Department of Tuberculosis, Lishui Hospital of Traditional Chinese Medicine, Lishui, China.
Medicine (Baltimore). 2024 May 31;103(22):e38212. doi: 10.1097/MD.0000000000038212.
We investigated the current state of frailty in elderly patients with tuberculosis and analyzed the factors that influence it.
Using a convenience sampling method, 120 elderly patients with tuberculosis were selected from the Department of Infectious Diseases at Lishui Hospital of Traditional Chinese Medicine in Zhejiang Province. A cross-sectional survey was conducted using general demographic questionnaires, the FRAIL (fatigue, resistance, aerobic capacity, illnesses, and loss of weight) screening scale, the self-rating depression scale (SDS), and a questionnaire on respiratory function exercise adherence. The influencing factors for depression were analyzed using logistic regression.
The average depression score of the 120 elderly patients with frailty and tuberculosis was 54.88 ± 5.61, indicating a mild level of depression. The correlation between this score and respiratory function exercise adherence was negative. According to a logistic regression analysis, marital status and payment methods were influencing factors for depression in these elderly patients with frailty and tuberculosis.
There is a need to increase respiratory function exercise adherence among elderly patients with frailty and tuberculosis who have a high incidence of depression. Medical staff should assess adverse emotions in patients and their adherence to respiratory function exercises on a periodic basis.
本研究旨在调查老年肺结核衰弱患者的衰弱现状,并分析其影响因素。
采用便利抽样法,选取 2020 年 1 月至 2022 年 12 月浙江省丽水市中医院感染科收治的 120 例老年肺结核患者,采用一般人口学问卷、衰弱筛查量表(FRAIL)、抑郁自评量表(SDS)、呼吸功能锻炼依从性问卷进行横断面调查,采用 logistic 回归分析抑郁的影响因素。
120 例老年肺结核衰弱患者的平均抑郁评分为 54.88±5.61 分,提示处于轻度抑郁状态,该评分与呼吸功能锻炼依从性呈负相关。logistic 回归分析显示,婚姻状况和付费方式是老年肺结核衰弱患者抑郁的影响因素。
老年肺结核衰弱患者抑郁发生率较高,需提高其呼吸功能锻炼的依从性。医护人员应定期评估患者的不良情绪及呼吸功能锻炼的依从性。