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炎症性肠病患者衰弱现状及影响因素分析

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目的 分析炎症性肠病患者的衰弱状况及其相关影响因素.方法 采用便利抽样方法,选取2022年12月至2024年2月在郑州大学第一附属医院消化内科就诊的324例炎症性肠病患者作为研究对象.使用一般资料调查表、衰弱表型量表、患者主观整体评估(PG-SGA)以及医院焦虑/抑郁量表对患者进行评估.结果 324例炎症性肠病患者中204例(62.96%)患者表现出衰弱.年龄、白蛋白、PG-SGA评分以及抑郁状况为衰弱的主要影响因素(P<0.05).结论 炎症性肠病患者中衰弱的发生率较高.临床医护人员应当关注高龄患者、接受积极治疗的患者、PG-SGA评分≥4分以及存在抑郁症状的高风险群体,应制定和实施针对性的干预措施,以预防或改善患者的衰弱状况.
Status Quo and Influencing Factors of Frailty in Patients with Inflammatory Bowel Disease
Objective To analyze the frailty status of patients with inflammatory bowel disease and its related influencing factors.Methods A convenience sampling method was used to select 324 hospitalized patients with inflammatory bowel disease who visited the Department of Gastroenterology,the First Affiliated Hospital of Zhengzhou University from December 2022 to February 2024 as the research subjects.Patients were assessed using the general profile questionnaire,frailty phenotype scale,patient-generated subjective global assessment(PG-SGA),and hospital anxiety/depression scale.Results Among 324 patients with inflammatory bowel disease in neurosurgery,204 cases(62.96%)showed weakness.Age,albumin,PG-SGA score,and depression status were the main influencing factors of frailty(P<0.05).Conclusion The incidence of frailty is higher in patients with inflammatory bowel disease.Clinical medical staff should pay attention to elderly patients,patients receiving active treatment,high-risk groups with PG-SGA scores≥4 and depressive symptoms,and should develop and implement targeted intervention measures to prevent or improve patients'frailty.

frailty screeninginflammatory bowel diseasefrailty assessmentanxiety/depression

胡淑敏、龚丽、孙克、吴晶晶、张艳艳

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郑州大学第一附属医院,河南郑州 450000

商丘市第一人民医院耳鼻喉肿瘤科,河南商丘 476005

衰弱筛查 炎症性肠病 衰弱评估 焦虑/抑郁

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(23)