目的:了解老年胆结石患者内脂面积分布情况,并分析老年胆结石患者内脂肥厚与合并糖尿病的相关性,为开展以患者为中心的个性化性护理提供相关依据。方法:选取2023年1月至2024年7月在吴起县人民医院内分泌科或普外科住院的患者,采用方便...目的:了解老年胆结石患者内脂面积分布情况,并分析老年胆结石患者内脂肥厚与合并糖尿病的相关性,为开展以患者为中心的个性化性护理提供相关依据。方法:选取2023年1月至2024年7月在吴起县人民医院内分泌科或普外科住院的患者,采用方便随机抽样法选取老年胆结石患者。收集患者一般资料与疾病相关资料,及采用生物电阻抗法(欧姆龙DUALSCANHDS‐2000)测量患者内脏脂肪面积(VFA)与皮下脂肪面积(SFA)进行数据收集。计数资料使用频数、百分比(n, %)描述,组间比较使用c2检验;呈正态分布的计量资料以均数 ± 标准差(x¯±s)描述,组间比较采用t检验;使用风险比值比(OR)分析老年胆结石患者内脏脂肪面积肥厚风险倍数,采用Spearman相关分析老年胆结石患者内脂面积与是否合并糖尿病的相关性;以P 2,内脏脂肪面积平均为(111.13 ± 41.35) cm2,皮下脂肪面积平均为(163.53 ± 43.18) cm2,合并糖尿病组的老年胆结石患者内脂面积肥厚,平均为133.08 ± 43.95 cm2,而无糖尿病组的老年胆结石患者内脂面积正常,平均为91.56 ± 26.77 cm2。老年胆结石合并糖尿病患者内脏脂肪面积肥厚风险是无糖尿病合并症患者的5倍。采用Spearman相关分析,结果显示老年胆结石患者内脏脂肪面积肥厚与合并糖尿病的相关系数为0.487,呈中等正相关,且在0.01级别相关性显著。结论:老年胆结石患者内脂面积肥厚,老年内脂肥厚合并糖尿病的患者较内脂面积正常的患者更易得胆结石,老年患者胆结石、内脂肥厚和糖尿病之间存在正相关关系,其间是相互影响的,并非单向因果关系,即内脂肥厚、糖尿病可以增加患胆结石的风险,而同时胆结石的存在也可能加重糖尿病的进展。临床上指导老年胆结石患者保持良好的血糖控制、合理饮食、药物治疗和必要的手术干预都是处理这种关联的重要方式。Objective: To investigate the distribution of internal lipid area in elderly patients with gallstones, and to analyze the correlation between internal lipid hypertrophy and diabetes in elderly patients with gallstones, so as to provide a relevant basis for patient-centered personalized nursing. Methods: The patients hospitalized in the Department of Endocrinology or General Surgery of Wuqi County People’s Hospital from January 2023 to July 2024 were selected by convenient random sampling method. General and disease-related data were collected, and visceral fat area (VFA) and subcutaneous fat area (SFA) were measured by bioresistive method (Omron DualscanHDS- 2000). Usage frequency and percentage (n, %) of counting data were described. Comparison between groups was conducted using 2 test;The measurement data with normal distribution were described as mean ± standard x¯±sdeviation, and T-test was used for inter-group comparison. Risk odds ratio (OR) was used to analyze the risk multiple of visceral fat area hyperplasia in elderly patients with gallstones, and Spearman correlation was used to analyze the correlation between internal fat area and diabetes mellitus. The difference was statistically significant with P 2, the average visceral fat area was (111.13 ± 41.35) cm2, and the average subcutaneous fat area was (163.53 ± 43.18) cm2. The internal fat area of elderly patients with gallstones combined with diabetes mellitus was hyperplasia. The mean lipid area was 133.08 ± 43.95cm2, and the mean lipid area was 91.56 ± 26.77 cm2 in the elderly patients without diabetes. The risk of visceral fat area hypertrophy in elderly patients with gallstones and diabetes is 5 times that of patients without diabetes complications. Spearman correlation analysis showed that the correlation coefficient between visceral fat area hypertrophy and diabetes mellitus in elderly patients with gallstones was 0.487, showing a moderate positive correlation, and the correlation was significant at 0.01 level. Conclusions: Elderly patients with cholelithiasis have internal lipid area hypertrophy, and elderly patients with internal lipid hypertrophy combined with diabetes are more likely to develop gallstones than those with normal internal lipid area. There is a positive correlation between gallstones, internal lipid hypertrophy and diabetes in elderly patients, and they are mutually influenced, not one-way causality, that is, internal lipid hypertrophy and diabetes can increase the risk of gallstones. At the same time, the presence of gallstones may also aggravate the progression of diabetes. Clinical guidance to elderly patients with gallstones to maintain good blood glucose control, rational diet, medication and necessary surgical intervention is an important way to manage this association.展开更多
