医养结合机构高龄住院共病老年患者衰弱状态分布 及其影响因素.

Objective：To analyze the influencing factors of the debilitation status of elderly hospitalized patients with comorbid diseases, and to provide reference for its early intervention. Methods：A total of 124 elderly patients with comorbid diseases were selected from April 2017 to June 2021 in the Department of Geriatrics (Jinan Shande Nursing Home) in the Southern District of the Second Hospital of Shandong University. The clinical data and laboratory indexes were collected, including age, gender, body mass index (BMI), education level, albumin (ALB) level, white blood cell (WBC) count, C-reactive protein (CRP) level, hemoglobin (Hb) level, serum creatinine ( SCr) level，and blood urea nitrogen ( BUN) level；the comprehensive assessment of the elderly was carried out and FRAIL scale was used to evaluate the debilitation of the patients. According to the score of FRAIL scale, the patients were divided into debilitation group and non-debilitation group. Univariate analysis and binary multivariate Logistic regression analysis were used to analyze the influencing factors of the debilitating status of elderly inpatients with comorbid diseases. Results：In 124 patients with comorbid diseases, there were 68 cases (54. 84%) in debilitation group and 56 cases (45. 16%) in non-debilitation group. The differences in BMI level, mininutritional assessment short form (MNA-SF) score, Charlson comorbidity index (CCI)score, sleep status, cognitive function status, Hb level, SCr level and BUN level between two groups were statistically significant (P<0. 05). The binary multivariate Logistic regression analysis showed that MNA-SF score (OR=0. 511，95%CI： 0. 373－0. 700，P<0. 01) was the protective factor for debilitation in the elderly hospitalized comorbid patients, and CCI score (OR=2. 612, 95%CI： 1. 627－4. 191, P<0. 01) was the independent risk factor for debilitation in the elderly hospitalized comorbid patients (P<0. 05). Conclusion：The incidence of debilitation in the elderly hospitalized patients with comorbid diseases is high, and nutritional status and comorbidity degree are the independent influencing factors for debilitation. [ABSTRACT FROM AUTHOR]