胃肠道疾病老年住院患者衰弱现况及影响因素研究

发布时间：2018-05-27 07:29

本文选题：衰弱 + 胃肠道疾病　；参考：《护理学报》2016年06期

【摘要】：目的了解胃肠道疾病老年住院患者衰弱的发生状况,分析其影响因素。方法采用方便抽样的方法选取普通外科收治的134例胃肠道疾病老年住院患者,使用自行设计调查表收集患者的一般资料及疾病相关信息,使用Fried衰弱表型评估方法对患者进行衰弱评估,并采用基于最大似然法的logistic回归分析其影响因素。结果在胃肠道疾病老年住院患者中,衰弱患者占29.1%;Logistic回归结果显示年龄、日常生活活动能力得分、血红蛋白浓度是衰弱的主要影响因素(P0.05),衰弱与年龄呈正相关,与日常生活活动能力和血红蛋白浓度呈负相关。结论胃肠道疾病老年住院患者衰弱的患病率较高,年龄、日常生活活动能力得分、血红蛋白浓度是其衰弱的主要影响因素。因此对胃肠道疾病老年住院患者尤其年长、日常生活活动能力较低、血红蛋白浓度较低者应采取相应措施,以减少其衰弱的发生。
[Abstract]:Objective to investigate the incidence of senile inpatients with gastrointestinal diseases and analyze its influencing factors. Methods 134 elderly patients with gastrointestinal diseases in general surgery were selected by convenient sampling method. The general data and disease related information were collected by self-designed questionnaire. Fried phenotypic evaluation method was used to evaluate the patients' weakness, and logistic regression analysis based on maximum likelihood method was used to analyze the influencing factors. Results among the elderly inpatients with gastrointestinal diseases, 29.1% of the inpatients were weak. The results of Logistic regression showed that age, activity of daily living, hemoglobin concentration were the main influencing factors of the disease, and there was a positive correlation between the age and the weakness. There was a negative correlation between ADL and hemoglobin concentration. Conclusion the prevalence rate of senile inpatients with gastrointestinal diseases is higher, age, ADL score and hemoglobin concentration are the main influencing factors. Therefore, the elderly inpatients with gastrointestinal diseases especially older, lower activities of daily life, lower hemoglobin concentration should take appropriate measures to reduce the occurrence of their debilitating.
【作者单位】：首都医科大学护理学院;首都医科大学宣武医院;
【基金】：国家自然科学基金面上项目(81272756)
【分类号】：R473.5

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