目的:了解老年糖尿病膀胱功能障碍患者OAB症状及其生活质量,并分析OAB症状对老年DM患者症状困扰、应对、睡眠、情感/社交多方面的影响,为开展以患者为中心的个性化性护理提供相关依据。方法:采用随机抽样法,选取2023年7月至2024年6月在...目的:了解老年糖尿病膀胱功能障碍患者OAB症状及其生活质量,并分析OAB症状对老年DM患者症状困扰、应对、睡眠、情感/社交多方面的影响,为开展以患者为中心的个性化性护理提供相关依据。方法:采用随机抽样法,选取2023年7月至2024年6月在吴起县人民医院普外科和内科住院部或门诊部的老年DM患者作为调查对象,选用一般资料调查表、复合自主神经症状分级评分-31 (COMPASS-31)膀胱评分部分、OAB症状评分量表(OABSS)、膀胱过度活动症与健康相关生活质量简表(OAB-q SF)进行调查。计数资料用频数(n)和构成比(%)来描述,计量资料符合正态分布采用X¯±s描述;运用独立样本t检验或单因素方差分析比较老年DM患者OAB得分在一般资料和疾病相关资料上的差异,P Objective: To investigate the symptoms and quality of life of OAB in elderly diabetic patients with bladder dysfunction, and to analyze the effects of OAB symptoms on symptom distress, coping, sleep, and emotional/social aspects in elderly DM patients, so as to provide relevant evidence for patient-centered personalized care. Methods: Random sampling was used. Elderly DM patients in the inpatient and outpatient departments of general surgery and internal medicine of Wuqi County People’s Hospital from July 2023 to June 2024 were selected as the investigation objects. General data questionnaire, bladder score of Complex autonomic Symptom Scale-31 (COMPASS-31), OAB Symptom Score Scale (OABSS), bladder hyperactivity disorder, and the health related quality of life (OAB-q SF) profile were selected to investigate. Counting data were described by frequency (n) and component ratio (%). Measurement data conforming to normal distribution were described by X¯±s. Independent sample t test or one-way analysis of variance was used to compare the OAB scores of elderly DM patients in general data and disease-related data, and there was statistical difference (P < 0.05). Results: A total of 214 elderly patients with diabetes were randomly investigated in this study, of which 91 patients with bladder dysfunction had an incidence of 42.52% (91/214). Among the patients with bladder dysfunction, overactive bladder accounted for the highest proportion, and 71 patients had OAB symptoms, with an incidence of 33.18%. The total score of OABSS in 71 elderly DM patients was (8.49 ± 2.67), with the score ranging from 6 to 11 points, and the OAB level was moderate. The minimum score of quality of life was 27, the maximum was 81, and the average score was 50.38 ± 13.74. The coping dimension was the highest (14.25 ± 4.48), followed by the symptom disturbance dimension (17.01 ± 4.66). Conclusion: In this study, the OAB symptoms of elderly patients with diabetes mellitus combined with bladder dysfunction are moderate and serious, and OAB symptoms cause great trouble to the life of elderly patients, causing serious impact on their coping, sleep, social and emotional aspects. Elderly DM patients are advised to strictly control blood sugar and carry out necessary psychological care and social support. And receive active treatment, and develop good living and health habits to improve the quality of life.展开更多
