老年糖尿病患者老年综合评估量表观察与干预探讨

发布时间：2018-03-04 05:23

本文选题：老年　切入点：糖尿病　出处：《广西医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:为探讨老年糖尿病患者老年综合征的发病情况及老年综合征的影响因素,以便指导临床医生合理评估并积极干预老年综合征,提高对老年糖尿病患者老年综合征的认知及患者的生存质量。方法:纳入2016年5月至2016年12月期间在广西医科大学第一附属医院住院的156例≥60岁的老年患者,根据糖尿病发病情况分为糖尿病组与非糖尿病对照组,收集一般临床资料,调查日常生活能力、营养不良、认知功能、跌倒风险、多重用药、慢性疼痛等情况,比较两组间老年综合征的发病情况、探讨老年糖尿病与老年综合征的关系及老年综合征的影响因素。结果:糖尿病组跌倒风险及多重用药较对照组严重,日常生活能力、认知能力较对照组下降,而两组的营养状况及慢性疼痛差异无统计学意义;老年综合征与年龄、文化水平、骨质疏松、糖尿病、脑卒中、体重、血脂、BMI的多重回归分析有统计学意义。结论:老年糖尿病患者更容易出现老年综合征且程度较重,主要体现在日常生活能力、认知能力下降、跌倒风险增大以及多重用药。年龄、文化水平、骨质疏松、糖尿病、脑卒中、体重、血脂异常、BMI是老年综合征的影响因素。应重视老年糖尿病患者合并老年综合征情况,做好老年综合评估,并积极干预。
[Abstract]:Objective: to investigate the incidence of senile syndrome in elderly patients with diabetes mellitus and the influencing factors of senile syndrome, so as to guide clinicians to evaluate and actively intervene in senile syndrome. Methods: from May 2016 to December 2016, 156 elderly patients aged over 60 were enrolled in the first affiliated Hospital of Guangxi Medical University. According to the incidence of diabetes, they were divided into diabetic group and non-diabetic control group. General clinical data were collected to investigate the activities of daily life, malnutrition, cognitive function, fall risk, multiple medication, chronic pain and so on. To compare the incidence of senile syndrome between the two groups, to explore the relationship between senile diabetes mellitus and senile syndrome and the influencing factors of senile syndrome. Results: the risk of falling down and multiple medication in diabetes group were more serious than those in control group, and the ability of daily living was higher than that in control group. Cognitive ability was lower than that of control group, but there was no significant difference in nutritional status and chronic pain between the two groups; elderly syndrome and age, education level, osteoporosis, diabetes, stroke, body weight, Conclusion: elderly patients with diabetes are more likely to develop elderly syndrome and the degree is more serious, mainly reflected in the ability of daily life, cognitive ability decline, Age, education, osteoporosis, diabetes, stroke, body weight, and BMI of dyslipidemia are the influencing factors of senile syndrome. Do a good job of comprehensive assessment of the elderly, and active intervention.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R587.1

【参考文献】