[1]吴 培,高靖雯,胡雅静,等.社区老年糖尿病患者合并衰弱现况及其影响因素[J].医学信息,2021,34(04):153-157.[doi:10.3969/j.issn.1006-1959.2021.04.042]
 WU Pei,GAO Jing-wen,HU Ya-jing,et al.Current Status and Influencing Factors of Elderly Diabetic Patients in Community with Frailty[J].Medical Information,2021,34(04):153-157.[doi:10.3969/j.issn.1006-1959.2021.04.042]
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社区老年糖尿病患者合并衰弱现况及其影响因素()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年04期
页码:
153-157
栏目:
调查分析
出版日期:
2021-02-15

文章信息/Info

Title:
Current Status and Influencing Factors of Elderly Diabetic Patients in Community with Frailty
文章编号:
1006-1959(2021)04-0153-05
作者:
吴 培高靖雯胡雅静
(1.南华大学护理学院,湖南 衡阳 421001; 2.南华大学附属第一医院新生儿科,湖南 衡阳 421001)
Author(s):
WU PeiGAO Jing-wenHU Ya-jinget al.
(1.School of Nursing,University of South China,Hengyang 421001,Hunan,China; 2.Department of Neonatology,the First Affiliated Hospital of University of South China,Hengyang 421001,Hunan,China)
关键词:
社区老年人糖尿病衰弱
Keywords:
Community Elderly Diabetes Frailty
分类号:
R587.1
DOI:
10.3969/j.issn.1006-1959.2021.04.042
文献标志码:
A
摘要:
目的 研究社区老年糖尿病患者合并衰弱的情况并探讨其相关影响因素。方法 采取便利抽样法,于2020年5月~9月选取衡阳市某5所社区卫生服务中心共260例社区老年糖尿病患者进行问卷调查与测试,包括一般情况调查表、Fried衰弱表型、糖尿病自我管理行为量表,及“起立-计时-行走”测试,采用?字2、有序多元Logistic回归分析社区老年糖尿病患者衰弱的影响因素。结果共收回有效问卷254份,调查对象中,27.56%处于衰弱期,49.61%处于衰弱前期,22.83%无衰弱。单因素分析结果显示,年龄、文化程度、人均月收入、饮酒情况、运动锻炼情况、空腹血糖、BMI、近半年低血糖次数、慢性病病程、糖尿病自我管理水平及步行能力对社区老年糖尿病患者的衰弱状态有影响,Logistic回归分析显示饮酒、运动锻炼、糖尿病自我管理水平及步行能力是社区老年糖尿病患衰弱的影响因素。结论 社区老年糖尿病患者衰弱的发生率较高,受饮酒、运动锻炼情况、糖尿病自我管理水平、步行能力等因素的影响,应提高患者对疾病的认识,综合考虑患者个人情况,采取针对性的干预方式预防/延缓衰弱的发生。
Abstract:
Objective To study the combined frailty of elderly diabetic patients in the community and to explore its related influencing factors. Methods The convenience sampling method was adopted. A total of 260 community elderly diabetic patients from 5 community health service centers in Hengyang were selected for questionnaire survey and testing from May 2020 to September 2020.Including general situation questionnaire,Fried frailty phenotype, diabetes self-management behavior scale, and "stand-up-time-walk" test, using ?字2, ordered multivariate Logistic regression to analyze the debilitating factors of elderly diabetic patients in the community.Results A total of 254 valid questionnaires were retrieved. Among the respondents, 27.56% were in the debilitating period, 49.61% were in the pre-debility period, and 22.83% were not debilitated.Single factor analysis results showed that age, education level, per capita monthly income, drinking status, exercise status, fasting blood glucose, BMI, number of hypoglycemia in the past six months, chronic disease course,diabetes self-management level and walking ability had an impact on the debilitating state of elderly diabetic patients in the community.Logistic regression analysis showed that drinking, exercise, diabetes self-management level and walking ability were the influencing factors of debilitating elderly diabetes patients in the community.Conclusion The incidence of frailty among elderly diabetic patients in the community is relatively high, which is affected by factors such as alcohol consumption, exercise status, diabetes self-management level, and walking ability.The patient’s awareness of the disease should be improved, the patient’s personal situation should be considered comprehensively, and targeted interventions should be taken to prevent/delay the onset of frailty.

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更新日期/Last Update: 1900-01-01