Study on the development trajectory and influencing factors of frailty in patients undergoing cardiac surgery
10.3761/j.issn.0254-1769.2025.02.001
- VernacularTitle:心脏手术患者衰弱发展轨迹及影响因素研究
- Author:
Linxue ZHANG
1
;
Jiamei ZHOU
;
Pingping YANG
;
Jinbo ZHANG
;
Mingxian LUO
;
Xiumao LI
;
Shan LI
;
Lu ZENG
Author Information
1. 563000 遵义市 遵义医科大学附属医院护理部
- Publication Type:Journal Article
- Keywords:
Cardiac Surgery;
Frailty;
Development Trajectory;
Root Cause Analysis;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(2):133-141
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the potential categories of frailty development trajectories in patients undergoing cardiac surgery from pre-operation to 6 months post-operation,and analyze the influencing factors.Methods By a longitudinal study design,patients undergoing elective heart valve replacement surgery or coronary artery bypass grafting in a tertiary general hospital in Zunyi City from August 2022 to June 2023 were selected by the convenience sampling method.Tilburg frailty scale was used to investigate the frailty level of cardiac surgery patients 1 day before surgery(T0),1 month(T1),3 months(T2)and 6 months after surgery(T3).The growth mixture model was used to identify the trajectory categories,and the influencing factors of different frailty trajectories were analyzed by binary Logistic regression.Results 261 patients were enrolled at T0,with 22,9,and 3 patients lost at T1 to T3,and 227 patients were finally included in the analysis.There were 2 types of trajectories being identified as the low frailty decline group and the high frailty maintenance group.Age,use of sedative and analgesic drugs,pace,and depression were the factors influencing the frailty in cardiac surgery patients(P＜0.05).Conclusion There are 2 kinds of frailty development trajectories in patients undergoing cardiac surgery.Medical staff should fonnulate precise interventions and nursing measures according to the factors influencing frailty,so as to improve frailty degree and quality of life of patients undergoing cardiac surgery.
