基于老年综合评估对老年衰弱患者干预研究

Intervention Study on the Geriatric Frailty Patients Based on Comprehensive Geriatric Assessment

目的应用老年综合评估(comprehensive geriatric assessment,CGA)对老年衰弱患者进行干预,为CGA用于制定老年衰弱患者干预措施提供参考依据。方法选取2020年1~12月在新疆维吾尔自治区人民医院综合保健内科二病区住院并诊断为衰弱的157例老年患者作为研究对象。随机将其分为试验组(n=79)和对照组(n=78)。对照组患者给予常规治疗,试验组患者在对照组的基础上制定综合干预措施,所有研究对象均随访12个月,评价临床指标、经济指标、患者满意度和病死率。结果干预12个月时,试验组患者日常生活能力、营养评分较对照组升高,衰弱评分降低;有慢性疼痛的患者数、有抑郁情绪的患者数较对照组减少,睡眠良好的患者数较对照组增多,差异有统计学意义(P<0.05)。与对照组比较,试验组患者1年内门诊就诊次数增多,1年内门诊就诊费用减少,1年内再住院率减少,患者的满意度明显升高,差异有统计学意义(P<0.05)。结论基于CGA对于老年衰弱患者综合干预,可提高老年衰弱患者1年后的生存质量。

Objective Comprehensive geriatric assessment(CGA)was used to intervene in geriatric frailty patients,to provide a reference for developing intervention measures for geriatric patients.Methods A total of 157 elderly patients admitted to the Second Department of Comprehensive Internal Medicine,People′s Hospital of Xinjiang Uygur Autonomous Region between January 2020 and December 2020 were selected as research subjects,and they were randomly divided into experimental group(n=79)and control group(n=78).Patients in the control group received conventional treatment,while patients in the experimental group received comprehensive intervention measures based on the control group.After a 12-month follow-up period,clinical indicators,economic indicators,patient satisfaction,and mortality rate were assessed.Results Following the 12-month intervention period,both daily living ability score and nutritional score significantly improved in the experimental group compared to the control group(P<0.05).Additionally,frailty scores were lower in the experimental group than that in the control group.The number of patients experiencing chronic pain and depression was significantly reduced in the experimental group compared to the control group.Moreover,more patients in the experimental group reported good sleep quality compared to the control group,the differences were statistically significant(P<0.05).Compared with the control group,the number of outpatient visits within one year was increased in the experimental group,the cost of outpatient visits within one year was decreased,readmission rate within one year were reduced.and the satisfaction of patients was also significantly increased.the differences were statistically significant(P<0.05).Conclusion Comprehensive intervention for geriatric frailty patients based on CGA can improve the quality of life of geriatric frailty patients after one year.