老年慢性病住院患者成功老龄化现状及其影响因素  

Research on the current status and influencing factors of successful aging in hospitalized elderly patients with chronic diseases

作　　者：王凯璐 刘欢 邵明 段梦影 张铭 车侠 WANG Kailu;LIU Huan;SHAO Ming;DUAN Mengying;ZHANG Ming;CHE Xia(Graduate School of Wannan Medical College,Wuhu 241002,China;Blood Purification Center,The First Affiliated Hospital of Wannan Medical College(Yijishan Hospital),Wuhu 241001,China;Yugong Nursing Re-search Design and Data Analysis Team,The First Affiliated Hospital of Wannan Medical College(Yijishan Hospital),Wuhu 241001,China;School of Public Foundation(School of Innovation and Entrepreneurship)of Wannan Medical College,Wuhu 241002,China;Taihe Hospital Affiliated to Wannan Medical College,Taihe 236600,China)

机构地区：[1]皖南医学院研究生学院,芜湖241002 [2]皖南医学院第一附属医院(弋矶山医院)血液净化中心,芜湖241002 [3]皖南医学院第一附属医院(弋矶山医院)愚公护理科研设计与数据分析团队,芜湖241001 [4]皖南医学院公共基础学院(创新创业学院),芜湖241002 [5]皖南医学院附属太和医院,太和236600

出　　处：《济宁医学院学报》2025年第1期27-31,共5页Journal of Jining Medical University

基　　金：安徽省卫生健康科研项目课题(AHWJ2022c008)。

摘　　要：目的调查老年慢性病住院患者成功老龄化现状,并分析其影响因素。方法采用便利抽样法,于2024年7月—9月选取芜湖市某三级甲等医院679例老年慢性病住院患者为研究对象。采用一般资料调查表、成功老龄化量表、口腔衰弱指数-8、社会衰弱表型量表进行调查。结果679名老年慢性病住院患者成功老龄化得分为(43.85±11.29)分,口腔衰弱得分为(5.26±2.82)分,社会衰弱得分为[2.00(1.00,3.00)]分。多元线性回归分析显示,文化程度、身体疼痛、口腔衰弱与社会衰弱是影响老年人成功老龄化的因素(P<0.05)。成功老龄化得分与口腔衰弱呈负相关(r=-0.368,P<0.001),与社会衰弱呈负相关(r=-0.375,P<0.001)。结论老年慢性病住院患者成功老龄化得分处于中等水平,建议医务工作者着重关注高龄、身体疼痛、口腔衰弱与社会衰弱的老年慢性病住院患者,从而提高其生活质量,帮助其实现成功老龄化。Objective To investigate the current status of successful aging among hospitalized elderly patients with chronic diseases and analyze its influencing factors.Method Convenience sampling was used to select 679 elderly inpatients with chronic diseases from a tertiary hospital in Wuhu City from July to September 2024 as the research subjects.The survey was conducted using general information survey forms,successful aging scale,oral frailty index-8,and social frailty phenotype scale.Result The successful aging score of 679 hospitalized elderly patients with chronic diseases was(43.85±11.29)points,the oral frailty score was(5.26±2.82)points,and the social frailty score was[2.00(1.00,3.00)]points.Multiple linear regression analysis showed that educational level was a protective factor for the successful aging score of elderly hospitalized patients with chronic diseases(P<0.05),while physical pain,oral weakness,and social weakness were factors affecting the successful aging of the elderly(P<0.05).The Pearson correlation analysis results showed a negative correlation between successful aging scores and oral frailty(r=-0.368,P<0.001),while Spearman correlation showed a negative correlation with social frailty(r=-0.375,P<0.001).Conclusion The successful aging score of elderly chronic disease inpatients in this survey is at a moderate level.It is recommended that medical workers pay special attention to elderly chronic disease inpatients with advanced age,physical pain,oral weakness,and social weakness.Medical workers should carry out personalized health education and develop targeted intervention measures for these groups to improve their quality of life and help them achieve successful aging.

关 键 词：老年慢病患者 成功老龄化 口腔衰弱 社会衰弱 

分 类 号：R47[医药卫生—护理学]