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2 型糖尿病患者衰弱的决定因素。

Determinants of Frailty among Patients with Type 2 Diabetes In Urban Hospital.

机构信息

Nursing Faculty, Hanoi Medical College, Hanoi, Vietnam.

Faculty of Health Sciences, Thang Long University, Hanoi, Vietnam.

出版信息

Hosp Top. 2023;101(3):215-222. doi: 10.1080/00185868.2021.2005501. Epub 2021 Nov 23.

Abstract

Frailty and diabetes are on the rise due to the aging population. This study was conducted to examine frailty conditions among patients with Type 2 diabetes (T2DM) in Hanoi, Vietnam, as well as determine its associated factors. A cross-sectional study on T2DM patients at an urban hospital. This study assessed the frailty status using the FRAIL questionnaire. Socio-demographic, clinical, and paraclinical characteristics were obtained. Multivariate regression models were performed to detect factors associated with frailty. Of 379 patients, the FRAIL scale results showed that 8/379 patients were at the frailty level (2.1%), and 33/379 patients were at the pre-frailty level (8.7%). Patients who had above high school education and were retired were at lower risk of pre-frailty/frailty than those with high school education or below, and self-employed, respectively. Conversely, patients with a higher number of comorbidities were more likely to develop pre-frailty and frailty. This study showed a low prevalence of pre-frailty and frailty among T2DM patients. It is necessary to manage diabetes carefully and strictly control the comorbidities in this population. Interventions should focus on higher risk populations, such as those with low education levels and self-employment.

摘要

由于人口老龄化,衰弱和糖尿病的发病率正在上升。本研究旨在检查越南河内 2 型糖尿病(T2DM)患者的衰弱状况,并确定其相关因素。 这是一项在城市医院进行的 2 型糖尿病患者的横断面研究。本研究使用 FRAIL 问卷评估衰弱状况。收集了社会人口统计学、临床和实验室特征。进行多变量回归模型以检测与衰弱相关的因素。 在 379 名患者中,FRAIL 量表结果显示,8/379 名患者处于衰弱水平(2.1%),33/379 名患者处于衰弱前期水平(8.7%)。与高中及以下学历和个体经营者相比,受过高等教育和退休的患者发生衰弱前期/衰弱的风险较低。相反,患有更多合并症的患者更有可能出现衰弱前期和衰弱。 本研究显示,T2DM 患者衰弱前期和衰弱的患病率较低。有必要在该人群中仔细管理糖尿病并严格控制合并症。干预措施应针对高风险人群,如受教育程度低和个体经营者。

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