老年乳腺癌患者术前衰弱现状及其影响因素分析  

Frailty status and its influencing factors in elderly preoperative breast cancer patients

作　　者：路平 郭海凌 王晓杰 王盼盼 段雨芙 孟繁旭 李叶婷 郭桂芳[1] LU Ping;GUO Hailing;WANG Xiaojie;WANG Panpan;DUAN Yufu;MENG Fanxu;LI Yeting;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 [2]中国医学科学院北京协和医院乳腺外科

出　　处：《中国护理管理》2023年第5期670-675,共6页Chinese Nursing Management

摘　　要：目的:调查老年乳腺癌患者术前衰弱现状并分析其影响因素。方法:采用便利抽样法,选取2022年7月—10月在北京某三级甲等医院择期手术的201例老年乳腺癌患者,使用一般资料调查表、FRAIL量表、营养风险筛查2002、Barthel指数、医院焦虑抑郁量表、社会支持评定量表进行数据收集。采用多元有序Logistic对患者术前衰弱的影响因素进行回归分析。结果:老年乳腺癌患者术前衰弱发生率为15.4%。营养不良、日常生活活动能力非独立是老年乳腺癌患者术前衰弱的危险因素(P<0.05),高水平社会支持、每周运动锻炼1~4次是老年乳腺癌患者术前衰弱的保护因素(P<0.05)。结论:临床护理人员需要重视营养不良、身体功能障碍的老年乳腺癌患者术前衰弱评估,采取针对性护理措施,提高围手术期安全。Objective:To investigate the incidence of preoperative frailty in elderly breast cancer patients and analyze its influencing factors.Methods:Convenient sampling method was used to select 201 elderly breast cancer patients who underwent elective surgery from July to October 2022 in a tertiary grade A hospital in Beijing.The General Information Questionnaire,FRAIL Scale,Nutritional Risk Screening 2002,Barthel Index,Hospital Anxiety and Depression Scale,and Social Support Rate Scale were used to collect data.Multiple ordered logistics regression was used to analyze the influencing factors of preoperative frailty.Results:The incidence of preoperative frailty in elderly breast cancer patients was 15.4%.Malnutrition and non-independence in activities of daily living were risk factors for frailty in elderly preoperative breast cancer patients(P<0.05),while high-level social support and 1 to 4 times of exercise per week were protective factors(P<0.05).Conclusion:Clinical nurses need to pay attention to preoperative frailty assessment in elderly breast cancer patients with malnutrition and physical dysfunction,and take targeted nursing measures to improve perioperative safety.

关 键 词：衰弱 老年 乳腺癌 影响因素 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]