文摘目的:了解老年胆结石患者内脂面积分布情况,并分析老年胆结石患者内脂肥厚与合并糖尿病的相关性,为开展以患者为中心的个性化性护理提供相关依据。方法:选取2023年1月至2024年7月在吴起县人民医院内分泌科或普外科住院的患者,采用方便随机抽样法选取老年胆结石患者。收集患者一般资料与疾病相关资料,及采用生物电阻抗法(欧姆龙DUALSCANHDS‐2000)测量患者内脏脂肪面积(VFA)与皮下脂肪面积(SFA)进行数据收集。计数资料使用频数、百分比(n, %)描述,组间比较使用c2检验;呈正态分布的计量资料以均数 ± 标准差(x¯±s)描述,组间比较采用t检验;使用风险比值比(OR)分析老年胆结石患者内脏脂肪面积肥厚风险倍数,采用Spearman相关分析老年胆结石患者内脂面积与是否合并糖尿病的相关性;以P 2,内脏脂肪面积平均为(111.13 ± 41.35) cm2,皮下脂肪面积平均为(163.53 ± 43.18) cm2,合并糖尿病组的老年胆结石患者内脂面积肥厚,平均为133.08 ± 43.95 cm2,而无糖尿病组的老年胆结石患者内脂面积正常,平均为91.56 ± 26.77 cm2。老年胆结石合并糖尿病患者内脏脂肪面积肥厚风险是无糖尿病合并症患者的5倍。采用Spearman相关分析,结果显示老年胆结石患者内脏脂肪面积肥厚与合并糖尿病的相关系数为0.487,呈中等正相关,且在0.01级别相关性显著。结论:老年胆结石患者内脂面积肥厚,老年内脂肥厚合并糖尿病的患者较内脂面积正常的患者更易得胆结石,老年患者胆结石、内脂肥厚和糖尿病之间存在正相关关系,其间是相互影响的,并非单向因果关系,即内脂肥厚、糖尿病可以增加患胆结石的风险,而同时胆结石的存在也可能加重糖尿病的进展。临床上指导老年胆结石患者保持良好的血糖控制、合理饮食、药物治疗和必要的手术干预都是处理这种关联的重要方式。Objective: To investigate the distribution of internal lipid area in elderly patients with gallstones, and to analyze the correlation between internal lipid hypertrophy and diabetes in elderly patients with gallstones, so as to provide a relevant basis for patient-centered personalized nursing. Methods: The patients hospitalized in the Department of Endocrinology or General Surgery of Wuqi County People’s Hospital from January 2023 to July 2024 were selected by convenient random sampling method. General and disease-related data were collected, and visceral fat area (VFA) and subcutaneous fat area (SFA) were measured by bioresistive method (Omron DualscanHDS- 2000). Usage frequency and percentage (n, %) of counting data were described. Comparison between groups was conducted using 2 test;The measurement data with normal distribution were described as mean ± standard x¯±sdeviation, and T-test was used for inter-group comparison. Risk odds ratio (OR) was used to analyze the risk multiple of visceral fat area hyperplasia in elderly patients with gallstones, and Spearman correlation was used to analyze the correlation between internal fat area and diabetes mellitus. The difference was statistically significant with P 2, the average visceral fat area was (111.13 ± 41.35) cm2, and the average subcutaneous fat area was (163.53 ± 43.18) cm2. The internal fat area of elderly patients with gallstones combined with diabetes mellitus was hyperplasia. The mean lipid area was 133.08 ± 43.95cm2, and the mean lipid area was 91.56 ± 26.77 cm2 in the elderly patients without diabetes. The risk of visceral fat area hypertrophy in elderly patients with gallstones and diabetes is 5 times that of patients without diabetes complications. Spearman correlation analysis showed that the correlation coefficient between visceral fat area hypertrophy and diabetes mellitus in elderly patients with gallstones was 0.487, showing a moderate positive correlation, and the correlation was significant at 0.01 level. Conclusions: Elderly patients with cholelithiasis have internal lipid area hypertrophy, and elderly patients with internal lipid hypertrophy combined with diabetes are more likely to develop gallstones than those with normal internal lipid area. There is a positive correlation between gallstones, internal lipid hypertrophy and diabetes in elderly patients, and they are mutually influenced, not one-way causality, that is, internal lipid hypertrophy and diabetes can increase the risk of gallstones. At the same time, the presence of gallstones may also aggravate the progression of diabetes. Clinical guidance to elderly patients with gallstones to maintain good blood glucose control, rational diet, medication and necessary surgical intervention is an important way to manage this association.
