首页|跌倒恐惧与老年终末期肾脏病患者负性情绪、衰弱的关系

跌倒恐惧与老年终末期肾脏病患者负性情绪、衰弱的关系

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目的 探讨跌倒恐惧与老年终末期肾脏病患者负性情绪、衰弱的关系.方法 本研究纳入2020年1月~2021年12月84例老年终末期肾脏病患者,采用国际版跌倒效能量表(FES-I)进行跌倒恐惧心理评价,根据评价结果设为恐惧组与无恐惧组.比较两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)、Tilburg衰弱量表(TFI),分析FES-I评分与SAS评分、SDS评分、TFI评分的相关性.结果 84例老年终末期肾脏病患者FES-I评分(23.38±4.92)分,其中恐惧组34例,无恐惧组50例;恐惧组SAS评分、SDS评分显著高于无恐惧组(P<0.05);恐惧组TFI量表躯体、心理、社会评分以及总分均显著低于无恐惧组(P<0.05);恐惧组患者FES-I评分与SAS评分、SDS评分呈负相关,与TFI评分呈正相关(P<0.05).结论 老年终末期肾脏病患者跌倒恐惧心理较为常见,并且跌倒恐惧心理与患者负性情绪以及衰弱有明显联系.
The relationship between fear of falling and negative emotions and debilitation in elderly patients with end-stage renal disease
Objective To explore the relationship between fear of falling and negative emotions and debilitation in elderly patients with end-stage renal disease.Methods Eighty-four elderly patients with end-stage renal disease from January 2020 to December 2021 were included in this study.The international version of the Falls Efficacy Scale(FES-I)was used for psychological evaluation of fear of falling.There was a fear group and a no-fear group accord-ing to the evaluation results.The anxiety self-assessment scale(SAS),depression self-assessment scale(SDS),and Tilburg Frailty Inventory(TFI)were compared between the two groups.The correlation between FES-I scores and SAS scores,SDS scores,and TFI scores was analyzed.Results Eighty-four elderly patients with end-stage renal disease had FES-I scores(23.38±4.92),including 34 cases in the fear group and 50 cases in the no-fear group.SAS scores and SDS scores were significantly higher in the fear group than in the no-fear group(P<0.05).The TFI scale somatic,psychological and social scores as well as the total score were significantly lower in the fear group than in the no-fear group(P<0.05).FES-I scores were negatively correlated with SAS scores and SDS scores and positively correlated with TFI scores in the fear group(P<0.05).Conclusion Fear of falling is more common in elderly patients with end-stage renal disease,and fear of falling is significantly associated with negative emotions and debilitation in patients.

Fear of fallingAgingEnd-stage renal diseaseNegative emotionsDebilitation

贾英杰、张丽、曹钰、孙晓芳、毛慧、吕彦辉、张秀娟、赵倩

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承德市中心医院(承德,067000)

跌倒恐惧 老年 终末期肾脏病 负性情绪 衰弱

承德市科学技术与发展计划项目

202002A011

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(1)
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