老年病人入院前日常生活活动能力下降现状及相关因素探讨

doi:10.3969/j.issn.1003-9198.2023.01.008

实用老年医学 ›› 2023, Vol. 37 ›› Issue (1): 31-34.doi: 10.3969/j.issn.1003-9198.2023.01.008

老年病人入院前日常生活活动能力下降现状及相关因素探讨

江杨洋, 侯利莎, 曹立

610041 四川省成都市,四川大学华西护理学院/四川大学华西医院老年医学中心

收稿日期:2022-02-15 出版日期:2023-01-20 发布日期:2023-01-18
通讯作者: 曹立,Email:caoli@wchscu.cn
基金资助:
四川省科技厅重点研发项目(2017FZ0096)

Epidemiological characteristics and risk factors of activities of daily living decline before admission in elderly patients

JIANG Yang-yang, HOU Li-sha, CAO Li

West China School of Nursing, Sichuan University/Department of Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China

Received:2022-02-15 Online:2023-01-20 Published:2023-01-18
Contact: CAO Li, Email: caoli@wchscu.cn

摘要/Abstract

摘要： 目的探讨老年病人入院前日常生活活动能力(ADL)下降的现状及相关因素,为维持老年人功能、提高生活质量提供依据。方法对2017年1月12日至2018年2月28日入住四川大学华西医院老年医学中心≥65岁住院病人进行调查,收集其一般资料,采用FRAIL量表和Barthel指数评定量表评估衰弱状态与ADL。通过Logistic回归分析入院前ADL下降的相关因素。结果 849例(45.8%)老年病人入院前ADL出现下降,其中主要下降的活动能力为:上下楼梯、转移、行走与洗澡。Logistic回归分析显示:高龄、病前衰弱、存在急性健康问题、诊断数目、基线ADL轻度下降是入院前ADL下降的独立危险因素。结论在老年人长期照护中管理衰弱、减少或控制疾病的发生或发展、维持功能状态对延缓ADL进一步下降具有非常重要的临床意义。

关键词: 老年人, 日常生活活动能力, 住院, 衰弱

Abstract: Objective To explore the epidemiological characteristics and risk factors of activities of daily living(ADL) decline before admission in the elderly patients in order to provide reference for the improvement of life quality and function. Methods A cross-sectional study was conducted in the elderly patients aged ≥ 65 years from January 12, 2017 to February 28, 2018 from West China Hospital of Sichuan University. Demographic information and number of diagnosis were collected. The FRAIL scale and Barthel index rating scale were used to evaluate frailty status and ADL respectively. Multivariate Logistic regression analysis was used to analyze the risk factors of ADL decline during 2 weeks before admission. Results Among 1855 subjects, 849(45.8%) presented with ADL decline before admission. The main decreased activities were as follows: going up and down stairs, transferring, walking and bathing. Multivariate Logistic regression analysis showed that age, frailty,acute health problems,number of diagnosis and mild impairment of activity at baseline were the independent risk factors for the loss of ADL before admission. Conclusions It is of great clinical significance to manage weakness, to reduce or control the occurrence or progression of diseases, and to maintain activity ability for alleviating the further decline of ADL in long-term care for older people.

Key words: aged, ability of daily living, hospitalization, frailty

中图分类号:

R 592

江杨洋, 侯利莎, 曹立. 老年病人入院前日常生活活动能力下降现状及相关因素探讨[J]. 实用老年医学, 2023, 37(1): 31-34.

JIANG Yang-yang, HOU Li-sha, CAO Li. Epidemiological characteristics and risk factors of activities of daily living decline before admission in elderly patients[J]. Practical Geriatrics, 2023, 37(1): 31-34.

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老年病人入院前日常生活活动能力下降现状及相关因素探讨

Epidemiological characteristics and risk factors of activities of daily living decline before admission in elderly patients

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