| 庞 乐,张绍敏,郑融融,徐 莲,张 蕾,吴锦晖.衰弱量表在老年冠心病患者衰弱评估中的应用及其影响因素分析[J].,2017,17(25):4860-4863 |
| 衰弱量表在老年冠心病患者衰弱评估中的应用及其影响因素分析 |
| A Study on the Practicability and Influencing Factors of the Frailty Assessment in Elderly Patients with Coronary Atherosclerotic Heart Disease |
| 投稿时间：2017-04-07 修订日期：2017-04-30 |
| DOI：10.13241/j.cnki.pmb.2017.25.014 |
| 中文关键词: 衰弱量表 老年冠心病 影响因素 |
| 英文关键词: Weak scale Elderly Influencing factors |
| 基金项目:四川省科技厅科研基金项目（2015SZ0234） |
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| 中文摘要: |
| 摘要 目的：探讨三种衰弱评估量表对于老年冠心病患者衰弱病情评估的相关性及其影响因素。方法：选择2015年5月到2016年10月在老年医学中心确诊的120例冠心病患者作为研究对象，收集患者的临床资料，用Fried衰弱评分、临床衰弱量表(CFS)、爱特蒙特衰弱量表(EFS)对每位患者进行衰弱评估，将三种量表的评估结果进行相关性分析。结果：Fried评分、CFS评分与EFS评分判定为衰弱患者分别为6例、8例与14例，发生率为5.0%、6.7%和11.7%，组间对比无统计学意义，P>0.05。直线相关分析显示Fried评分与CFS评分、EFS评分呈正向相关性(P<0.05)，对于冠心病患者衰弱评估具有一致性。对于冠心病衰弱程度评估中CFS评分与EFS评分之间比较差异无统计学意义(P>0.05)。Cox回归分析显示文化水平、心功能分级、居住情况与睡眠障碍为Fried评分的主要影响因素(P<0.05)。结论：三种衰弱评估量表对于冠心病患者衰弱病情评估具有一致性，但具有不同的临床应用价值；患者的文化水平、心功能分级、居住情况与睡眠障碍与衰弱的发生有相关性。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the correlation and influence factors of three weak assessment scales in the evaluation of de- bilitating condition of elderly patients with coronary heart disease (CHD). Methods: 120 cases with CHD in our hospital were chosen, the clinical material were collected. The Fried weak score, clinical weak score and EFS were assessed. The correlation of three weak assess- ment scales were analyzed. Results: Fried score, CFS score and EFS score determined 6 cases, 8 cases and 14 cases patients with weak respectively, the incidence rate were 5.0%, 6.7% and 11.7%, which had no significant difference(P>0.05). The linear correlation analysis indicated the Fried score, CFS score and EFS score had positive correlation(P<0.05), which had consistency with CHD patients. The CFS score and EFS score had no significant correlation(P>0.05). Cox regression analysis showed that the cultural level and grade of cardiac function, living conditions and sleep disorders were influencing factors of Fried scores(P<0.05). Conclusion: Three weak assessment had consistence and different clinical value for the evaluation of weakness in CHD patients, the cultural level and grade of cardiac function, living conditions and sleep disorders were influencing factors of weakness in CHD patients. |
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