老年冠心病患者合并衰弱的相关因素分析

Analysis in related factors of elderly patients with coronary heart disease complicated with weakness

  • 摘要:
      目的  分析老年冠心病(CHD)患者合并衰弱的相关因素。
      方法  前瞻性选取145例老年CHD患者作为研究对象,评估所有患者入院时衰弱情况,并根据衰弱情况将患者分为合并衰弱组与未合并衰弱组,设计基线资料调查表并详细统计2组患者的资料,应用单因素分析及多因素分析探讨老年CHD患者合并衰弱的影响因素。
      结果  145例老年CHD患者中,合并衰弱者49例,占33.79%;合并衰弱组的受教育程度、营养状况、近1年跌倒史、焦虑状况与未合并衰弱组比较,差异有统计学意义(P < 0.05),2组间其他资料比较,差异无统计学意义(P>0.05);Logistics回归分析结果显示,受教育程度低、营养不良、焦虑、有近1年跌倒史均为老年CHD患者合并衰弱的危险因素(OR>1,P < 0.05)。
      结论  老年CHD患者合并衰弱的风险较高,这可能与患者受教育程度低、营养不良、焦虑、有近1年跌倒史等有关。

     

    Abstract:
      Objective  To analyze the related factors of elderly patients with coronary heart disease (CHD) complicated with weakness.
      Methods  A total of 145 elderly patients with CHD were prospectively selected as research subjects, the weakness conditions of all patients were assessed at admission, and the patients were divided into combined weakness group and the non-combined weakness group according to their weakness conditions. The baseline data adjustment table was designed, the data of the two groups was counted in details. Univariate and multivariate analysis were used to find out the influencing factors of elderly patients with CHD complicated with weakness.
      Results  Among 145 elderly patients with CHD, 49 cases were combined with weakness, accounting for 33.79%; education level, nutritional status, fall history in one year and anxiety status between the combined weakness group and the non-combined weakness group showed significant differences(P < 0.05). There were no statistically significant differences in other data between the two groups (P>0.05). Logistic regression analysis showed that low level of education, malnutrition, anxiety and falling history in one year were the risk factors of elderly patients with CHD complicated with weakness (OR>1, P < 0.05).
      Conclusion  Elderly patients with CHD have a higher risk of weakness, which may be related to low education level, malnutrition, anxiety and fall history in one year.

     

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