| 郑州市社区老年冠心病患者衰弱现状及影响因素分析 |
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| 引用本文： | 陈影1,张爽1,姜宗良1,孙娜雅1,杜瑾1,宋安妮1,张伟宏1,2. 郑州市社区老年冠心病患者衰弱现状及影响因素分析[J]. 现代预防医学, 2020, 0(12): 2224-2227 |
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| 作者姓名： | 陈影1 张爽1 姜宗良1 孙娜雅1 杜瑾1 宋安妮1 张伟宏1 2 |
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| 作者单位： | 1. 郑州大学护理与健康学院，河南 郑州 450001；2. 社区健康维护系统河南省工程实验室，河南 郑州 450001 |
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| 摘 要： | 目的 了解郑州市社区老年冠心病患者衰弱现状及主要影响因素。方法 采用一般资料调查表、Tilburg衰弱量表等工具，对郑州市2个社区821例老年冠心病患者衰弱现状进行调查，采用多因素logistic回归分析筛查影响因素。结果 老年冠心病患者衰弱发生率为24.0%；logistic回归分析显示，年龄(60～69)岁(OR = 0.348, 95%CI: 0.159～0.764)、不服药(OR = 0.247, 95%CI:0.134～0.456)、认知正常(OR = 0.511,95%CI:0.283～0.923)、不抑郁(OR = 0.177,95%CI:0.096～0.327)、高握力(OR = 0.686,95%CI:0.634～0.742)、高BMI(OR = 0.830,95%CI:0.765～0.900)是社区老年冠心病患者衰弱的保护因素(P＜0.05)，缺乏运动(OR = 3.392,95%CI: 1.948～5.904)、空腹血糖(OR = 2.293,95%CI:1.745～3.015)、心率(OR = 1.035,95%CI: 1.012～1.060)、甘油三酯(OR = 1.418, 95%CI:1.096～1.834)、低密度脂蛋白胆固醇(OR = 3.447,95%CI:2.268～5.238)是社区老年冠心病患者衰弱的危险因素(P＜0.05)。结论 郑州市社区老年冠心病患者衰弱发生率高，并且受多种可控因素的影响，应予以重视。
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| 关 键 词： | 社区 老年 冠心病 衰弱 |
Analysis on the frailty status and influencing factors of elderly patients with coronary heart disease in Zhengzhou community |
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| CHEN Ying,ZHANG Shuang,JIANG Zong-liang,SUN Na-ya,DU Jin,SONG An-ni,ZHANG Wei-hong. Analysis on the frailty status and influencing factors of elderly patients with coronary heart disease in Zhengzhou community[J]. Modern Preventive Medicine, 2020, 0(12): 2224-2227 |
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| Authors: | CHEN Ying ZHANG Shuang JIANG Zong-liang SUN Na-ya DU Jin SONG An-ni ZHANG Wei-hong |
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| Affiliation: | *Nursing College of Zhengzhou University, Zhengzhou, Henan 450001, China |
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| Abstract: | To understand the frailty status and main influencing factors of elderly patients with coronary heart disease in Zhengzhou community. Methods The general data questionnaire and Tilburg frailty scale were used to investigate the frailty status of 821 elderly patients with coronary heart disease in two communities in Zhengzhou. Multivariate Logistic regression analysis was used to determine the influencing factors. Results The prevalence of frailty in elderly patients with coronary heart disease was 24.0%. Logistic regression analysis indicated that age(60-69)(OR=0.348, 95%CI:0.159-0.764),non-medication use(OR=0.247, 95%CI: 0.134-0.456), normal cognition(OR=0.511, 95%CI:0.283-0.923), non-depression(OR=0.177, 95%CI:0.096-0.327), high grip strength(OR=0.686, 95%CI:0.634-0.742) and high BMI(OR=0.830, 95%CI:0.765-0.900) were protective factors for frailty of elderly patients with coronary heart disease in community(P<0.05), while inactivity(OR=3.392, 95%CI:1.948-5.904), fasting glucose(OR=2.293, 95%CI:1.745-3.015), heart rate(OR=1.035, 95%CI:1.012-1.060), triglyceride(OR=1.418, 95%CI:1.096-1.834) and low density lipoprotein(OR=3.447, 95%CI:2.268-5.238) were risk factors for frailty of elderly patients with coronary heart disease in community(P<0.05). Conclusion The prevalence of frailty in elderly patients with coronary heart disease in Zhengzhou community is high, and it is influenced by many controllable factors, which should be paid more attention to. |
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| Keywords: | Community Older Coronary Heart Disease(CHD) Frailty |
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