住院老年患者衰弱与躯体化症状、心理状态的关系分析  

Investigation of Frailty Condition in Hospitalized Elderly Patients and Analysis of Its Relationship with Somatization Symptom and Psychological State

作　　者：韩倩倩[1] 付宁红 刘红[1] 贠婷琳 胡晓月[1] HAN Qianqian;FU Ninghong;LIU Hong;YUN Tinglin;HU Xiaoyue(The Second People’s Hospital of Shizuishan City,Department of Geriatrics,Shizuishan 753000,China)

机构地区：[1]石嘴山市第二人民医院老年病科,石嘴山753000

出　　处：《宁夏医科大学学报》2025年第2期135-139,共5页Journal of Ningxia Medical University

基　　金：宁夏回族自治区重点研发项目(2022BEG03108)。

摘　　要：目的探究住院老年患者衰弱及与躯体化症状、心理状态的关系。方法以241例住院老年患者为研究对象,依据Fried衰弱表型将其分为衰弱组(127例)、衰弱前期组(36例)及非衰弱组(78例),分别以躯体化症状自评量表(SSS)、抑郁自评量表(SDS)及焦虑自评量表(SAS)评价患者躯体化症状程度及焦虑、抑郁程度,分析各评分与衰弱程度的相关性及住院老年患者出现衰弱状况的危险因素。结果衰弱组SSS评分各项得分及SAS、SDS评分均高于衰弱前期组及非衰弱组,且衰弱前期组高于非衰弱组(P均<0.05);SSS评分、SAS评分及SDS评分与住院老年患者衰弱程度呈正相关(P均<0.05);年龄≥70岁、患病种类≥2种、营养不良、SSS评分≥36分、SAS评分≥50分、SDS评分≥53分是住院老年患者出现衰弱状况的影响因素(P均<0.05)。结论住院老年患者衰弱发生情况与躯体化症状及焦虑抑郁程度有关,且躯体化症状、焦虑抑郁及患病种类较多、营养不良、年龄较大是衰弱发生的影响因素。Objective To explore the frailty condition in hospitalized elderly patients and its relationship with somatization symptom and psychological state.Methods A total of 241 hospitalized elderly patients were selected as research subjects,and were divided into frailty group(127 cases),pre-frailty group(36 cases)and non-frailty group(78 cases)by means of Fried frailty phenotype.Somatic self-rating scale(SSS)、self-rating depression scale(SDS)and self-rating axiety scale(SAS)were used to evaluate the somatization symptom degree,anxiety degree and depression degree the correlation between the scores and the degree of frailty and the risk factors of frailty in hospitalized elderly patients were analyzed.Results The scores of SSS items,SAS and SDS in frailty group were higher than those in pre-frailty group and non-frailty group,and the scores in pre-frailty group were higher than those in non-frailty group(P all<0.05).SSS scores,SAS score and SDS score were positively correlated with the frailty degree of hospitalized elderly patients(P all<0.05).Age≥70 years old,disease types≥2,malnutrition,SSS score≥36 points,SAS score≥50 points and SDS score≥53 points were risk factors for frailty in hospitalized elderly patients(P all<0.05).Conclusion The occurrence of frailty in hospitalized elderly patients is related to somatization symptom,anxiety degree and depression degree,and somatization symptom,anxiety and depression,more kinds of diseases,malnutrition and older age are the risk factors affecting the occurrence of frailty.

关 键 词：老年患者 衰弱情况 躯体化症状 心理状态 

分 类 号：R395.4[哲学宗教—心理学]