文摘目的:了解老年糖尿病膀胱功能障碍患者OAB症状及其生活质量,并分析OAB症状对老年DM患者症状困扰、应对、睡眠、情感/社交多方面的影响,为开展以患者为中心的个性化性护理提供相关依据。方法:采用随机抽样法,选取2023年7月至2024年6月在吴起县人民医院普外科和内科住院部或门诊部的老年DM患者作为调查对象,选用一般资料调查表、复合自主神经症状分级评分-31 (COMPASS-31)膀胱评分部分、OAB症状评分量表(OABSS)、膀胱过度活动症与健康相关生活质量简表(OAB-q SF)进行调查。计数资料用频数(n)和构成比(%)来描述,计量资料符合正态分布采用X¯±s描述;运用独立样本t检验或单因素方差分析比较老年DM患者OAB得分在一般资料和疾病相关资料上的差异,P Objective: To investigate the symptoms and quality of life of OAB in elderly diabetic patients with bladder dysfunction, and to analyze the effects of OAB symptoms on symptom distress, coping, sleep, and emotional/social aspects in elderly DM patients, so as to provide relevant evidence for patient-centered personalized care. Methods: Random sampling was used. Elderly DM patients in the inpatient and outpatient departments of general surgery and internal medicine of Wuqi County People’s Hospital from July 2023 to June 2024 were selected as the investigation objects. General data questionnaire, bladder score of Complex autonomic Symptom Scale-31 (COMPASS-31), OAB Symptom Score Scale (OABSS), bladder hyperactivity disorder, and the health related quality of life (OAB-q SF) profile were selected to investigate. Counting data were described by frequency (n) and component ratio (%). Measurement data conforming to normal distribution were described by X¯±s. Independent sample t test or one-way analysis of variance was used to compare the OAB scores of elderly DM patients in general data and disease-related data, and there was statistical difference (P < 0.05). Results: A total of 214 elderly patients with diabetes were randomly investigated in this study, of which 91 patients with bladder dysfunction had an incidence of 42.52% (91/214). Among the patients with bladder dysfunction, overactive bladder accounted for the highest proportion, and 71 patients had OAB symptoms, with an incidence of 33.18%. The total score of OABSS in 71 elderly DM patients was (8.49 ± 2.67), with the score ranging from 6 to 11 points, and the OAB level was moderate. The minimum score of quality of life was 27, the maximum was 81, and the average score was 50.38 ± 13.74. The coping dimension was the highest (14.25 ± 4.48), followed by the symptom disturbance dimension (17.01 ± 4.66). Conclusion: In this study, the OAB symptoms of elderly patients with diabetes mellitus combined with bladder dysfunction are moderate and serious, and OAB symptoms cause great trouble to the life of elderly patients, causing serious impact on their coping, sleep, social and emotional aspects. Elderly DM patients are advised to strictly control blood sugar and carry out necessary psychological care and social support. And receive active treatment, and develop good living and health habits to improve the quality of life.
