老年非瓣膜性心房颤动住院患者衰弱现状及影响因素分析

doi:10.3761/j.issn.0254-1769.2021.07.009

科研成果详情

题名	老年非瓣膜性心房颤动住院患者衰弱现状及影响因素分析
其他题名	The current status and influencing factors analysis of frailty in the elderly hospitalized patients with nonvalvular atrial fibrillation
作者	黄赛燕1; 宗晓梅2; 李彬 3; 董超群4; 丁婷婷5; 卢中秋6
发表日期	2021-07-15
发表期刊	中华护理杂志影响因子和分区
语种	中文
原始文献类型	学术期刊
关键词	衰弱心房颤动非瓣膜性老年人护理
摘要	目的调查老年非瓣膜性心房颤动住院患者的衰弱现状及其影响因素。方法采用便利抽样法,选取2020年3月—10月在温州市某三级甲等医院心血管内科住院的183例老年非瓣膜性心房颤动患者,采用一般资料调查表、FRAIL衰弱问卷、Barthel指数评定量表、Padua风险评估表进行调查。采用Logistic回归分析老年非瓣膜性心房颤动住院患者衰弱的影响因素。结果老年非瓣膜性心房颤动住院患者衰弱前期和衰弱的发生率分别为39.9%和28.4%,仅有31.7%患者无衰弱。Logistic回归结果显示,年龄、性别、左心室射血分数、左心房内径、Barthel指数得分和Padua得分是老年非瓣膜性心房颤动患者衰弱的影响因素(P<0.05)。结论老年非瓣膜性心房颤动患者合并衰弱的发生率高。高龄、左心室射血分数低、左心房内径增大等非瓣膜性心房颤动患者更易出现衰弱。
其他摘要	Objective To investigate the current status of frailty in elderly hospitalized patients with non-valvular atrial fibrillation(NVAF) and to analyze the influencing factors. Methods The convenience sampling method was used to select 183 elderly patients aged 60 years and older who were diagnosed with NVAF and hospitalized in the Department of Cardiovascular Medicine of a tertiary hospital in Wenzhou from March 2020 to October 2020. The general patient data,laboratory parameters,cardiac ultrasound parameters,and health data were collected by the General Information Questionnaire,Frail Frailty Questionnaire,Barthel Index,Activity of Daily Living Scale(ADL)and Padua score for risks of deep vein thrombosis in medical inpatients. Statistical methods including single factor and multifactor analysis were conducted for influencing factors of frailty in the elderly patients with atrial fibrillation. Results The pre-frailty and frailty rates in 183 elderly patients with NVAF were 39.9% and 28.4%,respectively, and only 31.7% were non-frailty. The results of ordered multiple Logistic regression showed that age,sex,cardiac ejection fraction,left atrial internal diameter,and ADL were influential factors in the frailty of elderly patients with NVAF(P<0.05). Conclusion Elderly patients with NVAF have a high incidence of frailty and a large proportion of patients are in the pre-frailty. Age,sex,cardiac ejection fraction,left atrial internal diameter,ADL and the deep vein thrombosis risk are influential factors in frailty. Frailty screening and management should be carried out as early as possible during hospitalization for elderly patients with NVAF to improve their ADL and quality of life.
资助项目	温州市2020年基础性科研项目（Y2020660）
ISSN	0254-1769
卷号	56 期号:07 页码:1009-1015
DOI	10.3761/j.issn.0254-1769.2021.07.009
页数	7
收录类别	CNKI ; 万方 ; 维普 ; 北大核心 ; ISTIC ; CSCD ; PKU
学科领域	医药、卫生 ; 临床医学
URL	查看原文
CSCD记录号	CSCD:7033570
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/25963
专题	附属第一医院护理学院其他_附属义乌医院（义乌市中心医院）
作者单位	1.温州医科大学附属第一医院心内科; 2.温州医科大学附属义乌医院胃肠外科; 3.温州医科大学附属第一医院骨科; 4.温州医科大学护理学院; 5.温州医科大学附属第一医院重症监护中心; 6.温州医科大学附属第一医院急诊科
第一作者单位	附属第一医院
第一作者的第一单位	附属第一医院
推荐引用方式 GB/T 7714	黄赛燕,宗晓梅,李彬,等. 老年非瓣膜性心房颤动住院患者衰弱现状及影响因素分析[J]. 中华护理杂志,2021,56(07):1009-1015.
APA	黄赛燕, 宗晓梅, 李彬, 董超群, 丁婷婷, & 卢中秋. (2021). 老年非瓣膜性心房颤动住院患者衰弱现状及影响因素分析. 中华护理杂志, 56(07), 1009-1015.
MLA	黄赛燕,et al."老年非瓣膜性心房颤动住院患者衰弱现状及影响因素分析".中华护理杂志 56.07(2021):1009-1015.

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