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ZHAI Hongli, LIN Ziwei, MA Wei, CHENG Jin. Analysis in related factors of elderly patients with coronary heart disease complicated with weakness[J]. Journal of Clinical Medicine in Practice, 2021, 25(19): 74-77. DOI: 10.7619/jcmp.20212588
Citation: ZHAI Hongli, LIN Ziwei, MA Wei, CHENG Jin. Analysis in related factors of elderly patients with coronary heart disease complicated with weakness[J]. Journal of Clinical Medicine in Practice, 2021, 25(19): 74-77. DOI: 10.7619/jcmp.20212588
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Analysis in related factors of elderly patients with coronary heart disease complicated with weakness

  • Department of Geriatric Medicine, Bozhou People's Hospital in Anhui Province, Anhui, Bozhou, 236800

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  • Received Date: June 22, 2021
  • Available Online: October 08, 2021
  • Published Date: October 14, 2021
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    • 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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    • References (28)
  • [1]
    李雪, 黄大海, 施红, 等. 衰弱与冠心病研究进展[J]. 中华老年医学杂志, 2018, 37(4): 470-473. doi: 10.3760/cma.j.issn.0254-9026.2018.04.028
    [2]
    KLECZYNSKI P, DZIEWIERZ A, BAGIENSKI M, et al. Impact of frailty on mortality after transcatheter aortic valve implantation[J]. Am Heart J, 2017, 185: 52-58. doi: 10.1016/j.ahj.2016.12.005
    [3]
    DENT E, LIEN C, LIM W S, et al. The Asia-Pacific clinical practice guidelines for the management of frailty[J]. J Am Med Dir Assoc, 2017, 18(7): 564-575. doi: 10.1016/j.jamda.2017.04.018
    [4]
    陈影, 张爽, 姜宗良, 等. 冠心病合并衰弱综合征影响因素研究进展[J]. 护士进修杂志, 2019, 34(15): 1366-1370.
    [5]
    曾朝霞, 梁杰. 老年冠心病患者合并衰弱综合征的影响因素研究[J]. 中国全科医学, 2017, 20(19): 2347-2352, 2357. doi: 10.3969/j.issn.1007-9572.2017.19.011
    [6]
    中华医学会心血管病学分会介入心脏病学组, 中华医学会心血管病学分会动脉粥样硬化与冠心病学组, 中国医师协会心血管内科医师分会血栓防治专业委员会, 等. 稳定性冠心病诊断与治疗指南[J]. 中华心血管病杂志, 2018, 46(9): 680-694. doi: 10.3760/cma.j.issn.0253-3758.2018.09.004
    [7]
    NAGAI T, ANZAI T. NYHA functional classification and AHA/ACC Stages for heart failure management[J]. Nihon Rinsho Jpn J Clin Med, 2016, 74(6): 340-344.
    [8]
    李菲, 刘慧松, 查龙肖, 等. 中文版老年人衰弱评估量表的修订和信效度评价[J]. 护理学杂志, 2017, 32(7): 18-20, 27. doi: 10.3870/j.issn.1001-4152.2017.07.018
    [9]
    中国高血压防治指南修订委员会. 中国高血压防治指南2010[J]. 中华心血管病杂志, 2011, 39(7): 579-616. doi: 10.3760/cma.j.issn.0253-3758.2011.07.002
    [10]
    中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2017年版)[J]. 中国实用内科杂志, 2018, 38(4): 292-344.
    [11]
    袁华财, 张甜甜, 郭冬梅, 等. 微型营养评价量表在社区老年人群中的信效度评价[J]. 山东大学学报: 医学版, 2018, 56(9): 77-82.
    [12]
    SAMAKOURI M, BOUHOS G, KADOGLOU M, et al. Standardization of the Greek version of zung's self-rating anxiety scale (SAS)[J]. Psychiatriki, 2012, 23(3): 212-220.
    [13]
    张宁, 朱文玲, 刘晓红, 等. 住院老年冠心病患者衰弱与肌肉功能评价的横断面分析[J]. 中华内科杂志, 2019, 58(4): 265-269.
