社区高龄老年人衰弱与失能的发生率及其相关性:664例报告
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(1.中国人民解放军总医院第二医学中心 保健一科,北京100853;5.中国人民解放军总医院第二医学中心 保健四科,北京100853;2. 中国人民解放军总医院国家老年疾病临床研究中心,北京 100853;3. 北京大学首钢医院骨科,北京 100144;4. 解放军9490;6.部队,江苏 苏州 215000)

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R592

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解放军总医院第二医学中心应用基础研究项目(ZXD2010);保健专项课题(20BJZ30)


Prevalence incidence of frailty and disability and their correlation in community dwelling elderly:664 cases analysis
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Affiliation:

(1. First Geriatric Health Care Department,Beijing 100853, China ;5. Fourth Geriatric Health Care Department, Second Medical Center, Chinese PLA General Hospital, Beijing 100853, China;2. National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing 100853, China;3. Department of Orthopedics, Peking University Shougang Hospital, Beijing 100144, China;4. PLA 9490;6.Troops, Suzhou 215000, Jiangsu Province, China)

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    摘要:

    目的 观察社区高龄老年人衰弱与失能现状,探讨衰弱与失能之间的相关性。方法 选择2018年11月~2019年11月在北京某社区居住的664名≥80岁老年人为研究对象,采用结构化问卷、Fried 衰弱表型、日常生活能力(ADL)量表对受访者进行调查评估。采用SPSS 22.0统计软件进行数据分析。根据数据类型,分别采用t检验或χ2检验进行组间比较。采用Spearman相关分析衰弱与失能的相关性。结果 664名社区高龄老年人中,衰弱评估有效结果636例,失能评估有效结果655例,衰弱患病率为17.1%(109/636),失能患病率为42.4%(278/655)。高年龄段、冠心病及2型糖尿病患者衰弱患病率更高(P<0.05)。女性、低受教育程度及冠心病患者失能患病率更高(P<0.05)。Spearman相关分析显示,社区老年人衰弱与失能呈正相关(r=0.400,P<0.01),衰弱和失能的各子项之间也存在普遍的相关性(P<0.05或P<0.01)。 结论 社区老年人衰弱和失能的患病率处于较高水平,年龄、性别、受教育程度、慢性病等因素均会对衰弱和失能的患病率产生影响。衰弱与失能存在显著的相关性,各子项之间也表现出广泛的相关性。

    Abstract:

    Objective To study the status quo of frailty and disability and to explore their correlation in the community-dwelling elderly. Methods A total of 664 elderly people aged 80 years and above living in a community in Beijing from November 2018 to November 2019 were selected. A structured questionnaire, Fried frailty phenotype and Katz ADL were used to investigate and evaluate the respondents. SPSS 22.0 was used for data analysis. Depending on the data type, t-test or Chi square test was used for comparison between groups. Spearman correlation analysis was performed to test the correlation between frailty and disability. Results Among 664 elderly people in the community, there were 636 cases of valid result of frailty assessment, and 655 cases of valid result of disability assessment. The incidences of frailty and disability among the elderly were 17.1% (109/636) and 42.4% (278/655). The incidence of frailty was higher in groups of more advanced age, coronary heart disease and type 2 diabetes mellitus (P<0.05). The incidence of disability was higher in females, patients with low education and coronary heart disease (P<0.05). Spearman correlation analysis showed a positive correlation between frailty and disability (r=0.400, P<0.01) and a general correlation between its internal components (P<0.05 or P<0.01). Conclusion The incidences of frailty and disability among the community-dwelling elderly are high. Age, gender, education level and chronic diseases affect their incidences. There is a significant correlation between frailty and disability and wide correlation among the internal components.

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左婧,张航铭,鹿达,刘少妮,呼延小媛,孙静,刘云霞,范利,胡亦新.社区高龄老年人衰弱与失能的发生率及其相关性:664例报告[J].中华老年多器官疾病杂志,2022,21(5):331~335

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  • 收稿日期:2021-09-14
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  • 在线发布日期: 2022-05-30
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