摘要
目的调查急诊老年患者的衰弱现况,并分析其影响因素。方法采用连续抽样方法,选取2021年11月—2022年2月上海市某三级甲等医院急诊科就诊的254例老年留观患者为研究对象,根据是否发生衰弱分为衰弱组与非衰弱组。采用一般资料调查表、中国老年衰弱筛查量表进行问卷调查和数据收集。结果急诊老年患者共72例(28.3%)发生衰弱。不同年龄、健康状况、呼吸功能、多重用药、多重共患病、血红蛋白、BMI、过去1年住院次数的患者衰弱得分比较,差异具有统计学意义(P<0.05)。Logistic回归显示,BMI≥24(OR=0.422)是急诊老年患者衰弱的保护因素,健康状况差(OR=8.951)、多重共患病(OR=3.983)、血红蛋白异常(OR=2.083)是急诊老年患者衰弱的危险因素(均P<0.05)。结论急诊老年患者衰弱发生率较高,须建立和完善适用于急诊老年住院患者的衰弱评估及干预机制。
Objective To investigate the status of frailty in emergency elderly patients and analyze the influencing factors.Methods Using the continuous sampling method,we selected 254 elderly patients hospitalized in the emergency department of a tertiary class A hospital in Shanghai from November 2021 to February 2022 as the research subjects,and divided them into frailty group and non-frailty group.The general data questionnaire and Chinese Geriatric Frailty Screening Scale were used for survey and data collection.Results Frailty occurred in 72 emergency elderly inpatients(28.3%).The scores of frailty were significantly different among patients at different ages,with different health status,respiratory function,multiple medication,multiple comorbidity,hemoglobin,BMI,hospitalization in the past year(P<0.05).Logistic regression showed that BMI≥24(OR=0.422)was a protective factor for frailty in elderly emergency patients,poor health(OR=8.951),multiple comorbidities(OR=3.983),and low hemoglobin(OR=2.083)were risk factors for frailty(all P<0.05).Conclusion The incidence of elderly frailty is high,and it is necessary to establish and improve frailty assessment and intervention mechanism for elderly inpatients in emergency department.
作者
王秦怡
管灵芝
钱颖
杨漂羽
WANG Qinyi;GUAN Lingzhi;QIAN Ying;YANG Piaoyu
出处
《中华急危重症护理杂志》
CSCD
2023年第4期359-363,共5页
Chinese Journal of Emergency and Critical Care Nursing
基金
高水平地方高校建设一流临床医学学科临床医学交叉研究院项目(2021FNDGJ17)。
关键词
老年人
衰弱
急诊室
医院
因素分析
统计学
Aged
Frailty
Emergency Service,Hospital
Factor Analysis,Statistical
