Investigation and analysis of the frail status of elderly inpatients in Beijing (北京市三级甲等综合医院老年住院患者衰弱状况调查与分析)

Objective To explore the influencing factors and current situation about frailty of the elderly patients in Beijing, and to provide references for further health assessment about elderly patients, in order to provide reference about choosing the right methods for nursing elderly patients and improving the quality of nursing. Methods The convenience sampling method was used to select the elderly inpatients admitted to three hospitals in Beijing from April to May 2021. Use the Tilburg frailty indicator (TFI) to investigate and assess the 200 elderly patients. Results The score of frailty in elderly patients is (5. 34±2. 99), about 57. 99%(98/169) elderly patients were living with frailty. Lower scores of the project was “Questions related to living alone”(13. 02%), “Cognition”(13. 02%) and “Coping” (18. 93%); Higher scores of the project was “Physical health”(68. 05%), “difficulty in walking”(55. 03%) and “Physical tiredness”(49. 70%). The elderly patients’ “age”, “presence of two or more chronic diseases”, “life events in the last year” were related to frailty(P＜0. 05). Conclusion In hospitals of Beijing, the frailty conditions are more common in elderly patients. It should be highly concerned about the elderly patients in nursing working, in order to provide nursing skills systematically and reasonably, make them adapted to the life in hospital. (目的 了解北京老年住院患者的衰弱状况, 分析其相关因素, 为老年住院患者的健康评估提供临床依据, 并为选择适合衰弱老年住院患者的护理保健方法、提高护理质量提供方向。方法 采用方便抽样法选取北京市3所三级甲等综合医院2021年4月—5月收治例老年住院患者, 采用Tilburg衰弱指数(TFI)评估量表对其进行调查评估。结果 老年住院患者衰弱指数总得分为(5. 34±2. 99)分, 衰弱人群约占57. 99%(98/169)。得分率较低的项目为“独居问题”(13. 02%)、“认知情况”(13. 02%)和“应对能力”(18. 93%); 得分率较高的项目为“身体健康状况”(68. 05%)、“行走困难”(55. 03%)和“疲劳感”(49. 70%)。其中, 衰弱程度与老年住院患者的“年龄”、“是否患有两种或两种以上慢性疾病”和“在过去的一年的生活事件”相关(P＜0. 05)。结论 在北京市三级甲等综合医院中, 老年住院患者衰弱情况发生率较高, 在护理工作中, 应高度关注老年住院患者, 为其提供科学合理的护理服务, 使其较好的适应住院生活。)