三种衰弱量表评估老年冠心病衰弱综合征及其影响因素

Assessment of elderly coronary heart disease frailty syndrome through three kinds of frailty scales and its influencing factors

目的分析衰弱量表评估老年冠心病患者衰弱病情及其衰弱综合征的临床特征。方法选取2016年2月~2019年2月在奎屯市第七师医院老年病中心确诊的冠心病患者153例。采用Fried衰弱评分(FFS)临床衰弱量表(CFS)、爱特蒙特衰弱量表(EFS)进行工具测量和问卷调查相结合的方式进行评估衰弱。结果FFS评分、CFS评分、EFS评分判定老年冠心病衰弱者分别为32(20.91%)、39(25.49%)、45(29.41%),差异无统计学意义(P>0.05)。冠心病患者采用FFS评分、CFS评分、EFS评分测定衰弱在性别、婚姻、BMI、病程、并发症种类、吸烟史、饮酒史比较,无统计学意义(P>0.05);而在年龄≥75岁、教育水平≥12年、居住情况独居、心功能分级、睡眠障碍、用药种类≥5种存在显著的统计学差异(P<0.05)。直线相关分析显示FFS评分与CFS评分、EFS评分均存在正相关性(P<0.05),而CFS评分与EFS评分没有显著相关性(P>0.05)。以FFS评分为因变量,以患者的一般资料为自变量,经多因素Logistic回归显示年龄≥75岁、教育水平≥12年、居住情况独居、心功能分级、睡眠障碍为导致衰弱的主要危险因素(P<0.05)。结论FFS、CFS、EFS衰弱量表评估冠心病患者衰弱病情有一致性,而基于FFS评分显示年龄≥75岁、教育水平≥12年、居住情况独居、心功能分级、睡眠障碍为导致衰弱的主要危险因素。

Objective To analyze the effect of the frailty scale to assess the clinical features of frailty conditions and frailty syndrome in elderly patients with coronary heart disease.Methods From February 2016 to February 2019,153 patients with coronary heart disease diagnosed in the geriatric center of the seventh division hospital of Kuitun were selected.CFS and EFS were used to evaluate the frailty conditions of patients.Results The FFS score,CFS score and EFS score were 32(20.91%),39(25.49%)and 45(29.41%),respectively,and the difference was not statistically significant(P>0.05).Considering FFS score,CFS score,EFS score of Coronary heart disease patients,gender,marriage,BMI,duration of disease,complications,history of smoking and drinking had no statistical significance(P>0.05).But age≥75 years old,education level≥12 years,living alone,cardiac function,sleep disorders,and medication more than5 species had significant important effects(P<0.05).Linear correlation analysis showed that there was a positive correlation among FFS score,CFS score and EFS score(P<0.05),but there was no significant correlation between CFS score and EFS score(P>0.05).The FFS score was used as the dependent variable,and the patient’s general data was used as the independent variable.The multivariate logistic regression showed that the age≥75 years old,the education level≥12 years,living alone,the heart function grade,and the sleep disorder were the main risk factors.(P<0.05),and the educational level≥12 years was an independent protective factors.Conclusion The FFS,CFS,and EFS frailty scales were used to assess the consistency of debilitating conditions in patients with coronary heart disease.The FFS scores showed that the age≥75 years old,the education level≥12 years,living alone,the heart function grade,and the sleep disorder were the main risk factors of debilitation.