老年病人6分钟步行距离影响因素分析

doi:10.3969/j.issn.1003-9198.2022.03.028

摘要/Abstract

摘要： 目的探讨影响老年病人6分钟步行距离(6MWD)的相关因素。方法选取2017年6月至2018年6月南京医科大学第一附属医院老年科病人共123例,收集病人的临床资料,对影响6MWD的相关因素进行分析。结果按照病人的6MWD进行分组,各组间年龄、跌倒风险、跌倒效能、自理能力、营养状况、衰弱状况、抑郁状况、血浆白蛋白水平差异有统计学意义(P＜0.05)。多元线性回归分析结果显示:年龄(B=-0.098,P＜0.01)、跌倒风险(B=-0.262,P=0.004)、跌倒效能(B=0.011,P=0.009)、自理能力(B=0.021, P＜0.01)、营养(B=-0.405, P=0.009)、衰弱(B=-0.653, P=0.001)、血浆白蛋白水平(B=0.127, P＜0.01)为老年病人6MWD的影响因素。结论老年病人6MWD受年龄、自理能力、跌倒风险、营养、衰弱、抑郁负性情绪因素的影响,需要重视相关因素的影响,及早采取干预措施。

关键词: 老年人, 6分钟步行距离, 影响因素

Abstract: Objective To investigate the influencing factors of 6-minute walk distance (6MWD) in the elderly patients. Methods A total of 123 patients in the Department of Geriatric Cardiology of Jiangsu Province Hospital from June 2017 to June 2018 were enrolled in the study, and the clinical data were collected. The influencing factors of 6MWD were analyzed. Results Age, fall risk, fall efficiency, self-care ability, nutritional status, weakness, depression conditions, plasma level of albumin showed statistical difference among the patients with different 6MWD (P<0.05). Multiple linear regression analysis showed that age(B=-0.098,P＜0.01), fall risk(B=-0.262,P=0.004), fall efficiency(B=0.011,P=0.009), self-care ability(B=-0.021, P＜0.01), nutrition(B=-0.405, P=0.009), weakness(B=-0.653, P=0.001)and plasma level of albumin(B=0.127, P＜0.01)were the independent influencing factors of 6MWD in the elderly patients. Conclusions The level of 6MWD in the elderly patients is affected by age, self-care ability, fall risk, nutrition, weakness, depression and negative emotional factors. It is necessary to take early intervention.

Key words: aged, six-minute walk distance, influencing factors

中图分类号:

R 592

朱姣, 夏丽莉, 刘滢, 江恒. 老年病人6分钟步行距离影响因素分析[J]. 实用老年医学, 2022, 36(3): 318-321.

ZHU Jiao, XIA Li-li, LIU Ying, JIANG Heng. Analysis of the influencing factors of 6 min walking distance in elderly patients[J]. Practical Geriatrics, 2022, 36(3): 318-321.

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