老年综合评估及干预在改善老年便秘患者生活质量中的作用  

The role of comprehensive geriatric assessment(CGA)and intervention in improving the quality of life of patients with chronic constipation in the elderly

作　　者：路琴[1] 季红莉[1] 黄慧[1] 张汾燕[1] 陈明[1] 谢瑞华 付万发[1] Lu Qin;Ji Hongli;Huang Hui;Zhang Fenyan;Chen Ming;Xie Ruihua;Fu Wanfa(Department of Gastroenterology,Beijing Geriatric Hospital,Beijing 100095,China)

机构地区：[1]北京老年医院消化科,北京100095

出　　处：《中国临床保健杂志》2021年第2期221-224,共4页Chinese Journal of Clinical Healthcare

基　　金：北京市医院管理中心消化内科学科协同发展中心专项经费资助项目(XXT29)。

摘　　要：目的探讨老年综合评估(CGA)及干预在改善老年慢性便秘患者症状及生活质量中的作用。方法对2019年7月至2019年12月入住北京老年医院消化科的65岁以上符合条件的便秘患者80例,按照随机数字表法分为对照组及干预组各40例,入院当天及3个月后均进行CGA评估、便秘评分量表(CCS)及便秘生活质量量表评分(PAC-QOL),对照组给予常规治疗,干预组根据评估结果实施常规治疗加个体化干预措施。结果两组患者在一般资料方面比较无差异。入院当天两组患者在CGA评估、便秘CCS评分及PAC-QOL评分方面无明显差异。3个月后两组患者CCS及PAC-QOL评分均较入院当时降低,差异有统计学意义,干预组干预前后CCS及PAC-QOL评分差值较对照组升高,差异有统计学意义。干预组3个月后CGA评分较入院当天评分有显著降低。结论CGA及干预可以改善老年慢性便秘患者症状及生活质量,可纳入老年慢性便秘患者的管理模式中并应用于临床。Objective To explore the value of comprehensive geriatric assessment(CGA)and intervention in improving symptoms and the quality of life in the elderly with chronic constipation.Methods A total of 80 elderly chronic constipation patients in our hospital from July toDecember 2019 were randomly divided into 2 groups:intervention group(n=40)and control group(n=40).CGA,cleveland clinic score(CCS)and patient assessment of constipation quality of life(PAC-QOL)were carried at the time point of admission and 3 months after admission.Intervention group were carried conventional treatment and individualized treatment according to CGA.Results There was no significant difference between the two groups in basic information.There were no obvious differences in CGA,CCS and PAC-QOL at the time point of admission between two groups.CCS and PAC-QOL of 3 months after admission were lower than that of at the time point of admission both in two groups(P<0.05).The difference of CCS and PAC-QOL between admission and 3 months after admission in intervention group were higer than that of control group(P<0.05).CGA of 3 months after admission were lower than CGA at the time point of admission in intervention group(P<0.05).Conclusions CGA and intervention can improve elderly chronic constipation and can be applied to the management system of chronic constipation in the elderly.

关 键 词：便秘 生活质量 健康状况指标 早期干预 老年人 

分 类 号：R47[医药卫生—护理学]