摘要
目的探讨急性心肌梗死患者衰弱现状及影响因素。方法采取便利抽样法选取2021年9月至2023年5月在商丘市第一人民医院心脏重症监护室就诊的98例急性心肌梗死患者为研究对象,采用一般资料调查表、Fried表型衰弱量表、营养风险筛查表2002(NRS2002)、匹兹堡睡眠质量指数量表(PSQI)调查急性心肌梗死患者衰弱发生现状,采用Logistic回归分析急性心肌梗死患者发生衰弱的影响因素。结果98例急性心肌梗死患者中,发生衰弱26例,发生率26.53%;衰弱前期32例,占比32.65%;不衰弱40例,占比40.82%,根据衰弱发生情况分为衰弱组(26例)与非衰弱组(72例)。衰弱组的年龄≥70岁、有跌倒史、是多重用药、有营养风险、睡眠质量差占比高于非衰弱组(P<0.05)。Logistic回归结果显示,年龄≥70岁、有跌倒史、是多重用药、有营养风险、睡眠质量差是影响急性心肌梗死患者发生衰弱的危险因素(P<0.05)。结论急性心肌梗死患者发生衰弱与年龄≥70岁、有跌倒史、是多重用药、有营养风险、睡眠质量差等因素相关,临床应制定对策积极预防。
Objective To explore the frailty status and influencing factors in patients with acute myocardial infarction.Methods A total of 98 patients with acute myocardial infarction who were admitted in the cardic intensive care unit of the First People's Hospital of Shangqiu from September 2021 to May 2023 were selected as the research objects by convenient sampling method.The General Information Questionnaire,Fried Phenotypic Frailty Scale,Nutrition Risk Screening 2002(NRS2002)and Pittsburgh Sleep Quality Index(PSQI)were used to investigate the prevalence of frailty in patients with acute myocardial infarction.Logistic regression was used to analyze the influencing factors of frailty in patients with acute myocardial infarction.Results Among 98 patients with acute myocardial infarction,26 cases had frailty,with an incidence of 26.53%;there were 32 cases of pre-frailty,accounting for 32.65%;there were 40 cases without frailty,accounting for 40.82%.According to the occurrence of frailty,the patients were divided into frailty group(26 cases)and non-frailty group(72 cases).The proportion of age≥70 years old,history of falls,multiple medication,nutritional risk and poor sleep quality in the frailty group were higher than those in the non-frailty group(P<0.05).Logistic regression results showed that age≥70 years old,history of falls,multiple medication,nutritional risk and poor sleep quality were risk factors for frailty in patients with acute myocardial infarction(P<0.05).Conclusion Frailty in patients with acute myocardial infarction is related to factors such as age≥70 years old,history of falls,multiple medication,nutritional risk and poor sleep quality,and clinical countermeasures should be developed to actively prevent.
作者
贺晓毓
金爱莲
HE Xiaoyu;JIN Aiian(Cardic Intensive Care Unit,the First People's Hospital of Shangqiu,Shangqiu 476100,China)
出处
《临床医学研究与实践》
2024年第10期33-36,共4页
Clinical Research and Practice
关键词
急性心肌梗死
衰弱
睡眠质量
营养风险
acute myocardial infarction
frailty
sleep quality
nutritional risk
