社区老年人衰弱与动态平衡能力受损的相关性研究-现代医学

社区老年人衰弱与动态平衡能力受损的相关性研究

单位：1. 贵州医科大学护理学院, 贵州贵阳 550025;
2. 贵州医科大学附属医院护理部, 贵州贵阳 550004

分类号：R741

出版年·卷·期（页码）：2023·51·第九期（1251-1256）

摘要：

目的：探讨社区老年人衰弱与动态平衡能力的现状并分析其相关性。方法：2022年3月至6月，采用便利抽样法对贵阳市466例社区老年人进行调查。通过一般资料调查表、Fried衰弱表型评估工具、计时起立行走测试收集相关数据，以动态平衡能力是否受损为因变量，单因素分析中有统计学意义的变量为自变量，进行二元Logistic回归分析社区老年人衰弱与动态平衡能力受损的关系。结果：本研究共调查了466名社区老年人，其中衰弱及衰弱前期发生率分别为4.9%和69.3%；不同年龄、教育水平、婚姻状况、衰弱分期的老年人在动态平衡能力中的差异均有统计学意义(均P＜0.05)；Logistic回归分析显示，社区老年人衰弱是动态平衡能力受损的危险因素(OR=3.055，95%CI 1.700~5.490,P<0.001)。结论：衰弱是老年人动态平衡能力受损的危险因素，通过早期识别老年人的衰弱状态并采取相应干预措施，有助于减缓老年人动态平衡能力受损，从而有效改善老年人的生活质量，促进健康老龄化。

Objective: To investigate the status of frailty and dynamic balance among elderly people in the community and to analyze their relevance.Methods: Convenience sampling was used to survey 466 community elders in Guiyang from March to June 2022. The general information questionnaire, the Fried frailty phenotype assessment tool, and the timed up and go test were used for evaluation. Binary Logistic regression analysis was performed to analyze the relationship between frailty and impaired dynamic balance with the dynamic balance ability as the dependent variable and the statistically significant variables as the independent variables in the univariate analysis. Results: A total of 466 community elders were surveyed. The prevalence of frailty and pre-frailty was 4.9% and 69.3%, respectively. There were significant differences in dynamic balance ability among the elderly with different ages, education levels, marital status and frailty stages(P<0.05). Logistic regression analysis showed that frailty was significantly associated with impaired dynamic balance(OR=3.055,95%CI 1.700-5.490, P<0.001).Conclusion: Frailty is a risk factor for impaired dynamic balance in the elderly. Early identification of frailty and corresponding interventions can help to slow down impaired dynamic balance in the elderly, effectively improve the quality of life of the elderly and promote healthy aging.

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