老年脑卒中患者衰弱的影响因素研究  

Study on influencing factors of frailty in elderly stroke patients

作　　者：王苗苗[1] 赵娟娟[2] 余爱华[1] WANG Miaomiao;ZHAO Juanjuan;YU Aihua(Department of Neurology,Affiliated Hospital of Guilin Medical College,Guangxi Zhuang Autonomous Region,Guilin541000,China;School of Nursing,Sun Yat-sen University,Guangdong Province,Guangzhou510080,China)

机构地区：[1]桂林医学院附属医院神经内科,广西桂林541000 [2]中山大学护理学院,广东广州510080

出　　处：《中国当代医药》2024年第20期127-132,共6页China Modern Medicine

基　　金：广西壮族自治区中医药管理局自筹经费科研课题(GXZYZ20210179)。

摘　　要：目的调查老年脑卒中患者衰弱现状及其影响因素。方法采用目的抽样法,选取2022年1月至2023年2月在桂林医学院附属医院就诊的133例老年脑卒中患者为研究对象。采用一般情况调查表、衰弱量表、正性负性情绪量表、心理弹性量表对患者进行问卷调查,比较不同临床特征患者的衰弱情况,分析老年脑卒中患者衰弱的影响因素。结果133名老年脑卒中患者中,有54名(40.7%)患者为衰弱前期,57名(42.8%)患者为衰弱。多因素logistic分析显示,正性情绪、心理弹性、已婚状态、子女数量3人是老年脑卒中患者衰弱的保护性因素,负性情绪、卒中发病3次是老年脑卒中患者衰弱的危险性因素(P<0.05)。结论老年脑卒中患者衰弱患病率较高,且受多种因素影响。医务人员应加强对患者社会人口学资料、疾病相关资料的采集与评估,以便做到早发现、早识别,及时实施临床干预措施。Objectives To describe the current status of frailty and explore the influencing factors of frailty in elderly stroke patients.Methods Objective sampling method was used to select 133 elderly stroke patients who were treated in Affiliated Hospital of Guilin Medical College from January 2022 to February 2023 as the study objects.The general situation questionnaire,frailty scale,positive and negative emotion scale and mental resilience scale were used to investigate the frailty of patients with different clinical characteristics,and the influencing factors of frailty of elderly stroke patients were analyzed.Results Of 133 elderly stroke patients,54(40.7%)had preasthenia and 57(42.8%)had asthenia.Multivariate logistic analysis showed that positive emotion,mental resilience,married status and number of children were the protective factors for frailty in elderly stroke patients,while negative emotion and three strokes were the risk factors for frailty in elderly stroke patients(P<0.05).Conclusion The prevalence of frailty in senile stroke patients is high,and it is affected by many factors.Medical staff should strengthen the collection and evaluation of patients'socio-demographic data and disease-related data in order to achieve early detection and identification and timely implementation of clinical intervention measures.

关 键 词：老年人 脑卒中 衰弱 情绪 心理弹性 影响因素分析 

分 类 号：R741[医药卫生—神经病学与精神病学]