Analysis of risk factors for frailty in elderly patients with fragile hip fractures
10.3760/cma.j.cn115682-20200102-00029
- VernacularTitle:老年髋部脆性骨折患者衰弱发生的危险因素分析
- Author:
Yuan ZHANG
1
;
Lingyun SHI
;
Xueyuan JIA
;
Zhi LU
;
Huanhuan WEI
;
Meixin WANG
Author Information
1. 新疆医科大学护理学院，乌鲁木齐 830000
- Keywords:
Aged;
Hip fractures;
Frailty;
Risk factors;
Questionnaire survey
- From:
Chinese Journal of Modern Nursing
2020;26(27):3718-3725
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current status of frailty in elderly patients with fragile hip fractures and analyze its influencing factors.Methods:The clinical data of 196 elderly patients with fragile hip fractures who underwent surgical treatment in 4 Class Ⅲ Grade A hospitals from April to November 2019 were collected. Mini Nutritional Assessment-Short Form (MNA-SF) was used to assess nutritional status, Montreal Cognitive Assessment (MOCA) was used to assess cognitive function, 5-Item Geriatric Depression Scale (GDS-5) and Generalized Anxiety Disorder-7 (GAD-7) were used to assess mental state, Fried Frailty Phenotype (FP) was used to assess the occurrence of frailty of patients and multivariate binary logistic regression analysis was used to explore the influencing factors of frailty in patients.Results:Among the 196 elderly patients with fragile hip fractures, the incidence of frailty and non-frailty were 50.5% (99/196) and 49.5% (97/196) , respectively. There were statistically significant differences in incidence of frailty among elderly patients with fragile hip fractures with different ages, exercise frequency, self-perceived health status, sleep quality, activity of daily living, Charlson comorbidity index (CCI) , nutritional status, depression status assessment, cognitive status assessment and anxiety self-assessment ( P<0.05) . Logistic regression analysis showed that age, self-perceived health status, sleep quality, CCI and nutritional status were the main risk factors affecting the occurrence of fragility in elderly patients with fragile hip fractures ( P<0.05) . Conclusions:In elderly patients with fragile hip fractures, the incidence of frailty is higher, and the main risk factors for frailty are age, self-perceived health, sleep quality, CCI and nutritional status. It is necessary for medical staff to identify frailty patients before surgery and timely adopt interdisciplinary frailty management to reduce and delay the occurrence of frailty and promote the recovery of elderly patients with fragile hip fractures.
