内科2024，Vol.19Issue(6)：588-593,6.DOI:10.16121/j.cnki.cn45-1347/r.2024.06.03
老年缺血性卒中共病患者失能情况及影响因素研究
Disability in elderly ischemic stroke patients with comorbidities and its influencing factors
摘要
Abstract
Objective To investigate the disability in elderly ischemic stroke patients with comorbidities and to analyze its influencing factors.Methods By convenience sampling,164 elderly ischemic stroke patients with comorbidities who were hospitalized in the Department of Neurology of Shenzhen Second People's Hospital from October 2022 to April 2023 were selected as the study subjects.Patients'clinical data were collected,and the Barthel index was used for their disability evaluation.Univariate analysis was used to screen the variables preliminarily,and the binary logistic regression model was used to further analyze the independent influencing factors for disability in elderly ischemic stroke patients with comorbidities.Results Among the 164 elderly ischemic stroke patients with comorbidities,84 were disabled,with an incidence of 51.22%.Results of the univariate analysis showed that there were statistically significant differences in the number of days of hospitalization,age,comorbidities,nutritional risk,cognitive impairment,and National Institutes of Health Stroke Scale(NIHSS)score between the disabled group(n=84,Barthel index≤95)and the non-disabled group(n=80,Barthel index>95)(all P<0.05).Results of the binary logistic regression analysis showed that the number of days of hospitalization(OR=2.445,95%CI:1.117-5.352),nutritional risk(OR=2.801,95%CI:1.037-7.567),cognitive impairment(OR=4.462,95%CI:1.476-13.493),and NIHSS score(OR=1.945,95%CI:1.413-2.676)were independent influencing factors for disability in elderly ischemic stroke patients with comorbidities(all P<0.05).Conclusion The incidence of disability is quite high in elderly ischemic stroke patients with comorbidities,and the number of days of hospitalization,nutritional risk,cognitive impairment,and NIHSS score are independent influencing factors for disability in this group.Medical personnel should take targeted nursing measures and treatment regimens to prevent or delay the development of disability in elderly ischemic stroke patients with comorbidities.关键词
失能/缺血性卒中/老年人/共病/影响因素/预防Key words
Disability/Ischemic stroke/Senior/Comorbidity/Influencing factor/Prevention分类
医药卫生引用本文复制引用
滕丽婷,谢小华,曹思敏,高茂凤,胡守娣,肖仕艳,何俞..老年缺血性卒中共病患者失能情况及影响因素研究[J].内科,2024,19(6):588-593,6.基金项目
广东省深圳市科技创新委员会面上项目(JCY20190726104916561)深圳大学第一附属医院院级临床研究项目(20223357018) （JCY20190726104916561）
