湖北省黄石市老年肌肉衰减征相关影响因素分析

发布时间：2018-12-14 02:50

【摘要】：目的对湖北省黄石市老年肌肉衰减征的影响因素进行初步探究,为老年肌肉衰减征的预防提供理论依据。方法2015年6月至2016年6月,以湖北省黄石市3个社区卫生服务站(桃源村社区卫生服务站、东鑫社区卫生服务中心、楠竹林社区卫生服务站)进行免费体检的老年人为研究对象进行肌肉衰减征的筛查,将最终得到的77例老年肌肉衰减征者作为肌肉衰减征组,再随机抽取同期进行体检的非肌肉衰减征者156例作为非肌肉衰减征组。用一般情况量表、躯体生活自理量表、工具性日常生活活动量表、微型营养评定量表、匹兹堡睡眠质量量表对调查对象进行问卷调查。数据收集录入后用SPSS17.0进行湖北省黄石市老年肌肉衰减征影响因素的单因素分析和多因素分析,以P0.05为差异有统计学意义。结果单因素分析显示湖北省黄石市老年人患肌肉衰减征与体质指数、婚姻状况、月收入、躯体生活自理能力、工具性日常生活活动能力、营养状况、睡眠质量有关(P㩳0.05)。多因素分析显示体重过低(OR=5.027,95%CI:1.459~17.319)、月收入较低(OR=2.542,95%CI:1.323~4.884)、躯体生活自理能力功能障碍(OR=2.327,95%CI:1.219~4.440)、睡眠质量不佳(OR=1.979,95%CI:1.033~3.791)是湖北省黄石市老年人患肌肉衰减征的危险因素,营养良好(OR=0.271,95%CI:0.137~0.536)是其患肌肉衰减征的保护因素。结论湖北省黄石市老年人患肌肉衰减征受体质指数、月收入、躯体生活自理能力、营养状况、睡眠质量的影响,应针对影响因素采取对应的措施来降低老年人患肌肉衰减征的风险。同时需加强基层医务人员对肌肉衰减征的学习,并注意对老年人进行健康宣教。
[Abstract]:Objective to explore the influencing factors of senile muscle attenuation sign in Huangshi, Hubei Province, and to provide theoretical basis for the prevention of senile muscle attenuation sign. Methods from June 2015 to June 2016, three community health service stations in Huangshi City, Hubei Province (Taoyuan Village Community Health Service Station, Dongxin Community Health Service Center) were used. The elderly who underwent free physical examination were screened for muscle attenuation sign, and 77 cases of senile muscle attenuation sign were selected as muscle attenuation sign group. 156 cases of non-muscle attenuation sign were randomly selected as non-muscle attenuation sign group. The subjects were investigated by general condition scale, somatic self-care scale, instrumental daily life activity scale, mini-nutrition rating scale and Pittsburgh sleep quality scale. After data collection and input, SPSS17.0 was used to analyze the influencing factors of senile muscle attenuation in Huangshi City, Hubei Province, and the difference was statistically significant with P0.05. Results univariate analysis showed that the elderly in Huangshi City Hubei Province suffered from muscle attenuation and body mass index marital status monthly income self-care ability of physical life ability of instrumental daily life activities nutritional status. Sleep quality was related to (P0. 05). Multivariate analysis showed low body weight (OR=5.027,95%CI:1.459~17.319), low monthly income (OR=2.542,95%CI:1.323~4.884), and impaired self-care ability in physical life (OR=2.327,95%CI:1.219~4.440). Poor sleep quality (OR=1.979,95%CI:1.033~3.791) is a risk factor for muscle attenuation in the elderly in Huangshi City Hubei Province. Good nutrition (OR=0.271,95%CI:0.137~0.536) is the protective factor of muscle attenuation sign in Huangshi City Hubei Province. Conclusion the muscle attenuation sign of the elderly in Huangshi City, Hubei Province is affected by body mass index, monthly income, self-care ability of physical life, nutritional status and sleep quality. Measures should be taken to reduce the risk of muscle attenuation in the elderly. At the same time, it is necessary to strengthen the study of muscle attenuation and pay attention to health education for the elderly.
【学位授予单位】：锦州医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R685

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