养老机构老年慢性病患者衰弱与述情障碍现状及相关性分析

Status quo and correlation analysis of frailty and alexithymia in elderly patients with chronic diseases in elderly care institutions

目的了解成都市养老机构老年慢性病患者衰弱与述情障碍现状,并分析二者相关性及述情障碍的影响因素。方法于2021年1—7月采用一般资料调查表、衰弱筛查量表、多伦多述情障碍量表(TAS-20)对成都市4所养老机构301名老年慢性病患者展开调查。结果养老机构老年慢性病患者衰弱总分为2.33±1.16分,述情障碍总分为57.73±9.55分。衰弱与述情障碍总分之间呈正相关(r=0.754,P<0.01),婚姻状况、家庭人均月收入、自理能力与衰弱得分为养老机构老年慢性病患者述情障碍的主要影响因素。结论养老机构老年慢性病患者存在衰弱和述情障碍,且具有相关性,照护人员应高度重视养老机构老年人衰弱与述情障碍现状,改善其不良影响因素,以提高其生存质量。

Objective To understand the status quo of frailty and alexithymia in elderly patients with chronic diseases in a Chengdu elderly care institutions,and to analyze the correlation between the two and the infl uencing factors of alexithymia.Methods From January to July 2021,301 elderly patients with chronic diseases in 4 elderly care institutions in Chengdu were investigated by using the general information questionnaire,the FRAIL Scale,and the Toronto Alexithymia Scale(TAS-20).Results The total score of frailty and alexithymia in elderly patients with chronic diseases was 2.33±1.16 points and 57.73±9.55 points.There was a positive correlation between frailty and the total score of alexithymia(r=0.738,P<0.01).Marital status,family per capita monthly income,self-care ability and frailty scores were the main influencing factors of alexithymia in elderly patients with chronic diseases in nursing homes.Conclusion There were frailty and alexithymia in elderly patients with chronic diseases in elderly care institutions,and there were related.Caregivers should attach great importance to the current situation of frailty and alexithymia in the elderly,and improve their adverse infl uencing factors to improve their quality of life.