension of health literacy were the influencing factors of frailty(P<0.01),explaining 25.9%of the variance variation.Conclusion The senile osteoporosis patients are relatively frail with lower health literacy.Health literacy is the influencing factor of reducing frailty,so the clinicians and nurses should pay attention to strengthening the evaluation and intervention of patients′health literacy.

关 键 词：骨质疏松 老年 衰弱 健康素养 

分 类 号：R589[医药卫生—内分泌]