慢性肾脏病非肾脏替代治疗住院患者衰弱现状及其影响因素  

Status and influencing factors of frailty among inpatients with Chronic Kidney Disease without renal replacement therapy

作　　者：杨臻 郭桂芳[1] YANG Zhen;GUO Guifang(Peking University School of Nursing,Beijing,100191,China)

机构地区：[1]北京大学护理学院,北京市100191

出　　处：《中国护理管理》2022年第6期868-873,共6页Chinese Nursing Management

摘　　要：目的:调查慢性肾脏病非肾脏替代治疗住院患者衰弱现状并分析其影响因素,为早期识别高危人群并进行衰弱管理提供依据。方法:采用方便抽样法,选取北京某三级甲等医院311名慢性肾脏病非肾脏替代治疗住院患者进行横断面调查,调查工具包括一般资料调查表、中文版Tilburg衰弱评估量表(TFI)、年龄校正查尔森共病指数、全球领导人营养不良倡议标准、抑郁自评量表、领悟社会支持量表。结果:回收有效问卷311份,中文版TFI检出183人(58.8%)存在衰弱。Logistic回归分析结果显示,营养不良、重度共病、抑郁是慢性肾脏病非肾脏替代治疗住院患者衰弱的危险因素(P<0.05),而高水平的社会支持是其保护性因素(P<0.05)。结论:慢性肾脏病非肾脏替代治疗住院患者中衰弱的患病率较高,在临床工作中应引起重视,医务工作者应将营养干预、共病管理、心理干预、社会支持系统的构建作为衰弱预防与慢病管理的重要内容纳入临床实践。Objective:To investigate the status and influencing factors of frailty among inpatients with Chronic Kidney Disease(CKD)without renal replacement therapy,so as to provide evidence for early identification of high-risk groups and management of frailty.Methods:Using convenient sampling method,totally 311 inpatients with CKD without renal replacement therapy in a tertiary grade A hospital in Beijing were selected for a cross-sectional survey.The investigation tools include general information questionnaire,Tilburg Frailty Indicator(TFI),age-adjusted Chalson Comorbidity Index(aCCI),Global Leadership Initiative on Malnutrition(GLIM),Self-rating Depression Scale(SDS)and Perceived Social Support Scale(PSSS).Results:Totally 183 people(58.8%)evaluated by the Chinese version of TFI were frail among 311 respondents.The results of multivariate Logistic regression showed that malnutrition,severe co-morbidity and depression were risk factors of frailty among inpatients with CKD without renal replacement therapy(P<0.05),while high level of social support was its protective factor(P<0.05).Conclusion:The prevalence of frailty among inpatients with CKD without renal replacement therapy is high,attention should be paid to those people in their health management.Medical workers should take nutrition intervention,co-morbidity management,psychological intervention and social support system construction as important contents of frailty prevention and chronic disease management into consideration in clinical practice.

关 键 词：慢性肾脏病 衰弱 非肾脏替代治疗 中文版Tilburg衰弱评估量表 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]