老年住院患者日常生活能力评估与衰弱指数评估的相关性研究

Correlation research of elderly inpatients′ADL assessment and frailty index

目的：应用日常生活能力评定方法与衰弱指数评估方法评价75岁及以上老年住院患者的一般健康状态，了解两种评估方法的相关性。方法采用横断面研究方法收集2014年9月—2015年2月首都医科大学附属复兴医院老年科75岁及以上住院患者88例。分别应用Barthel指数日常生活活动评定量表和Rockwood学者构建的衰弱指数评估量表进行评估，了解患者的一般健康情况，比较两种评估方法的相关性。结果 Spearman相关分析显示两种评估方法成负相关性（ r＝－0.810，P〈0.001）。结论对于75岁及以上老年住院患者，日常生活能力评定方法与衰弱指数评估方法均能反映患者的一般健康状况，日常生活能力评定方法方便简洁，护士易于操作，患者配合度高。

Objective To compare the correlation of two assessment methods, frailty index（ FI） and activity of daily living（ ADL） , which were used to evaluate the health condition in elderly hospitalized patients of 75 years old or over. Methods The cross section study was conducted from September 2014 to February 2015, which included data from participants aged 75 and over（n=88） in Fuxing Hospital Affiliated to Capital Medical University. Patients′ general healthy condition were evaluated by FI rating scale according to Rockwood frailty index rating scale and Barthel index of daily life activities rating scale respectively.Results Spearman correlation analysis showed that FI was negatively correlated with ADL（r=-0.810,P〈0.001）.Conclusions Both ADL and FI can reflect the health condition in elderly hospitalized patients （ aged 75 or over ） , and ADL is simple, convenient and easy to evaluate and patients′compliance is favorable.