首页|老年住院患者衰弱与生活方式的相关性研究

老年住院患者衰弱与生活方式的相关性研究

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目的 调查老年住院患者衰弱和认知现状,探讨生活方式与其相关性.方法 质性研究和量性研究相结合,采用目的抽样法选取2022年1~10月住院的230名老年患者,收集其一般资料、生活方式和衰弱情况,使用半结构式访谈法对11名患者进行访谈,量性研究采用SPSS 26.0进行统计学分析,质性研究采用Colaizzi 7步分析法对访谈资料进行分析、归纳并提炼主题.结果 量性研究结果显示住院老年患者衰弱总得分为(43.950±8.007)分,其中生理衰弱(5.750±1.974)分,心理衰弱(20.130±4.348)分,社会衰弱(7.520±1.084)分,环境衰弱(10.550±4.444)分.多元线性回归分析显示,年龄、刷牙方式、每天睡眠6~8个小时、自我感觉生活有意义、定时定量饮食、每月自我检查、与亲人朋友沟通是住院老年患者衰弱的影响因素(β=0.247、-3.390、-2.429、-1.921、-2.992、-2.056、-2.380,P<0.05)..质性研究显示:衰弱现状严峻;衰弱认知缺乏.结论 生活方式作为影响住院老年患者衰弱可改变的因素之一,应该引起医院和家属高度重视,并给予干预,以延缓衰弱的发展.
Correlation between frailty and lifestyle in elderly hospitalized patients
Objective To investigate the frailty and cognitive status of elderly hospitalized patients,and to explore the correlation between the twos and lifestyle.Methods It was a qualitative & quantitative study involving 230 elderly hospitalized patients from January to October 2022 selected by purposive sampling method.Their general information,lifestyle and status of frailty were collected,and 11 patients were interviewed by semi-structured interview method.The quantitative study was statistically analyzed by SPSS 26.0,and the qualitative study was analyzed by Colaizzi's 7-step analysis method to summarize and refine the theme.Results The quantitative research results showed that the total score of frailty of hospitalized elderly patients was(43.950±8.007)points,including the scores of physiological frailty,psychological frailty,social frailty and environmental frailty were(5.750±1.974)points,(20.130±4.348)points,(7.520±1.084)points and(10.550±4.444)points,respectively.Multiple linear regression analysis showed that age,brushing method,sleeping 6 to 8 hours a day,feeling meaningful in life,regular and quantitative diet,monthly self-examination,and communicating with relatives and friends were the influencing factors of frailty in hospitalized elderly patients(β values were 0.247,-3.390,-2.429,-1.921,-2.992,-2.056,and-2.380,respectively).Qualitative research obtained two themes of severe current statue of frailty and lack of frailty cognition in elderly hospitalized patients.Conclusion As one of the factors affecting the frailty of hospitalized elderly patients,lifestyle should be highly valued by hospitals and family members,and intervention should be given to delay the development of frailty.

olderhospitalized patientsdebilitatinglifestylequalitative researchqualitative research

袁素亚、张海娇、赵丽华、田素斋、杨莉

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056000 河北省邯郸市第一医院护理部

河北省邯郸市中心医院急诊科

河北医科大学第二医院养老办公室

老年人 住院患者 衰弱 生活方式 量性研究 质性研究

河北省医学科学研究课题计划邯郸市科学技术研究与发展计划

202319451823208092ZC

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(13)
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