Study on the current situation of frailty and influencing factors in elderly patients with colorectal cancer before surgery
10.3761/j.issn.0254-1769.2025.11.004
- VernacularTitle:术前老年结直肠癌患者衰弱现状及影响因素研究
- Author:
Siyuan ZHANG
1
;
Huanling GAO
;
Lihong LIU
;
Hongmei LI
;
Weijing CHEN
;
Xiaolong DU
Author Information
1. 032200 山西省汾阳市 山西医科大学汾阳学院
- Publication Type:Journal Article
- Keywords:
Colorectal Neoplasms;
Frailty;
Interoceptive Sensitivity;
Root Cause Analysis;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(11):1302-1308
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the influencing factors and action paths of frailty in elderly patients with col-orectal cancer,so as to provide a theoretical clinical intervention.Methods A convenience sampling method was adopted.A total of 254 elderly patients with colorectal cancer who were scheduled for elective surgery in a tertiary A hospital in Shanxi Province from March 2023 to September 2024 were selected as the research subjects.General information questionnaires,Fried frailty phenotype,Perceived Ageism Scale,Multidimensional Assessment Scale of In-teroceptive Awareness Version 2-Chinese,Cancer Patient Self-Management Assessment Scale,and Anderson Symptom Inventory were used for the investigation,and a structural equation model was constructed.Results The incidence of frailty in elderly colorectal cancer patients before surgery is 38.98％.Anderson Symptom Assessment and Per-ceived Ageism were positively correlated with frailty(r=0.534,0.568,P＜0.01),while interoceptive sensitivity and the self-management level were negatively correlated with frailty(r=-0.444,-0.659,P＜0.01).Self-management behavior had only a direct effect on patients' frailty(β=-0.349,P＜0.001),while Anderson Symptom Assessment,perceived age discrimination and interoceptive sensitivity had both direct and indirect effects on patients' frailty(direct effects β=0.235,0.287,-0.220;indirect effects β=0.147,0.090,-0.113;all P＜0.001).Conclusion The incidence of frailty in elderly patients with colorectal cancer before surgery is high.Attention should be paid to patients who are elderly,female and have a low level of education.Medical staff can take targeted measures to enhance patients' interocep-tive concentration and stability,so that patients can better monitor and regulate their bodies and emotions,and im-prove their health-promoting decisions and behaviors.At the same time,attention should also be paid to the prob-lem of age discrimination to create a good medical environment for patients.
