中国全科医学2018，Vol.21Issue(2)：173-179,7.DOI:10.3969/j.issn.1007-9572.2018.02.11
老年住院患者衰弱状态及其影响因素分析研究
Status and Associated Factors of Frailty in Older Inpatients
摘要
Abstract
Objective To assess the status and associated factors of frailty in older inpatients.Methods We enrolled 1494 internal medicine inpatients aged≥60 years from the Second Affiliated Hospital of Chongqing Medical University, the First People's Hospital of Zunyi, and Guizhou Aerospace Hospital from September 2014 to August 2015. They were surveyed by a questionnaire consisting of demographic data (sex, age, educational level, marital status, monthly income), living habit (prevalence of smoking and drinking) and activities of daily living (self-rated health), prevalence of disease and medications(number of comorbid conditions, status of cognitive function, prevalence of depression and physical disability, history of falling in the past year, number of medications),and history of hospitalization in the past year and hospitalization time. Phenotype of Frailty (FP) was used to evaluate the status of frailty.Results After excluding 32 cases who refused to participate in the survey, 20 cases who could not complete the survey due to communication impairments or serious illness, and 42 cases without complete data, a total of 1400 patients were finally enrolled. Of them, 252 (18.0％) were frail, 458 (32.7％) were pre-frail and 690 (49.3％) were non-frail. Multivariate Logistic regression analysis showed that, age, BMI, marital status, self-rated health, history of hospitalization in the past year, prevalence of depression and physical disability, and history of falling in the past year were the associated factors for pre-frailty (P<0.05) ; age, BMI, monthly income less than 1000 yuan, self-rated health, cognitive impairment, prevalence of depression and physical disability, history of falling in the past year and number of medications were the associated factors for frailty (P<0.05).Conclusion Numerous demographic indicators and disease state are significantly associated with frailty in older inpatients. In this population, prevention of frailty is a top priority. As for the treatment of frailty, comprehensive intervention involving physiological and psychological aspects is effective.关键词
蛋白质能量营养不良/老年人/患病率/影响因素分析Key words
Protein-energy malnutrition/Aged/Prevalence/Root cause analysis分类
医药卫生引用本文复制引用
杨帆,陈庆伟..老年住院患者衰弱状态及其影响因素分析研究[J].中国全科医学,2018,21(2):173-179,7.基金项目
贵州省遵义市联合科技研发资金项目〔遵市科合社字(2015)04号〕 （2015）
