老年住院病人内在能力下降与衰弱的相关性分析  

Relationship between decline of intrinsic capacity and frailty in elderly inpatients

作　　者：史晓兰 欧阳晓俊 沈玲玉 沈晓星 SHI Xiao-lan;OUYANG Xiao-jun;SHEN Ling-yu;SHEN Xiao-xing(Department of Geriatrics,Geriatric Hospital of Nanjing Medical University,Nanjing 210024,China;Chronic Disease and Health Management Research Center,Geriatric Hospital of Nanjing Medical University,Nanjing 210024,China)

机构地区：[1]南京医科大学附属老年医院(江苏省老年病医院)老年医学科,江苏省南京市210024 [2]南京医科大学附属老年医院(江苏省老年病医院)慢病与健康管理研究中心,江苏省南京市210024

出　　处：《实用老年医学》2023年第3期256-260,共5页Practical Geriatrics

基　　金：江苏省老年健康科研项目(LX2021007)。

摘　　要：目的探讨老年住院病人内在能力(IC)下降与衰弱综合征的相关性。方法选取2019年1月至2021年11月我院住院的老年病人370例,分别应用FRAIL量表和IC下降评估工具评估病人的衰弱和IC下降情况。采用多元有序Logistic回归分析老年住院病人发生衰弱的影响因素及IC下降的不同维度对衰弱的影响。结果370例住院老年病人中,无衰弱119例(32.16%),衰弱前期156例(42.16%),衰弱95例(25.68%);IC下降得分为[4(3,5)]分,出现运动、营养、认知、视力、听力和心理方面下降的病人分别占67.3%、23.2%、25.4%、58.1%、35.9%和12.2%。多元有序Logistic回归分析显示,运动习惯、基础日常生活活动能力(BADL)评分、工具性日常生活活动能力(IADL)评分和IC下降程度是老年住院病人衰弱的影响因素。IC的6个维度中,抑郁情绪对衰弱的影响最大。结论IC下降在老年住院病人中普遍存在,IC下降的老年人更容易出现衰弱。Objective To explore the relationship between decline of intrinsic capacity(IC)and frailty syndrome in the elderly inpatients.Methods A total of 370 elderly inpatients in our hospital from January 2019 to November 2021 were enrolled,and the FRAIL scale and the intrinsic capacity decline assessment tool were used to evaluate frailty and IC decline of the patients respectively.Multivariate ordinal Logistic regression was used to analyze the influencing factors of frailty and the influence of different dimensions of IC decline on frailty.Results Among the 370 elderly hospitalized patients,119(32.2%)presented with non-frailty,156(42.2%)with pre-frailty,and 95(25.7%)with frailty.The score of IC was 4(3,5),and the patients with decline in activity,nutrition,cognition,vision,hearing and psychology dimension accounted for 67.3%,23.2%,25.4%,58.1%,35.9%and 12.2%,respectively.Multivariate ordinal Logistic regression analysis indicated that exercise habits,basic activities of daily living(BADL)score,instrumental activities of daily living(IADL)score and the degree of IC decline were the influencing factors of frailty in the elderly inpatients.Depression had the greatest impact on frailty among the six dimensions of IC.Conclusions The decline of IC is common in the elderly inpatients,and the elderly with IC decline are prone to frailty.

关 键 词：内在能力 衰弱 住院老人 

分 类 号：R592[医药卫生—老年医学]