对老年住院患者患有间歇性肺部疾病的虚弱风险因素的分析
Yan Chen1,2, Xuemei Zhu2, Jing Wei1,2
1Department of Nursing, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
目的:
探究间质性肺疾病(ILD)老年患者衰弱状态及相关危险因素。
方法:
采用整群抽样方法,纳入2023年4月至2024年4月期间住院的242名老年间质性肺病患者。收集全面的临床资料,包括一般资料问卷、Fried衰弱表型(FFP)量表、呼吸困难量表、医院焦虑与抑郁量表、匹兹堡睡眠质量指数以及慢性病管理自我效能量表的信息。根据Fried标准,将受试者分为两组:衰弱组(FFP ≥ 3)和非衰弱组(FFP < 3)。
结果:
在患有间质性肺病的老年患者中,衰弱的发生率为38.02%。多变量分析显示,年龄(OR = 1.064)、多重用药(OR = 2.479)、睡眠质量差(OR = 5.687)和呼吸困难(OR = 10.316)是衰弱的独立危险因素(P < 0.05)。
结论:
中国台湾地区老年ILD患者的衰弱状况与年龄、多重用药、睡眠质量差及呼吸困难显著相关。医护人员尤其是护理人员应密切监测该人群的衰弱指标,并及时实施有针对性的干预措施,以减缓衰弱的发生与发展。
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