社区高血压患者衰弱现状及其影响因素

The Frailty Status and Influencing Factors of Hypertensive Patients in the Community

目的了解社区高血压患者衰弱现状及其影响因素。方法采取便利抽样法,于2020年11月-2021年5月对衡阳市4所社区卫生服务中心,共260例社区高血压患者发放一般情况调查表、衰弱量表,分析社区高血压患者衰弱的影响因素。结果共收回有效问卷255份,共筛查出80例衰弱患者。单因素分析结果表明,性别、年龄、BMI等级、月收入、运动频率、疾病数量及饮酒情况对社区高血压患者衰弱状态有影响;二元Logistic回归分析显示,年龄、BMI等级、运动、疾病数量是社区高血压患者衰弱的影响因素。结论社区高血压患者衰弱发生率较高,且与年龄、BMI等级、运动频率、疾病数量有关。应针对老年高血压患者进行衰弱筛查,提升患者对衰弱的认识并积极采取措施预防和减缓衰弱的发生。

Objective To understand the status quo and influencing factors of hypertension patients in community.Methods A total of 260 community hypertensive patients from 4 community health service centers in Hengyang City from November 2020 to May 2021 were selected by convenience sampling method.General information questionnaire and frailty scale were issued to analyze the influencing factors of frailty in community hypertensive patients.Results A total of 255 valid questionnaires were retrieved,and a total of 80 frail patients were screened.The results of univariate analysis showed that gender,age,BMI grade,monthly income,exercise frequency,number of diseases,and alcohol consumption had impact on the debilitating status of hypertensive patients in the community;binary Logistic regression analysis showed that age,BMI level,exercise frequency,and number of diseases were the influencing factors for the frailty of hypertensive patients in the community.Conclusion The incidence of weakness in patients with hypertension in the community is high,which is related to age,BMI level,exercise and the number of diseases.Frailty screening should be carried out for elderly hypertensive patients to improve their awareness of frailty and take active measures to prevent and slow down the occurrence of frailty.