老年糖尿病患者衰弱现状及影响因素研究

doi:10.3761/j.issn.0254-1769.2019.02.005

摘要/Abstract

摘要：

目的调查老年糖尿病患者衰弱的发生状况并分析其影响因素,为临床护理干预提供理论依据。方法采用便利抽样法,选取郑州市某三级甲等医院300例老年糖尿病患者为研究对象,采用一般资料调查表、Tilburg衰弱量表、糖尿病自我管理行为量表进行调查。结果共回收296份有效问卷。研究对象中共有137例发生衰弱,衰弱发生率为46.3%,衰弱总分为（5.26±2.87）分,其中躯体衰弱（2.79±2.08）分,心理衰弱（1.40±0.94）分,社会衰弱（1.07±0.75）分。多元线性回归分析结果显示,合并多病、自我管理行为、糖化血红蛋白水平、文化程度、多重用药、吸烟是老年糖尿病患者衰弱程度的影响因素（P<0.05）。结论老年糖尿病患者衰弱发生率较高,且包含一定程度的躯体、心理和社会衰弱;医护人员应高度重视对该人群衰弱的评估,及时采取针对性的整体干预措施,预防或减缓老年糖尿病患者衰弱的发生发展。

关键词: 糖尿病, 衰弱, 老年人, 影响因素分析, 横断面研究

Abstract:

Objective To investigate the current situation of frailty and its influencing factors in elderly patients with diabetes so as to provide theoretical basis for clinical nursing intervention. Methods Totally 300 elderly patients with diabetes were selected from a tertiary hospital in Zhengzhou via convenience sampling method,and were investigated by self-designed general information questionnaire,TFI （Tilburg Frailty Indicator） and SDSCA（Scale of Diabetes Self-care Activities）. Results Totally 296 valid questionnaires were collected. A total of 137 elderly patients with diabetes suffered from frailty and the prevalence was 46.3%. The mean score of total frailty was（5.26±2.87）,and the scores for each dimension were as follows：physical frailty（2.79±2.08）,psychological frailty（1.40±0.94）and social frailty（1.07±0.75）. Multiple linear regression showed that comorbidity,self-management behavior,glycosylated hemoglobin,educational degree,polypharmacy and smoking were the major influential factors（P<0.05）. Conclusion The prevalence of frailty in elderly patients with diabetes was at a high level,containing different degrees of physical,psychological and social frailty. Medical staff should attach great importance to the assessment of frailty among elderly patients with diabetes,take targeted and holistic interventions timely to prevent or delay the development of frailty.

Key words: Diabetes Mellitus, Frailty, Aged, Root Cause Analysis, Cross-Sectional Studies

贾文文,赵慧楠,戴付敏,张红梅,王丽君,陈瑞云. 老年糖尿病患者衰弱现状及影响因素研究[J]. 中华护理杂志, 2019, 54(2): 188-193.

JIA Wenwen,ZHAO Huinan,DAI Fumin,ZHANG Hongmei,WANG Lijun,CHEN Ruiyun. The current situation and influential factors of frailty in elderly patients with diabetes[J]. Chinese Journal of Nursing, 2019, 54(2): 188-193.

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参考文献 31

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