| 吴昌群,诸葛恒艳,沈云燕.住院老年患者衰弱状况与认知及精神心理因素的调查分析[J].上海护理,2018,18(7): |
| 住院老年患者衰弱状况与认知及精神心理因素的调查分析 |
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| DOI： |
| 中文关键词: 老年人 衰弱 认知 抑郁 焦虑 |
| 英文关键词:Elderly Frailty Cognition Depression Anxiety |
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| 中文摘要: |
| 目的 探讨住院老年患者衰弱状况与认知及精神心理因素的关系,为老年住院患者的健康管理提供参考。方法 采用随机抽样的方法抽取住院老年患者202例进行横断面调查,调查工具包括一般资料调查问卷、简易精神状态检查表、老年抑郁量表、焦虑自评量表及衰弱表型。 结果 调查对象中认知功能损害、抑郁和焦虑的患病率分别为32.2％、51.5％、25.2％,衰弱、衰弱前期和非衰弱的患病率为27.7％、40.6％、31.7％。单因素分析显示与非衰弱和衰弱前期老年人相比,衰弱老年人更趋于高龄、认知功能下降、抑郁和焦虑(P＜0.05)。Logistic回归分析结果显示认知功能下降(OR=0.824,95％CI =-0.280～-0.107)、抑郁(OR=1.219,95％CI =0.126～0.270)和焦虑(OR=1.119,95％CI =0.055～0.170)是衰弱的危险因素(P＜0.05)。结论 认知功能越差、抑郁和焦虑症状越严重,老年人越易衰弱,应密切关注老年住院患者的认知及精神心理状况的变化,并予以针对性的干预措施,促进住院老年患者的身心健康。 |
| 英文摘要: |
| Objective The aim of this study was to explore the relationship of frailty, cognition and psychological factors among hospitalized elderly patients. Methods A total of 202 hospitalized elderly patients were recruited by random sampling method and interviewed using the socio-demographic characteristics scale, Mini Mental Status Examination scale (MMSE), Geriatric Depression Scale (GDS), Self-Rating Anxiety Scale (SAS) and frailty phenotype. Results In this study, the prevalence of cognitive impairment, depression and anxiety were 32.2％, 51.5％ and 25.2％ respectively. The prevalence of frailty, pre-frailty and robust were 27.7％, 40.6％ and 31.7％. Univariate analysis showed that compared with no-frailty and pre-frailty elderly, frailty patients tend to cognition decline, depression and anxiety(P﹤0.05). Logistic regression indicated that cognitive decline (OR=0.824,95％CI =-0.280～-0.107), depression (OR=1.219,95％CI =0.126～0.270) and anxiety (OR=1.119,95％CI =0.055～0.170) were significant risk factors associated with frailty syndrome(P﹤0.05). Conclusion The poorer cognition, more severe the symptoms of depression and anxiety of the elderly are, the higher prevalence of frailty syndrome is. It is very necessary to pay enough attention to the changes of cognition and psychosocial status of hospitalized elderly patients and to promote the physical and mental health of hospitalized elderly patients with targeted intervention measures. |
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