Frailty status and influencing factors of elderly inpatients in Geriatric Department
10.3760/cma.j.cn115682-20220302-00950
- VernacularTitle:老年科高龄住院患者衰弱状况及影响因素分析
- Author:
Jingli KOU
1
;
Min YUE
;
Shenshen YANG
;
Lina MA
Author Information
1. 首都医科大学宣武医院老年医学科，国家老年疾病临床医学研究中心，北京 100053
- Keywords:
Aged;
Old age;
Inpatients;
Frailty;
Cross-sectional survey;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2022;28(26):3605-3611
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the frailty status of elderly inpatients and its influencing factors, so as to provide a basis for early identification of frailty status of elderly inpatients and scientific intervention.Methods:From January to December 2021, the convenient sampling was used to select 617 elderly patients (aged greater than or equal to 80 years old) in Department of Geriatric Medicine in Xuanwu Hospital, Capital Medical University as the research objects. The General Information Questionnaire, FRAIL Scale, Activities of Daily Living (ADL) Assessment Scale, NRS-2002 Nutritional Risk Screening Scale, John Hopkins Fall Risk Assessment Tool (JHFRAT) and Braden Scale were used to conduct cross-sectional survey. Multiple Logistic regression was used to analyze the influencing factors of frailty in elderly inpatients. A total of 617 questionnaires were distributed and 616 valid questionnaires were recovered, with an effective recovery rate of 99.8% (616/617) .Results:Among 616 elderly inpatients, the incidence of frailty was 60.9% (375/616) . The results of multiple Logistic regression analysis showed that advanced age, high fall risk, dependence on self-care ability of daily living and increased C-reactive protein were risk factors for frailty in elderly inpatients ( P<0.05) . Conclusions:Elderly inpatients have a high incidence of frailty. Advanced age, high fall risk, poor daily living ability and elevated C-reactive protein are related to the occurrence of frailty. Therefore, medical staff should do a good job of assessing the frailty of elderly patients in clinical work and formulate professional, diversified and safe intervention programs in combination with their physical conditions, so as to delay the frailty process of elderly inpatients, improve quality of life of patients and promote healthy aging.
