摘要
目的探讨老年住院病人慢性便秘与衰弱的关系,为临床干预提供依据。方法选取2021年1~5月在陕西省人民医院住院的612例老年病人为研究对象。采用一般资料问卷、罗马Ⅳ便秘诊断标准、衰弱筛查量表(FRAIL量表)进行横断面调查,分析慢性便秘与衰弱的相关性。结果612例老年住院病人中,慢性便秘者138例(22.5%),无慢性便秘者474例(77.5%);衰弱163例(26.6%),衰弱前期306例(50.0%),无衰弱143例(23.4%)。单因素分析结果显示,慢性便秘组和无慢性便秘组长期服用药物的种类、冠心病、高脂血症、消化系统疾病、肾功能不全、肢体功能障碍、衰弱程度、粪便颜色、粪便硬度、WBC、尿素(UREA)、肌酐(Cr)、无机磷(P)、Hcy差异均有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,肾功能不全、FRAIL评分、肢体功能障碍、粪便硬度、WBC是老年住院病人发生慢性便秘的独立风险因素(P<0.05)。结论慢性便秘在老年人中发病率较高,且与衰弱密切相关,需采取针对性的整体干预措施,改善老年人慢性便秘状况。
Objective To explore the correlation between chronic constipation and frailty in the elderly inpatients and to provide evidence for clinical intervention.Methods From January to May 2021,612 elderly inpatients hospitalized in Shaanxi Provincial People′s Hospital were selected as the research subjects.The cross-sectional survey was carried out by using the general information questionnaire,Roman IV Diagnostic Criteria for Constipation and the Frail Scale,and the relationship between chronic constipation and frailty was investigated.Results Among the 612 elderly inpatients,138 cases(22.5%)had chronic constipation,and 474 cases(77.5%)showed no chronic constipation;163 cases(26.6%)showed frailty,306 cases(50.0%)showed pre-frailty,143 cases(23.4%)showed no-frailty.Univariate analysis results showed that there were significant differences in types of long-term drugs,coronary heart disease,hyperlipidemia,digestive system diseases,renal insufficiency,limb dysfunction,degree of frailty,fecal color,fecal hardness,white blood cells(WBC),urea(UREA),creatinine(CR),inorganic phosphorus(P),homopaluminine(Hcy)between the chronic constipation group and non-chronic constipation group(P<0.05).Multivariate Logistic regression analysis showed that renal insufficiency,FRAIL score,limb dysfunction,fecal hardness and WBC were the independent risk factors for chronic constipation in the elderly inpatients(P<0.05).Conclusions The incidence of chronic constipation is high in the elderly,and is closely related to frailty.It is necessary to take targeted overall intervention measures to improve the condition of chronic constipation in the elderly.
作者
袁弯
张玉莲
姚莉珮
徐翠香
王娜娜
张慧瑛
马运苗
YUAN Wan;ZHANG Hui-ying;ZHANG Yu-lian;YAO Li-pe;MA Yun-miao;XU Cui-xiang;WANG Na-na(School of Medicine,Yan′an University,Yan′an 716000,China;Hospital Director Office,Shaanxi Provincial People′s Hospital,Xi′an 710068,China;Department of Nursing,Shaanxi Provincial People′s Hospital,Xi′an 710068,China;the Key Laboratory of Infection and Immune Disease,Shaanxi Provincial People′s Hospital,Xi′an 710068,China;Central Laboratory,Shaanxi Provincial People′s Hospital,Xi′an 710068,China)
出处
《实用老年医学》
CAS
2022年第5期463-467,共5页
Practical Geriatrics
基金
中华护理学会2020年度立项科研课题项目(ZHKY202022)。
关键词
慢性便秘
衰弱
老年人
chronic constipation
frailty
aged
