老年住院患者衰弱指数与谵妄的相关性研究

Correlation between debilitating index and delirium in elderly inpatients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2022, 49(2)
作者
作者单位

北京市隆福医院 ;

摘要
[摘要]探讨老年住院患者衰弱指数(FI)与谵妄的相关性。方法 选择2020年1月至2020年10月因内科疾病在我院住院的老年患者作为研究对象,观察非衰弱状态(非衰弱状态,NFS)、衰弱前状态(Pre frail state,PFS)和衰弱状态(frail state,FS)患者谵妄发生率,采用多因素分析观察FI不同状态与谵妄发生的相关性。结果 NFS、PFS、FS患者年龄、IADL、视力障碍、听力障碍、睡眠障碍呈增高趋势,ADL、MoCA、MNA-SF呈降低趋势,组间比较差异均有统计学意义(P<0.05)。NFS、PFS、FS患者谵妄发生率、住院患者谵妄平均住院时间、谵妄患者谵妄平均住院时间均呈升高趋势,组间比较差异存在统计学意义(P<0.05)。二分类多因素分析结果显示,在控制其他临床变量后,PFS和FS是影响老年住院患者的独立风险因素(P<0.05)。结论 FI指数所反映的衰弱状态是影响老年住院患者谵妄发生和恢复的风险因素,及时准确的评估患者的FI和衰弱状态,采取适当的预防措施对谵妄的防治具有重要临床意义。
Abstract
[Abstract]: Objective To investigate the correlation between debilitating index (FI) and delirium in elderly inpatients. Methods The elderly patients hospitalized in our hospital from January 2020 to October 2020 were selected as the subjects, Observe the non - debilitating state, NFS, pre-weakening (Pre frail state,) state PFS and debilitating (frail state,) state FS) incidence of delirium in patients, Multivariate analysis was used to observe the correlation FI different states and delirium. Results NFS、PFS、FS the age, IADL、 vision, hearing, sleep, ADL、MoCA、MNA-SF is declining, All the differences were statistically significant (P<0.05). NFS、PFS、FS the incidence of delirium in patients, the average hospitalization time of delirium in hospitalized patients, and the average hospitalization time of delirium in delirium patients, differences between groups were statistically significant (P<0.05). The results of the two-tier multivariate analysis show that, After controlling for other clinical variables, PFS and FS are independent risk factors affecting elderly inpatients (P<0.05). Conclusion The debilitating state reflected by FI index is a risk factor for the occurrence and recovery of delirium in elderly inpatients, A timely and accurate assessment of the patients FI and debilitating condition, Taking appropriate preventive measures is of great clinical significance for the prevention and treatment of delirium.
关键词
[关键词]衰弱指数;老年患者;谵妄
KeyWord
[Keywords] debilitating index; senile patients; delirium
基金项目
页码 259-262
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陈敏*,宋清扬,王爽,李敏,张梅燕. 老年住院患者衰弱指数与谵妄的相关性研究 [J]. 国际精神病学杂志. 2022; 49; (2). 259 - 262.

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