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老年 2 型糖尿病患者衰弱影响因素的研究。

Study on Influencing Factors of Frailty in Elderly Patients with Type II Diabetes.

机构信息

Department of Geriatrics, Bozhou People's Hospital, Bozhou 236800, Anhui Province, China.

General Practice, Bozhou People's Hospital, Bozhou 236800, Anhui Province, China.

出版信息

J Healthc Eng. 2022 Jan 29;2022:7244847. doi: 10.1155/2022/7244847. eCollection 2022.

Abstract

The purpose of this study was to analyze the influencing factors of frailty in elderly patients with type II diabetes. 332 elderly patients with type II diabetes admitted to our hospital from May 2018 to December 2019 were selected as the study subjects. The degree of frailty was evaluated by the Fried fragility phenotype scale, and the general information and the clinical data of patients were collected by inquiry and questionnaire survey. After that, all the data were analyzed by SPSS 20.0. Univariate analysis showed that there were significant differences in age, medication types, dietary habits, exercise tolerance, exercise capacity, body balance, coordination ability, urinary incontinence, anxiety, etc., in elderly patients with type II diabetes who suffered from different degrees of frailty ( < 0.01). In addition, there were significant differences in the presence of coronary heart disease, heart failure, atrial fibrillation, pulmonary diseases, osteoarticular diseases, anemia, and other blood diseases of elderly patients with type II diabetes who suffered from different degrees of frailty ( < 0.01). Multiple Logistic regression analyses indicated that weakened exercise tolerance, reduced exercise capacity, atrial fibrillation, anemia, and other blood diseases were the influencing factors of the frailty in elderly patients with type II diabetes. The degree of frailty in elderly patients with diabetes is affected by many factors, such as exercise tolerance, exercise capacity, atrial fibrillation, anemia, and other blood diseases; thus, reasonable intervention should be implemented for elderly patients with type II diabetes according to the influencing factors so as to effectively relieve frailty.

摘要

本研究旨在分析老年 2 型糖尿病患者衰弱的影响因素。选取 2018 年 5 月至 2019 年 12 月我院收治的老年 2 型糖尿病患者 332 例作为研究对象。采用 Fried 衰弱表型量表评估衰弱程度,通过询问和问卷调查收集患者的一般信息和临床资料。采用 SPSS 20.0 对所有数据进行分析。单因素分析显示,不同衰弱程度的老年 2 型糖尿病患者的年龄、用药类型、饮食习惯、运动耐量、运动能力、身体平衡、协调能力、尿失禁、焦虑等方面差异均有统计学意义( < 0.01)。此外,不同衰弱程度的老年 2 型糖尿病患者的冠心病、心力衰竭、心房颤动、肺部疾病、骨关节炎、贫血等血液病的发生情况差异均有统计学意义( < 0.01)。多因素 Logistic 回归分析显示,运动耐量下降、运动能力下降、心房颤动、贫血等血液病是老年 2 型糖尿病患者衰弱的影响因素。糖尿病老年患者的衰弱程度受运动耐量、运动能力、心房颤动、贫血等血液病等多种因素的影响,因此,应根据影响因素对老年 2 型糖尿病患者进行合理干预,从而有效缓解衰弱。

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