摘要
目的 探讨老年住院患者自我护理能力对老年衰弱综合征的影响.方法 采用便利取样法抽取老年住院患者102例进行横断面调查,利用衰弱表型进行衰弱评估并发放社会人口学特征量表和自我护理能力量表.结果 102例患者中衰弱综合征的患病率为31.4%（32/102）.自我护理能力得分为（104.38±20.20）分.单因素分析显示不同年龄、家庭收入、职业、患病数目、服药数目和健康自评老年人衰弱综合征患病率差异具有统计学意义（P〈0.05）.与非衰弱综合征组患者相比,衰弱综合征组患者的自我护理能力特别是自我概念显著下降,差异有统计学意义（P〈0.05）.Logistic回归分析结果显示,自我护理技能（OR=0.775,95%CI：0.641~0.937）、自我概念（OR=0.585,95%CI：0.424~0.807）是老年衰弱综合征的保护因素.结论 自我护理技能、自我概念越差,老年人越易患衰弱综合征.通过积极提高老年人的自我护理能力水平有助于预防或改善衰弱综合征.
Objective To explore the effect of self-care agency on frailty syndrome in hospitalized elderly patients.Methods A total of 102 hospitalized elderly patients were recruited by convenience sampling method and investigated by cross-sectional survey. The prevalence of frailty was evaluated by frailty phenotype, and socio-demographic characteristics scale and exercise of self-care agency scale were used to evaluated these patients.Results The prevalence of frailty syndrome were 31.4%（32/102）. The total score of self-care agency scale was （104.38±20.20）. Univariate analysis showed that the prevalence of frailty syndrome in elderly was statistically different in the age, household income, career, the number of chronic disease, the use of medication and self-assessment of health （P〈0.05）. Compared with no-frailty elderly, the self-care agency, especially self-worth of frailty syndrome patients reduced significantly（P〈0.05）. Multiple Logistic regression indicated that self-care skills （OR=0.775, 95%CI： 0.641-0.937） and self-worth （OR=0.585,95%CI： 0.424-0.807） were significant protective factors of frailty syndrome.Conclusions The poorer self-care skills and self-worth of the elderly, the higher prevalence of frailty syndrome. Raising the level of self-care agency actively can help to prevent or improve frailty syndrome.
作者
孙凯旋
刘永兵
薛谨
侯萍
吴琳凤
薛玲玲
薛慧萍
史宏灿
Sun Kaixuan Liu Yongbing Xue Jin Hou Ping Wu Linfeng Xue Lingling Xue Huiping Shi Hongcan(Nursing College of Yangzhou University, Yangzhou 225001, China Medical College of Yangzhou University, Yangzhou 225001, China)
出处
《中华现代护理杂志》
2017年第20期2588-2592,共5页
Chinese Journal of Modern Nursing
基金
2015年度扬州市重点研发计划（社会发展）项目（YZ2015054）
扬州大学2014年度“高端人才支持计划”（201431）
