老年糖尿病病人衰弱现状及影响因素

Status quo and influencing factors of frailty in elderly diabetic patients

目的:了解老年糖尿病病人衰弱现状,并分析其影响因素。方法:采用便利抽样的方法,选取威海市某三级甲等医院内分泌科与创面修复科的260例老年糖尿病病人作为研究对象,采用一般资料调查问卷、中文版Tilburg衰弱量表、老年人中医养生保健素养调查问卷、中文版糖尿病痛苦量表对病人进行调查,分析老年糖尿病病人衰弱的影响因素。结果:260例老年糖尿病病人衰弱总分为(7.79±3.92)分,其中衰弱179例(68.8%)。线性回归分析结果显示,中医养生保健素养、年龄、心理痛苦、医疗费用支付方式、是否合并糖尿病并发症、药物使用情况、居住地、夜间睡眠时间为老年糖尿病病人衰弱的影响因素,共解释衰弱总变异的65.0%。结论:老年糖尿病病人衰弱处于中等水平,护理人员应根据衰弱影响因素制定有效的干预方案。

Objective:To understand status quo of frailty in elderly diabetic patients and analyze its influencing factors.Methods:A total of 260 elderly diabetic patients from the endocrinology department and wound repair department of a tertiary grade A hospital in Weihai city were selected as research subjects by convenient sampling method.And general information questionnaire,the Chinese version of Tilburg Frailty Indicator(TFI),the Chinese version of traditional Chinese medicine health care literacy questionnaire for the elderly,and the Chinese version of the Diabetes Distress Scale(DDS)were used to investigate patients.And analyzed the influencing factors of frailty in elderly diabetic patients.Results:The total score of weakness among 260 elderly diabetic patients was(7.79±3.92)points,of which 179(68.8%)were weak.The results of linear regression analysis showed that traditional Chinese medicine health care literacy,age,psychological pain,payment method of medical expenses,diabetic complications,drug use,residence,and night sleep time were the influencing factors of frailty in elderly diabetic patients,accounting for 65.0%of the total variation of weakness.Conclusions:Frailty in elderly diabetic patients at the middle level,and nursing staff should develop effective intervention plans based on influencing factors of frailty.