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老年高血压合并糖尿病患者衰弱及其影响因素分析
作者:张颖  杨凯扬  李慧  苏一娟  林莉 
单位:海南医学院第二附属医院 老年医学科, 海南 海口 570000
关键词:老年 高血压 糖尿病 衰弱 躯体功能 
分类号:R592
出版年·卷·期(页码):2024·52·第五期(708-716)
摘要:

目的:调查住院老年高血压合并糖尿病患者衰弱现状并分析其影响因素。方法:选取海南省某三甲医院≥65岁的高血压合并糖尿病患者306例为研究对象,采用一般情况调查表收集一般资料,采用Fried衰弱量表评估患者衰弱情况,采用简易智力状态检查量表(MMSE)、基本日常生活能力(BADL)、工具性日常生活能力(IADL)、简易躯体功能评定(SPPB)、焦虑自评量表(SAS)、抑郁评定量表简表(GDS-15) 等问卷评估患者智力状态、日常生活能力、焦虑、抑郁等情况。单因素分析采用χ2检验和Mann-Whitney U检验,多因素分析采用Logistic回归分析衰弱的影响因素。 结果:老年高血压合并糖尿病患者衰弱的发生率为43.1%。多因素回归分析结果显示,年龄75~84岁(OR=2.5,95% CI 1.397~4.475)及≥85岁(OR=4.439,95% CI 2.020~9.754)、很差的躯体功能(OR=2.997,95% CI 1.523~5.898)、抑郁(OR=2.248,95%CI 1.273~3.970)、基本日常生活重度失能(OR=6.666,95% CI 2.402~18.498)以及工具性日常生活重度依赖(OR=4.354,95% CI 1.892~10.019)均是住院老年高血压合并糖尿病患者衰弱发生的危险因素(P<0.05)。结论:老年高血压合并糖尿病患者衰弱发生较为常见,医护人员应高度重视对该人群衰弱的评估,及时采取针对性的整体干预措施,预防或减缓老年高血压合并糖尿病患者衰弱的发生发展。

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