医养结合机构非卧床老年人衰弱现状及影响因素分析

Status of frailty among the non-bedridden elderly in combined medical treatment and elderly care facilities:the influencing factors

目的了解医养结合机构非卧床老年人衰弱现状,并分析其影响因素,以期为机构内医护人员优化非卧床老年人护理和健康教育方案提供参考依据。方法采用便利抽样法选取杭州市3家医养结合机构的489名非卧床老年人为研究对象,采用中文版Tilburg衰弱量表对其进行调查。结果非卧床老年人衰弱得分5.00(3.00,8.00)分,衰弱发生率为53.99%;logistic回归分析显示,文化程度、家人探望频率和刷牙频次是衰弱发生的保护因素,使用移动辅助器具、每日静坐时间和假牙数量是衰弱发生的危险因素(均P<0.05)。结论医养结合机构非卧床老年人衰弱发生率较高,影响因素较多。护理人员应重视非卧床老年人的衰弱现状,采取综合性策略进行个体化干预。

Objective To understand the current situation of frailty among the non-bedridden elderly in combined medical treatment and elderly care facilities,to analyze the influencing factors,and to provide reference for medical staff to further develop targeted nursing or education intervention measures for the non-bedridden elderly.Methods A total of 489 non-bedridden elderly from 3 combined medical treatment and elderly care facilities in Hangzhou were selected by convenience sampling method.The Chinese Version of Tilburg Frailty Indicator was used to survey them.Results The score of frailty in the non-bedridden elderly was 5.00(3.00,8.00)points,and the incidence rate of frailty was 53.99%.Binary logistic regression analysis showed that education level,family visit frequency,and the frequency of teeth brushing were protective factors of frailty,whereas the use of mobile assistive devices,daily sitting time,and number of false teeth were the influential risk factors(all P<0.05).Conclusion The incidence rate of frailty among the non-bedridden elderly in combined medical treatment and elderly care facilities is high,and there are many influencing factors.Nursing staff should pay attention to the frailty status of the non-bedridden elderly and adopt comprehensive strategies for individual intervention.