老年髋部骨折患者术后衰弱发生现况及其影响因素分析

Prevalence of Postoperative Frailty in Elderly Patients with Hip Fracture and Its Influencing Factors

目的:分析老年髋部骨折患者术后衰弱发生现况,并探讨其影响因素。方法:选取2016年2月-2019年2月收治于罗定市红十字会医院和罗定市中医院老年髋部骨折住院患者154例为研究对象,采用衰弱(FRAIL)指数量表和问卷调查方式对其进行筛查分成衰弱组和非衰弱组,然后再进行单因素和多因素Logistic回归分析衰弱发生的影响因素。结果:老年患者衰弱发生率在出院时为46.75%,高于入院时的40.91%,比较差异无统计学意义(P>0.05)。经多因素Logistic回归分析模型分析结果显示,年龄、基础疾病及术后并发症是术后患者衰弱发生的独立危险因素,而家庭月经济收入是其重要的保护因素(P<0.05)。结论:老年髋部骨折患者在住院期间有新的衰弱发生或加重衰弱进程可能,应高度重视上述重要危险因素,并及早给予相关干预,延缓其新衰弱发生或衰弱加重,以达到提高老年患者的生活质量目的和改善其健康结局。

Objective:To analyze the current situation of postoperative frailty in elderly patients with hip fracture,and explore its influencing factors.Method:A total of 154 elderly patients of hip fracture hospitalized in Luoding Red Cross Hospital and Luoding Traditional Chinese Medicine Hospital from February 2016 to February 2019 were selected as the research objects.Frail index scale and questionnaire survey were used to screen them,which were divided into frailty group and non frailty group,and then univariate and multivariate Logistic regression analysis were conducted to analyze the influencing factors of frailty occurrence.Result:The incidence of frailty in elderly patients at discharge was 46.75%,which was higher than that at admission(40.91%),the difference was not statistically significant(P>0.05).Multivariate Logistic regression analysis showed that age,underlying diseases and postoperative complications were independent risk factors for postoperative frailty,and monthly family income was an important protective factor(P<0.05).Conclusion:The elderly patients with hip fracture may have new debilitation or aggravate the process of debilitation during hospitalization,so we should attach great importance to the above important risk factors and give relevant intervention as soon as possible to delay the occurrence or aggravation of new frailty,in order to improve the quality of life of elderly patients and improve their health outcomes.