血液透析患者衰弱现状的调查研究
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Frailty in hemodialysis patients: a survey study
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    摘要:

    目的 了解血液透析患者衰弱现状,为透析患者衰弱干预提供依据。方法 采用便利抽样法选取自贡市7所综合医院透析中 心201例血液透析患者为调查对象,采用 FRAIL量表评估患者衰弱状况,设计一般情况调查表和衰弱影响因素调查表,分别收集 患者人口学资料和血液透析相关资料。结果 血液透析患者衰弱得分为2(1,4)分,衰弱占44.8%,衰弱前期占37.8%,无衰弱占 17.4%。不同服药情况、血液透析频次、营养不良风险的患者衰弱状况比较,差异有统计学意义;不同衰弱程度患者年龄、ADL评 分、C-反应蛋白、白蛋白比较,差异有统计学意义(P<0.05,P<0.01)。Logistic回归分析显示,营养不良风险、性别、ADL、白蛋 白是衰弱状况的影响因素(P<0.05,P<0.01)。结论 血液透析患者衰弱发生率偏高,女性、白蛋白水平低、自理能力差、营养不 良风险是衰弱的易患因素,应及时采取干预策略,以预防衰弱发生、延缓衰弱进程及由此引发的临床不良事件的发生。

    Abstract:

    Objective To understand frailty level in hemodialysis population and to provide evidence for anti-frailty intervention for dialysis patients. Methods A total of 201 patients on regular hemodialysis therapy in 7 general hospitals′ dialysis centers in Zigong city were selected as convenient samples. The FRAIL Scale was used to evaluate the frailty condition of hemodialysis patients, and a self-designed demographic data questionnaire and a frailty factors questionnaire were used to collect relevant data. Results The median frailty score of the respondents was 2(1,4) points, with 44.8% deemed to be frail, 37.8% pre-frail, and 17.4% non-frail. There were significant differences in patients′ frailty scores by numbers of oral medicine, frequencies of hemodialysis therapy, and malnutrition risks (P<0.05,P<0.01); there were also significant differences in ages, ADL scores, C-reactive protein (CRP), and albumin levels among the frail, pre-frail, and non-frail groups (P<0.05,P<0.01).Logistic analysis showed that, malnutrition risks, genders, ADL scores, and albumin levels were influencing factors of frailty (P<0.05,P<0.01). Conclusion Occurrence of frailty is high in hemodialysis patients. Female patients, those who have low level of serum albumin, those having poorer ADL scores, and those at risk of malnutrition, were more prone to frailty. Measures should be taken to prevent frailty, slow down the progress of frailty, and the occurrence of adverse clinical events.

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蔡康琴,李伟,王莉,罗平,赵晓娟,李英,李文锦.血液透析患者衰弱现状的调查研究[J].护理学杂志,2019,34(11):24-27

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  • 收稿日期:2018-11-11
  • 最后修改日期:2019-01-20
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  • 在线发布日期: 2022-08-09