摘要
目的 分析疗休养老年人衰弱的影响因素,为老年人衰弱防治提供依据.方法 于2022年4月—2024年4月采用方便抽样法抽取在杭州市五云山医院疗休养的≥60岁老年人为研究对象,通过问卷调查收集人口学信息、慢性病患病和用药情况资料;采用FRAIL衰弱量表评估衰弱状况.采用多因素有序logistic回归模型分析疗休养老年人衰弱的影响因素.结果 发放问卷1 050份,回收有效问卷1 023份,问卷有效率为97.43%.调查男性793人,占77.52%;女性230人,占22.48%.60～＜70岁192人,占18.77%;70～＜80岁431人,占42.13%;≥80岁400人,占39.10%.大学学历718人,占70.19%.个人月收入为1万～＜2万元890人,占87.00%.共病且多重用药130人,占12.71%.有营养不良风险197人,占19.26%.衰弱前期202人,占19.75%;衰弱47人,占4.59%.多因素有序logistic回归分析结果显示,年龄≥80岁(OR=3.710,95%CI:2.340～5.883)、共病且多重用药(OR=12.730,95%CI:7.949～20.369)和有营养不良风险(OR=5.414,95%CI:3.691～7.933)与疗休养老年人较高的衰弱风险存在统计学关联.结论 年龄增长、共病与多重用药、营养不良与疗休养老年人衰弱风险增加有关.
Abstract
Objective To analyze the factors affecting frailty among convalescent elderly population,so as to provide the evidence for prevention and treatment of frailty.Methods The convalescent elderly population at ages of 60 years and older were selected from the Wuyunshan Hospital in Hangzhou City using the convenience sampling method from April 2022 to April 2024.Demographic information,chronic disease and medication were collected using questionnaire survey.Frailty was assessed using the FRAIL Scale.Factors affecting frailty among convalescent elderly population were analyzed using a multivariable ordinal logistic regression model.Results A total of 1 050 questionnaires were distribut-ed,and 1 023 valid questionnaires were collected,with a response rate of 97.43%.There were 793 males(77.52%)and 230 females(22.48%);192 respondents aged 60 to<70 years(18.77%),431 respondents aged 70 to<80 years(42.13%)and 400 respondents aged≥80 years(39.10%);718 respondents with university degree(70.19%);890 respon-dents with a monthly income of 10 000 yuan to<20 000 yuan(87.00%);130 respondents with comorbidity and poly-pharmacy(12.71%);and 197 respondents with the risk of malnutrition(19.26%).There were 202 cases with pre-frailty(19.75%)and 47 cases with frailty(4.59%).Multivariable ordinal logistic regression analysis showed that the convales-cent elderly population who were aged≥80 years(OR=3.710,95%CI:2.340-5.883),with comorbidity and polypharmacy(OR=12.370,95%CI:7.949-20.369)and with the risk of malnutrition(OR=5.414,95%CI:3.691-7.933)had higher risk of frailty.Conclusion The high risk of frailty among convalescent elderly population is associated with age,comorbidi-ty and polypharmacy,and malnutrition.
基金项目
浙江省医药卫生科技计划项目(2024KY1418)
维普
万方数据