评估心力衰竭的老年住院患者的身体虚弱:一个查建议
Nadia Mayoral-Testón1, Elena Vázquez-Jarén1, Inmaculada Fernandez-Morillo1
1Health Area Research Unit Don Benito-Villanueva, Extremadura Health Service, Fundesalud, Biosanitary University Institute of Extremadura (INUBE). Programa FREE (Frailty Evaluation in the Elderly) C/ Sierra Nevada 10- CP 06700 Villanueva de la Serena-Badajoz Spain.
Geriatric nursing (New York, N.Y.)
|July 8, 2025
概括
身体虚弱在接受住院治疗的老年心力衰竭患者中非常普遍. 在这个人群中,FRAIL尺度有效地识别了这种脆弱性和相关的跌倒风险.
科学领域:
- 老年病的医生 老年病的医生
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 心力衰竭通常影响老年人,增加他们的脆弱性.
- 身体虚弱是老年人群的一个重大问题,影响健康结果.
- 评估住院患者的脆弱性对于有针对性的干预至关重要.
研究的目的:
- 为了确定65岁以上心力衰竭住院患者身体虚弱的患病率.
- 评估FRAIL尺度作为这个人口中的脆弱查工具的实用性.
- 评估这个患者群体的脆弱性和跌倒风险之间的关联.
主要方法:
- 在一年内进行了一项观察性,横截面研究.
- 包括253名65岁及以上的心力衰竭患者.
- 使用Fried Phenotype,FRAIL和SPPB尺度进行了社会人口统计,临床数据和脆弱性评估.
主要成果:
- 在所有尺度上都观察到脆弱的高患病率: Fried Phenotype (83.3%),FRAIL尺度 (76.1%) 和SPPB尺度 (95.9%).
- 虚弱与跌倒风险增加密切相关.
- 该研究发现,老年人心力衰竭,虚弱和跌倒风险之间存在显著的重叠.
结论:
- 身体虚弱和相关的跌倒风险在住院的老年心力衰竭患者中非常普遍.
- FRAIL尺度表现出强大的实用性,作为查工具,用于识别这一群体的脆弱性.
- 早期识别和治疗脆弱性对于改善老年心力衰竭患者的治疗结果至关重要.
相关概念视频
01:30Heart Failure VII: Nursing Interventions
145
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
145
01:22Heart Failure VI: Adjunct Therapies
36
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
36
01:30Heart Failure IV: Classification and Diagnostic Evaluation
38
Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
38
01:23Assessment of the Cardiovascular System I: Subjective Data
472
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
472
01:26Heart Failure III: Clinical Manifestations
52
Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
52
01:29Cardiomyopathy VI: Nursing Management
47
Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
47