摘要
目的评估住院老年人衰弱及生命质量状况，并探讨老年衰弱综合征与生命质量之间的关系。方法采用衰弱表型将患者分为衰弱组衰弱前期及非衰弱组，应用SF-36量表对老年住院患者生命质量进行评估，并应用多元线性回归分析衰弱对生命质量的影响。结果112例老年住院患者中，27例为衰弱，45例为衰弱前期，40例为非衰弱，与非衰弱、衰弱前期组比较，衰弱组的患者年龄大、患病个数多，生命质量各维度得分均较低，差异有统计学意义（均P〈O．05）。多元线性回归分析显示，经年龄、性别、文化程度调整，患者的患病个数、表型个数、缓慢、低体力活动、疲乏均对生命质量有负面影响，差异有统计学意义（均P〈O．05）。结论老年衰弱综合征与生命质量密切相关，患有衰弱综合征的住院老年人较非衰弱、衰弱前期的老年患者生命质量明显下降，且衰弱表型对生命质量有负面影响。因此，在临床工作中应关注衰弱患者的生命质量并及时进行干预。
Objective To assess the elderly patients＂ senile weakness syndrome and the quality of life, and to discuss the relationship between senile decline syndrome and the quality of life. Methods Subjects was classified as frail, pre-frail and non-frail according to frailty phenotypes. HRQOL was assessed by the Short Form-36 （SF-36） . Mul- tiple linear regression analysis was used to analyze the effects of asthenia on the quality of life. Results Of the 112 older adults, 27 were frail, 45 were pre-frail, 40 were non-frail. Comparing with group pre-frailty and group non-frailty, the elderly with frailty tend to older, more kinds of diseases and pooler HRQOL （P〈0. 05） . Multiple linear regression a- nalysis showed that the number of patients, phenotype, slow, low physical activity and fatigue were negatively affected by age, gender and cultural degree （P〈0.05） . Conclusions Senile weakness syndrome is closely related to the qual- ity of life. The quality of life of elderly patients with debilitating syndrome is significantly lower than that of elderly pa- tients in the early stage, and the weakened phenotype have a negative effect on the quality of life. Therefore, the qual- ity of life and timely intervention should be paid attention to in ＇the clinical work.
出处
《国际护理学杂志》
2018年第1期41-45,共5页
international journal of nursing
基金
2015年度扬州市重点研发计划（社会发展）项目（YZ2015054）
