浙江医学2018，Vol.40Issue(10)：1050-1053,4.DOI:10.12056/j.issn.1006-2785.2018.40.10.2017-2092
门诊老年患者衰弱现状调查及相关影响因素分析
Survey on asthenia status in elderly outpatients and related factors
摘要
Abstract
Objective To survey asthenia status among elderly outpatients and to analyze its related factors. Methods A cross-sectional study on asthenia was conducted among 329 outpatients aged ≥ 65 years from geriatric clinic of Zhejiang Hospital. The general information of patients was collected. The asthenia status was assessed with Clinical Frailty Scale (CFS-09), and the CFS-09 scorewas classified as asthenia. The patients were also evaluated with Comprehensive Geriatric Assessment (CGA) and the factors related to frailty were analyzed by SPSS 19.0. Results As compared with no-frailty group (CFS-09＜5), patients with frailty had increasing age, having comorbidities and polypharmacy, activities of daily living (ADL) ≤95, Geriatric Depression Scale (GDS-15)≥6, Mini Nutritional Assessment Short Form (MNA-SF)≤7, Pittsburgh Sleep Quality Index (PSQI) ＞ 7, Morse Fall Risk Scale (MORSE) ＞45. (all P＜0.05). Logistic regression analysis revealed that increasing age, ADL≤95, MORSE ＞45, MNA-SF≤7, GDS-15≥6 and PSQI＞7 were independent risk factors of frailty (OR=1.165, 5.681, 4.525, 11.785, 3.073, 2.255, P＜0.05 or 0.01). Conclusion The frailty of elders in outpatient is influenced by many factors and multifaceted interdisciplinary intervention should be taken.关键词
老年综合评估/衰弱/门诊老年患者Key words
Comprehensive geriatric assessment(CGA)/Frailty/Elderly outpatient引用本文复制引用
杨影红,曾幸坤,褚娇娇,陈旭娇..门诊老年患者衰弱现状调查及相关影响因素分析[J].浙江医学,2018,40(10):1050-1053,4.基金项目
卫生部科学研究基金-浙江省医药卫生重大科技计划项目(WKJ2013-3-001) （WKJ2013-3-001）
浙江省医学重点创新学科(老年逆龄医学)资助(2015001) （老年逆龄医学）
浙江省科技厅项目(2014C33241) （2014C33241）
