老年共病患者共病严重程度与社会隔离、长期照护需求的相关性研究

Correlation of comorbidity severity with social isolation and long-term care needs in elderly comorbidity patients

目的了解老年共病患者共病的严重程度并分析其影响因素,提出针对性的建议以有效控制老年共病的发展。方法采用便利抽样法,选取2021年1—12月在襄阳市第一人民医院老年病科住院的750例患者为研究对象。应用一般资料调查表、改良老年疾病累计评分表(MCIR-G)、社会网络量表(LSNS-6)和老年人长期照护需求评估问卷对患者进行调查,采用单因素分析、Logistic回归分析探讨老年共病严重程度的影响因素。结果750例老年共病患者的共病得分为(13.85±3.46)分,社会隔离得分为(21.36±4.61)分,长期照护需求评估得分为(140.49±13.69)分。Logistic回归分析显示,社会隔离和长期照护需求是老年共病患者共病严重程度的影响因素(P<0.05)。结论应关注老年共病患者的身心健康,通过适时的长期照护需求评估制订老年共病患者个体化照护方案,有利于延迟老年共病患者的功能退化,提高其生活质量。

Objective To analyze the severity and influencing factors of comorbidities in elderly comorbidity patients and to put forward targeted recommendations to effectively control the development of comorbidities.Methods A total of 750 elderly comorbidity patients in Xiangyang No.1 People's Hospital Affiliated to Hubei University of Medicine were enrolled using convenience sampling method.General data questionnaire,Modified Cumulative Illness Rating Scale-Geriatric(MCIR-G),Lubben Social Network Scale 6(LSNS-6)and Long-Term Care Needs Assessment Questionnaire were collected.Univariate analysis and multiple linear regression analysis were used to explore the influencing factors.Results The scores of comorbidities,social isolation and long-term care needs of 750 elderly comorbidity patients were(13.85±3.46),(21.36±4.61)and(140.49±13.69)respectively.Multiple linear regression analysis showed that social isolation and long-term care needs were influencing factors of the severity of comorbidity in elderly patients(P<0.05).Conclusions Medical staff should pay more attention to physical and mental health of elderly comorbidity patients,and develop personalized care programs according to long-term care needs,so as to delay the functional degradation of elderly comorbidity patients and improve their quality of life.