老年脑卒中患者衰弱现状及影响因素分析  

Frailty status and influencing factors in elderly patients with stroke

作　　者：李笑 姜文彬[2] 周振峰 李长春[1] 姜永梅[2] LI Xiao;JIANG Wenbin;ZHOU Zhenfeng;LI Changchun;JIANG Yongmei(School of Nursing,Qingdao University,Qingdao,Shandong 266000,China;Department of Nursing and Hospital Infection Control,theA ffiliated Hospital of Qingdao University,Qingdao,Shandong 266071,China;Second Ward of Department of Intensive Care Medicine,Provincial Hospital Affiliated to Shandong First Medical University,Ji’nan,Shandong 250021,China)

机构地区：[1]青岛大学护理学院,山东青岛266000 [2]青岛大学附属医院护理院感处,山东青岛266071 [3]山东第一医科大学附属省立医院重症医学科二病区,山东济南250021

出　　处：《医药前沿》2025年第11期1-6,共6页Journal of Frontiers of Medicine

基　　金：山东省医药卫生科技项目(202314051712)。

摘　　要：目的分析老年脑卒中患者衰弱现状及影响因素。方法采用便利抽样法选取2023年7—12月青岛大学附属医院神经内科收治的老年脑卒中住院患者作为研究对象,采用一般资料调查表、Tilburg衰弱评估量表(TFI)、社会支持评定量表(SSRS)、改良Barthel指数(MBI)、广泛性焦虑障碍量表-7(GAD-7)、抑郁症筛查量表-9(PHQ-9)、微型营养评估简表(MNA-SF)收集患者相关资料,采用Pearson相关性分析检验老年脑卒中患者衰弱与SSRS、MBI、GAD-7、PHQ-9及MNA-SF评分的相关性,并采用多元线性回归分析进行影响因素分析。结果本研究共发放问卷196份,剔除无效作答问卷11份,最终回收有效问卷185份,回收有效率为94.39%。185例老年脑卒中患者中,TFI总评分平均为6.23分,中位数为6.00分;存在衰弱的老年脑卒中患者有146例,占比78.92%。单因素分析结果显示,不同文化程度、职业、居住地、家庭人均月收入、锻炼情况、是否吸烟、是否饮酒、发作类型、合并其他慢性病数量、疾病家族史情况、吞咽障碍情况、服用口服药情况患者的TFI评分比较,差异有统计学意义(P<0.05);Pearson相关性分析结果显示,老年脑卒中患者TFI评分与GAD-7和PHQ-9评分呈正相关,与SSRS和MNA-SF评分呈负相关(P<0.05);多元线性回归分析结果显示,居住地、锻炼情况、是否饮酒、合并其他慢性病数量、疾病家族史情况、服用口服药情况、GAD-7评分、SSRS评分、MNA-SF评分是老年脑卒中患者衰弱的影响因素(P<0.05)。结论老年脑卒中患者衰弱发生率处于较高水平,现状亟待改善。居住地、锻炼情况、是否饮酒、合并其他慢性病数量、疾病家族史情况、服用口服药情况、GAD-7评分、SSRS评分、MNA-SF评分是老年脑卒中患者衰弱的影响因素。Objective To analyze the frailty status and influencing factors in elderly patients with stroke Methods Convenience sampling method was used to select elderly inpatients with stroke as the research objects who admitted to the Department of Neurology in the Affiliated Hospital of Qingdao University from July to December 2023.General information questionnaire,Tilburg Frailty Indicator(TFI),Social Support Rate Scale(SSRS),Modified Barthel Index(MBI),G eneralized Anxiety Disorder-7(GAD-7),Patient Health Questionnaire-9(PHQ-9),and Mini Nutritional Assessment Short-Form(MNA-SF)were used to collect patient-related data.Pearson correlation analysis was used to test the correlation between frailty and SSRS,MBI,GAD-7,PHQ-9 and MNA-SF scores in elderly patients with stroke,and multiple linear regression analysis was used to analyze the influencing factors.Results A total of 196 questionnaires were distributed in this study,11 invalid questionnaires were excluded,and 185 valid questionnaires were finally recovered,with an effective recovery rate of 94.39%.Among 185 elderly patients with stroke,the avevage total score of TFI was 6.23 points,with a median of 6.00 points;a total of 146 elderly patients with stroke had frailty,accounting for 78.92%.Univariate analysis showed that there were statistically significant differences in TFI scores among patients with different education levels,occupations,residence,family monthly income per capita,exercise status,smoking status,drinking status,seizure types,number of combined with other chronic diseases,family history of diseases,dysphagia status,and status of oral medication(P<0.05).Pearson correlation analysis showed that the TFI score was positively correlated with GAD-7 and PHQ-9 scores,while it negatively correlated with SSRS and MNA-SF scores in elderly patients with stroke(P<0.05).Multiple linear regression analysis showed that residence,exercise status,drinking status,number of combined with other chronic diseases,family history of diseases,status of oral medication,GAD-7 scor

关 键 词：脑卒中 老年人 衰弱 现状 影响因素 Tilburg衰弱评估指标量表 社会支持评定量表 

分 类 号：R742[医药卫生—神经病学与精神病学]