首页|老年良性前列腺增生症患者衰弱现状及影响因素的调查研究

老年良性前列腺增生症患者衰弱现状及影响因素的调查研究

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目的 探讨老年良性前列腺增生症(benign prostatic hyperplasia,BPH)患者的衰弱情况,并对其影响因素进行分析,以期为此类患者的衰弱预防和干预提供有效指导。方法 于2023 年 2-12 月在山东大学齐鲁医院住院BPH且≥60 岁的患者中选取 241 例为调查对象。采用自行设计的一般资料信息调查表,通过衰弱指数量表(tilburg frailty indicator,TFI)、微营养评定量表-简表(short-form mini-nutritional assessment,MNA-SF)、蒙特利尔认知评估量表(Montreal cognitive assessment,MoCA)进行问卷调查,采用单因素分析、Pearson相关分析、二元logistic回归分析筛选老年BPH患者衰弱的影响因素。结果 在 241 例老年BPH患者中TFI总得分≥5 分的共有 146 例(60。6%),呈衰弱状态。单因素分析显示,年龄、饮酒、身体质量指数(body mass index,BMI)、个人月收入、慢性病种类、口服药种类数、MNA-SF、MoCA与老年BPH患者是否发生衰弱有关(P<0。05);老年BPH患者TFI总分与MNA-SF呈负相关(r=-0。147,P<0。05),与MOCA呈负相关(r=-0。241,P<0。01);经logistic二元回归分析结果显示,年龄、慢性病种类、MNA-SF、MOCA评分是老年BPH患者衰弱的主要影响因素(P<0。05)。结论 老年BPH患者衰弱发生率比较高,高龄、慢性病种类多、MNA-SF及MOCA评分低的老年BPH患者更容易发生衰弱,老年BPH患者衰弱的状态应该引起医护人员的重视,针对该人群应该及时采取有针对性的干预措施,从而达到预防及延缓老年BPH患者衰弱发生发展的目的。
Investigation and Research of Frailty Status and Influencing Factors in Elderly Patients With Benign Prostatic Hyperplasia
Objective To explore the status quo of debilitation in hospitalized elderly patients with benign prostatic hyperplasia(BPH),analyze its influencing factors,and provide a reference and basis for the prevention and intervention of debilitation in this population.Methods From February to December 2023,a total of 241 patients with BPH and over 60 years old who were hospitalized in Qilu Hospital of Shandong University were selected as the investigation objects.A self-designed general data information questionnaire was used to conduct a questionnaire survey by the tilburg frailty indicator(TFI),short-form mini-nutritional assessment(MNA-SF)and the Montreal cognitive assessment(MoCA).Univariate analysis,Pearson correlation analysis and binary logistic regression analysis were used to screen the influencing factors of frailty in elderly patients with BPH.Results Among 241 elderly patients with BPH,146 cases(60.6%)of them scored≥5 points on the total TFI scale,showing a frailty state.Univariate analysis showed that age,alcohol consumption,body mass index(BMI),personal monthly income,type of chronic disease,number of oral drugs,MNA-SF,MoCA were related to frailty in elderly patients with BPH(P<0.05).The total score of TFI in elderly patients with BPH was negatively correlated with NA-SF(r=-0.147,P<0.05),and it was negatively correlated with MOCA(r=-0.241,P<0.01).Logistic binary regression analysis showed that age,type of chronic disease,MNA-SF and MoCA were the main influencing factors of frailty in elderly patients with BPH(P<0.05).Conclusion The incidence of frailties in elderly patients with BPH is relatively high,and elderly BPH patients with advanced age,multiple types of chronic diseases,and low scores of MNA-SF and MOCA are more prone to frailties.The frailties of elderly patients with BPH should attract the attention of medical staff,and targeted intervention measures should be taken in time for this group.So as to achieve the purpose of preventing and delaying the development of frailty in eelderly patients with BPH.

hospitalizationelderlybenign prostatic hyperplasiafrailtyinfluencing factorsinvestigation and research

刘璐、栾晓嵘、于书卷、张温花

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山东大学齐鲁医院泌尿外科,山东 济南 250012

住院 老年 良性前列腺增生症 衰弱 影响因素 调查研究

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(16)