    [14]
    吕卫华, 王青, 翟雪靓, 等. 老年住院患者衰弱指数不同临界值与出院预后分析[J]. 中华老年多器官疾病杂志, 2018, 17(5): 329-333.
    [15]
    王斗, 丛雪, 周雅静, 等. 衰弱老年人管理循证指南的质量评价[J]. 中华护理杂志, 2020, 55(2): 237-242. doi: 10.3761/j.issn.0254-1769.2020.02.014
    [16]
    张宁, 朱文玲, 刘晓红, 等. 住院老年冠心病患者合并衰弱的患病率及影响因素研究[J]. 中国循环杂志, 2019, 34(7): 640-645. doi: 10.3969/j.issn.1000-3614.2019.07.004
    [17]
    TREVISAN C, VERONESE N, MAGGI S, et al. Factors influencing transitions between frailty states in elderly adults: the progetto Veneto anziani longitudinal study[J]. J Am Geriatr Soc, 2017, 65(1): 179-184. doi: 10.1111/jgs.14515
    [18]
    刘春艳, 姜春燕, 李虹伟. 衰弱合并老年心血管疾病发病机制的研究进展[J]. 临床和实验医学杂志, 2020, 19(3): 334-336, 后插1. doi: 10.3969/j.issn.1671-4695.2020.03.033
    [19]
    尹佳慧, 曾雁冰, 周鼒, 等. 中国老年人衰弱状况及其影响因素分析[J]. 中华流行病学杂志, 2018, 39(9): 1244-1248. doi: 10.3760/cma.j.issn.0254-6450.2018.09.019
    [20]
    ROGERS N T, MARSHALL A, ROBERTS C H, et al. Physical activity and trajectories of frailty among older adults: Evidence from the English Longitudinal Study of Ageing[J]. PLoS One, 2017, 12(2): e0170878. doi: 10.1371/journal.pone.0170878
    [21]
    余嘉铭, 张艳, 黄一沁, 等. 上海市社区老年人躯体衰弱与肌少症的相关性研究[J]. 老年医学与保健, 2020, 26(4): 519-523. doi: 10.3969/j.issn.1008-8296.2020.04.004
    [22]
    徐洁琼, 李维辛. 老年糖尿病相关性衰弱、肌少症发病机制及干预的研究进展[J]. 山东医药, 2018, 58(37): 109-112. doi: 10.3969/j.issn.1002-266X.2018.37.032
    [23]
    LO Y L, HSIEH Y T, HSU L L, et al. Dietary pattern associated with frailty: results from nutrition and health survey in Taiwan[J]. J Am Geriatr Soc, 2017, 65(9): 2009-2015. doi: 10.1111/jgs.14972
    [24]
    夏魁, 朱纯儒, 孙伟, 等. 老年慢性阻塞性肺病患者衰弱现状调查及危险因素分析[J]. 中国临床保健杂志, 2019, 22(2): 220-223. doi: 10.3969/J.issn.1672-6790.2019.02.020
    [25]
    尹丹. 老年综合评估在预防心血管患者跌倒中的应用[J]. 中国老年保健医学, 2019, 17(2): 147-148. doi: 10.3969/j.issn.1672-2671.2019.02.058
    [26]
    刘玉珍, 王烁烁, 陈长香. 高血压共病冠心病中高龄老年人的跌倒风险及其影响因素[J]. 护理研究, 2019, 33(17): 3032-3034. doi: 10.12102/j.issn.1009-6493.2019.17.027
    [27]
    陈娟, 谢军, 孙媛媛, 等. 老年衰弱患者焦虑、抑郁、生活质量状况的分析[J]. 实用临床医药杂志, 2019, 23(4): 73-77. doi: 10.7619/jcmp.201904022
    [28]
    李金芳, 马利, 余玉善, 等. 石河子市老年高血压住院患者衰弱影响因素分析[J]. 广东医学, 2018, 39(22): 3339-3343. doi: 10.3969/j.issn.1001-9448.2018.22.010
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