Analysis of pre-frailty status and influencing factors in elderly patients with type 2 diabetes mellitus
Objective To investigate and analyze the pre-frailty status and its influencing factors of elderly patients with type 2 diabetes mellitus(T2DM)in a tertiary hospital,and to provide a theoretical basis for formulating accurate nursing intervention programs to reduce the incidence of the disease.Methods A total of 170 elderly patients with T2DM admitted in the geriatric endocrinology department of a tertiary hospital from January 2018 to December 2021 were selected as the research objects.The patients were divided into non-frailty group,pre-frailty group and frailty group by Fried frailty phenotype definition scale.The patients who had developed to frailty were excluded,and the patients without frailty and pre-frailty were retained.The data of patients in the non-frailty group and the pre-frailty group were collected to explore the influencing factors of pre-frailty in elderly patients with T2DM.Results Among the 170 elderly patients with T2DM,40 patients who had developed to frailty were excluded,the remaining 58 patients were non-frailty,and 72 patients were pre-frailty.There were statistically significant differences in gender,marital status,T2DM course,combined with other diseases and Geriatric Depression Scale-15(GDS-15),Pittsburgh Sleep Quality Index(PSQI),Geriatric Locomotive Function Scale(GLFS)scores between the non-frailty group and the pre-frailty group(P<0.05).Gender,marital status,T2DM course,GDS-15 and GLFS scores were the influencing factors of pre-frailty in elderly patients with T2DM(P<0.05).Conclusion The incidence of pre-frailty in elderly patients with T2DM is high.Medical staff should pay special attention to women,divorced/widowed,patients with long course of T2DM,depression and dyskinesia syndrome,and formulate precise nursing intervention programs for this population are developed to delay its development to pre-frailty.