Association of swallowing problems with frailty in Chinese hospitalized older patients  

住院老年患者吞咽障碍与衰弱的调查研究

作　　者：Tiantian Wang Yanwei Zhao Aimin Guo 王田田;赵艳伟;郭爱敏(Department of Nursing,Chinese Academy of Medical Sciences&Peking Union Medical College,Peking Union Medical College Hospital,Beijing,China;School of Nursing,Peking Union Medical College,Beijing,China)

机构地区：[1]Department of Nursing,Chinese Academy of Medical Sciences&Peking Union Medical College,Peking Union Medical College Hospital,Beijing,China [2]School of Nursing,Peking Union Medical College,Beijing,China

出　　处：《International Journal of Nursing Sciences》2020年第4期408-412,I0004,共6页国际护理科学（英文）

基　　金：The data was collected from Peking Union Medical College Hospital.We wish to thank all those who generously agreed to be interviewed for our work.We also sincerely thank Dr.Carrie Tudor for her revision of this paper.

摘　　要：Objective:To estimate the prevalence of dysphagia and frailty among hospitalized older patients and to analyze the relationship between dysphagia and frailty in these people.Methods:Data were collected on 386 participants aged 65 and older in a general hospital from April to December 2017.Patients were asked to complete a self-designed demographic questionnaire.Frailty and swallowing function assessments were performed using the Fried frailty phenotype and the 30-ml water swallowing test,respectively.Multiple stepwise logistic regression analyses were used to identify the association between frailty and dysphagia.Results:Dysphagia developed in 31.1%of older people,and 24.4%developed frailty.Frailty was statistically significantly related with dysphagia.Dysphagia was more prevalent in frail and pre-frail patients(48.9%and 32.4%,respectively)than those who were non-frail(13.6%).In multivariate analyses,frail(OR,5.420;95%CI,2.684±10.944;P<0.001)and history of choking/coughing while drinking(OR,2.954;95%CI,1.844±4.733;P<0.001)were associated with dysphagia.result.Conclusions:Frailty is associated with dysphagia.More attention should be paid to frailty and dysphagia of the elderly and further studies are needed to evaluate the correlated mechanism and develop targeted nursing interventions.目的了解住院老年患者吞咽障碍和衰弱现状并探讨两者之间的关系。方法2017年4月-12月选取北京市某三级甲等综合医院的386例65岁以上的住院老年患者进行横断面调查。采用自行设计的一般情况调查表收集一般资料,采用30 ml饮水试验进行吞咽障碍的筛查,采用Fried衰弱量表评估患者衰弱情况。通过多元回归分析确定吞咽障碍与衰弱的关系。结果住院老年患者中吞咽障碍及衰弱患者比例分别为31.1%、24.4%。衰弱及衰弱前期患者中吞咽障碍的比例更高,分别为48.94%、32.42%,衰弱与吞咽障碍之间的关联有统计学意义(Z=-3.569,P0.001)。多元回归分析结果表明,衰弱(OR=5.420,95%CI=2.684~10.944,P<0.001)及饮水后呛咳史(OR=2.954,95%CI=1.844~4.733,P<0.001)是吞咽障碍的危险因素。结论吞咽障碍与衰弱存在关联性,应关注老年人的衰弱及吞咽障碍情况,进行针对性的护理干预。

关 键 词：Aged DEGLUTITION Deglutition disorders FRAILTY INPATIENTS 

分 类 号：R473.74[医药卫生—护理学]