| 摘要: |
| 目的调查门诊老年患者衰弱发生现状，并探讨其影响因素。方法采集329例老年科门诊患者的一般情况资料，采用临床衰弱量表（CFS-09）评估患者衰弱情况，根据CFS-09评分分组：衰弱组（CFS-09≥5分）和无衰弱组（CFS-09＜5分），所有纳入患者行老年综合评估，并对结果进行比较。结果与无衰弱组相比，衰弱组的老年人在年龄、医保形式、婚姻状况、共病、多重用药、认知功能、日常生活能力、跌倒风险、营养不良、抑郁症状、睡眠质量比较差异均有统计学意义（均P＜0.05）。logistic回归分析显示，年龄越大、日常生活能力缺陷、跌倒高风险、营养不良、抑郁症状、睡眠质量差是衰弱的危险因素（OR=1.165、5.681、4.525、11.785、3.073、2.255，P＜0.05或0.01）。结论衰弱受多种老年综合征影响，建议对门诊老年患者尽早进行老年综合评估，及时有效干预，最大程度改善老年人生活质量。 |
| 关键词: 老年综合评估 衰弱 门诊老年患者 |
| DOI：10.12056/j.issn.1006-2785.2018.40.10.2017-2092 |
| 分类号: |
| 基金项目:卫生部科学研究基金-浙江省医药卫生重大科技计划项目（WKJ2013-3-001）；浙江省医学重点创新学科（老年逆龄医学）资助（2015001）；浙江省科技厅项目（2014C33241） |
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| Survey on asthenia status in elderly outpatients and related factors |
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Zhejiang Hospital
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| Abstract: |
| Objective To survey asthenia status among elderly outpatients and to analyze its related factors. Methods A cross-sectional study on asthenia was conducted among 329 outpatients aged ≧ 65 years from geriatric clinic of Zhejiang Hospital. The general information of patients was collected. The asthenia status was assessed with Clinical Frailty Scale (CFS-09), and the CFS-09 score≥5 was classified as asthenia. The patients were also evaluated with Comprehensive Geriatric Assessment (CGA) and the factors related to frailty were analyzed by SPSS 19.0. Results As compared with no-frailty group (CFS-09＜5), patients with frailty had increasing age, having comorbidities and polypharmacy, activities of daily living (ADL) ≤95, Geriatric Depression Scale (GDS-15)≥6, Mini Nutritional Assessment Short Form (MNA-SF) ≤7, Pittsburgh Sleep Quality Index (PSQI) ＞ 7, Morse Fall Risk Scale (MORSE) ＞45. (all P ＜0.05). Logistic regression analysis revealed that increasing age, ADL≤95, MORSE ＞45, MNA-SF ≤7, GDS-15≥6 and PSQI＞7 were independent risk factors of frailty (OR=1.165, 5.681, 4.525, 11.785, 3.073, 2.255, P＜0.05 or 0.01). Conclusion The frailty of elders in outpatient is influenced by many factors and multifaceted inter- disciplinary intervention should be taken. |
| Key words: Comprehensive geriatric assessment( CGA) Frailty Elderly outpatient |
