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老年慢性心力衰竭患者衰弱现状的相关影响因素及护理措施分析

Analysis of Related Influencing Factors and Nursing Measures in Senile Patients with Chronic Heart Failure

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目的:分析影响老年慢性心力衰竭(CHF)患者衰弱现状的相关因素,为临床采取相关护理措施提供指导.方法:回顾性分析2020年7月—2022年7月新余银河医院收治的82例老年CHF患者的临床资料.使用老年人衰弱评估量表评估82例老年CHF患者衰弱情况,分析衰弱现状,并整理患者临床资料,具体包括性别、年龄、心功能分级、睡眠质量、白蛋白等,对其进行单因素分析,并对有差异的因素进行logistic回归分析.结果:82例老年CHF患者中,39例患者伴有衰弱,衰弱发生率为47.56%(39/82).单因素分析显示,年龄、心功能分级、睡眠质量、白蛋白与老年CHF患者衰弱有关,差异有统计学意义(χ2=12.602、15.042、15.766、5.729,P<0.05).logistic回归分析结果显示,年龄>75岁(OR=5.273,95%CI=2.049~13.568)、心功能分级为Ⅲ级/Ⅳ级(OR=7.820,95%CI=2.568~23.817)、睡眠障碍(OR=6.576,95%CI=2.506~17.253)、白蛋白<34 g/L(OR=2.986,95%CI=1.205~7.403)是老年CHF患者衰弱的高危因素.结论:老年CHF患者衰弱发生率较高,年龄、心功能分级、睡眠质量、白蛋白是影响老年CHF患者衰弱的主要因素,临床需针对相关因素采取护理措施,以改善该群体衰弱状态,改善预后.
Objective:To analyze the related factors affecting the frailty status of elderly patients with chronic heart failure(CHF),and to provide guidance for clinical nursing measures.Methods:The clinical data of 82 elderly patients with CHF admitted to Xinyu Galaxy Hospital from July 2020 to July 2022 were retrospectively analyzed.The frailty assessment scale was used to evaluate the frailty of 82 elderly patients with CHF.The frailty status was analyzed.The clinical data of the patients were collected,including gender,age,cardiac function grade,sleep quality,albumin,etc.Univariate and multivariate analysis were used to analyze the factors related to frailty in elderly patients with CHF.Results:Among 82 elderly patients with CHF,39 patients were associated with frailty,and the frailty incidence was 47.56%(39/82).Age,cardiac function grade,sleep quality and albumin were associated with frailty in elderly CHF patients,and the differences were statistically significant(χ2=12.602,15.042,15.766,5.729;P<0.05).Logistic regression analysis showed that age>75 years old(OR=5.273,95%CI=2.049~13.568),with a cardiac function grading of Ⅲ/Ⅳ(OR=7.820,95%CI=2.568~23.817),sleep disorders(OR=6.576,95%CI=2.506~17.253),albumin<34g/L(OR=2.986,95%CI=1.205~7.403)were high-risk factors for frailty in elderly CHF patients.Conclusion:The incidence of frailty in elderly patients with CHF is high.Age,cardiac function grade,sleep quality and albumin are the main factors affecting frailty in elderly patients with CHF.Clinical nursing measures should be taken according to related factors to improve the frailty state of this group,and improve prognosis.

Chronic heart failureOld ageFrailtyInfluencing factorsNursing measures

李丹、简冬梅、吴海丽

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新余银河医院,江西 新余 338025

慢性心力衰竭 老年 衰弱 影响因素 护理措施

新余市科技计划项目

20203010915

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(15)