跌倒恐惧与老年终末期肾脏病患者负性情绪、衰弱的关系
The relationship between fear of falling and negative emotions and debilitation in elderly patients with end-stage renal disease
贾英杰 1张丽 1曹钰 1孙晓芳 1毛慧 1吕彦辉 1张秀娟 1赵倩1
作者信息
摘要
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.
Abstract
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.
关键词
跌倒恐惧/老年/终末期肾脏病/负性情绪/衰弱Key words
Fear of falling/Aging/End-stage renal disease/Negative emotions/Debilitation引用本文复制引用
基金项目
承德市科学技术与发展计划项目(202002A011)
出版年
2024
NETL
NSTL
万方数据