炎症性肠病患者衰弱现状及影响因素分析  

Status Quo and Influencing Factors of Frailty in Patients with Inflammatory Bowel Disease

作　　者：胡淑敏 龚丽[1] 孙克 吴晶晶[1] 张艳艳[2] HU Shumin;GONG Li;SUN Ke;WU Jingjing;ZHANG Yanyan(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Otolaryngology,First People’s Hospital of Shangqiu,Shangqiu 476005,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450000 [2]商丘市第一人民医院耳鼻喉肿瘤科,河南商丘476005

出　　处：《河南医学研究》2024年第23期4269-4273,共5页Henan Medical Research

摘　　要：目的分析炎症性肠病患者的衰弱状况及其相关影响因素。方法采用便利抽样方法,选取2022年12月至2024年2月在郑州大学第一附属医院消化内科就诊的324例炎症性肠病患者作为研究对象。使用一般资料调查表、衰弱表型量表、患者主观整体评估(PG-SGA)以及医院焦虑/抑郁量表对患者进行评估。结果324例炎症性肠病患者中204例(62.96%)患者表现出衰弱。年龄、白蛋白、PG-SGA评分以及抑郁状况为衰弱的主要影响因素(P<0.05)。结论炎症性肠病患者中衰弱的发生率较高。临床医护人员应当关注高龄患者、接受积极治疗的患者、PG-SGA评分≥4分以及存在抑郁症状的高风险群体,应制定和实施针对性的干预措施,以预防或改善患者的衰弱状况。Objective To analyze the frailty status of patients with inflammatory bowel disease and its related influencing factors.Methods A convenience sampling method was used to select 324 hospitalized patients with inflammatory bowel disease who visited the Department of Gastroenterology,the First Affiliated Hospital of Zhengzhou University from December 2022 to February 2024 as the research subjects.Patients were assessed using the general profile questionnaire,frailty phenotype scale,patient-generated subjective global assessment(PG-SGA),and hospital anxiety/depression scale.Results Among 324 patients with inflammatory bowel disease in neurosurgery,204 cases(62.96%)showed weakness.Age,albumin,PG-SGA score,and depression status were the main influencing factors of frailty(P<0.05).Conclusion The incidence of frailty is higher in patients with inflammatory bowel disease.Clinical medical staff should pay attention to elderly patients,patients receiving active treatment,high-risk groups with PG-SGA scores≥4 and depressive symptoms,and should develop and implement targeted intervention measures to prevent or improve patients’frailty.

关 键 词：衰弱筛查 炎症性肠病 衰弱评估 焦虑/抑郁 

分 类 号：R563.3[医药卫生—呼吸系统]