内科住院老年患者衰弱现状及影响因素分析  

Frailty status and its influencing factors in elderly inpatients in medical ward

作　　者：张洁[1] 胡慧秀[2] 孙超[2] 吴娟[1] 王海妍 李虹[1] ZHANG Jie;HU Huixiu;SUN Chao;WU Juan;WANG Haiyan;LI Hong(Department of Geriatric Medicine,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing,100730,China)

机构地区：[1]北京医院老年医学科国家老年医学中心中国医学科学院老年医学研究院,北京市100730 [2]北京医院老年医学科国家老年医学中心中国医学科学院护理部,北京市100730

出　　处：《中国护理管理》2022年第1期79-83,共5页Chinese Nursing Management

基　　金：《中国护理管理》杂志社2020年“护理管理科研基金项目”(CNM-2020-04);北京医院院级科研课题(BJ-2019-167);北京协和医学院“中央高校基本科研业务经费”项目(3332020073)。

摘　　要：目的:调查内科住院老年患者衰弱发生情况并分析影响因素。方法:便利抽样选取2019年3月至2021年4月在北京市某三级甲等医院内科住院的320例老年患者为研究对象,采用一般资料调查问卷、衰弱影响因素调查表及Fried衰弱表型进行数据收集。采用Logistic回归分析衰弱的影响因素。结果:内科住院患者衰弱发生率为53.5%,Logistic回归分析显示,ADL分级、存在营养风险、存在躯体功能异常及血清白蛋白含量是衰弱的独立风险因素(P<0.05)。结论:内科住院老年患者衰弱发生率高,衰弱的发生受多种因素影响。Objective:To study the incidence and the influencing factors of frailty in elderly inpatients in medical ward.Methods:Totally 320 elderly inpatients in a tertiary grade A hospital in Beijing from March 2019 to April 2021 were recruited.The general information questionnaire,frailty risk factors questionnaire and Fried frailty phenotype assessment tool were used for data collection.Logistic regression analysis was used to analyze the influencing factors of frail.Results:The incidence of frailty in elderly inpatients was 53.5%.Logistic regression analysis showed that lower ADL score,nutritional risk,physical disfunction and decreased serum albumin were independent risk factors for frailty(P<0.05).Conclusion:The frailty is popular in elderly inpatients,and the occurrence of frailty is affected by various factors.

关 键 词：衰弱 老年人 影响因素 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]