消化系统肿瘤患者衰弱现状及影响因素
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女,硕士在读,护士

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连云港市第六期“521工程”科研项目(LYG06521202123)


Survey on frailty in patients with gastrointestinal tumors: the influencing factors
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    摘要:

    目的 调查消化系统肿瘤患者衰弱现状及其影响因素,为临床医护人员实施衰弱干预提供参考。方法采用便利抽样法选取343例消化系统肿瘤患者,以一般资料问卷、衰弱表型、患者主观整体评估和医院焦虑抑郁量表进行横断面调查。结果218例患者发生衰弱,衰弱发生率为63.56%。年龄、白蛋白、文化程度、治疗方式、抑郁和患者主观整体评估评分是消化系统肿瘤患者衰弱的影响因素(均P<0.01)。结论消化系统肿瘤患者衰弱发生率较高。临床医护人员需重视高龄、放化疗及其他治疗方式、抑郁和患者主观整体评估评分≥4分患者的衰弱评估,采取针对性干预措施,预防或改善患者衰弱状况。

    Abstract:

    Objective To explore the status and the influencing factors of frailty in patients with gastrointestinal tumors, and to provide reference for clinical staffers to take measures against frailty. Methods Totally, 343 patients with gastrointestinal tumors were selected via convenience sampling method, and surveyed with a demographic questionnaire, the Frailty Phenotype, the Patient-Generated Subjective Global Assessment (PG-SGA) and the Hospital Anxiety and Depression Scale (HADS). Results Totally 218 patients with gastrointestinal tumors suffered from frailty and the prevalence was 63.56%. Logistic regression analysis showed that age, albumin levels, education levels, treatment methods, depression, and PG-SGA scores were influencing factors of frailty(P<0.01 for all). Conclusion The prevalence of frailty in patients with gastrointestinal tumors is high. Attention should be attached to patients with advanced age, on chemotherapy/radiotherapy and other treatments, with depression, or with a PG-SGA score ≥ 4. Targeted intervention measures in accordance with the influencing factors of frailty should be taken to prevent or ame-liorate frailty of patients.

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张慧嫔,张海林,周晓敏,陈管洁,朱子夜,唐婕.消化系统肿瘤患者衰弱现状及影响因素[J].护理学杂志,2022,27(8):11-15

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  • 收稿日期:2021-11-21
  • 最后修改日期:2022-01-28
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  • 在线发布日期: 2023-08-28