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find Author "谢灵灵" 3 results
  • 老年慢性病患者跌倒风险及相关因素分析

    目的了解老年慢性病患者跌倒发生情况及其相关因素,为临床预防跌倒提供依据。 方法运用自行设计的问卷量表,对2014年3月-5月住院的236例老年患者近3个月跌倒发生情况及相关因素进行调查和分析。 结果老年慢性病患者近3个月跌倒发生率为36.4%,年龄、健康状况、行走能力、锻炼情况、尿失禁、患多种疾病等是老年患者发生跌倒的相关因素;高龄、健康状况差、行走能力差、不坚持锻炼、有尿失禁和患有多种疾病的患者跌倒发生率高。 结论防范住院老年慢性病患者跌倒,应着力于老年高危人群跌倒的危险评估、早期预防、锻炼干预以及针对跌倒危险因素进行的多因素干预措施。

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  • 空巢老年人跌倒风险及相关因素分析

    目的 了解空巢老年人的跌倒状况,制定有效的防范措施,提高空巢老年人生活的安全性。 方法 2015 年 3 月—6 月应用自行设计的问卷对成都市周边 10 个居委会内居住的年龄≥60 岁空巢老年人进行跌倒状况调查,并进行跌倒相关因素分析。 结果 调查发放调查问卷共 250 份,回收有效问卷 240 份,有效回收率为 96.0%。240 例空巢老年人以年龄≥80 岁、男性、健康状况较好、有配偶、无抑郁情绪、居住城市、行走能力良好为主。240 例空巢老年人中,近 3 个月有跌倒情况 87 例,发生率为 36.2%。而跌倒后造成软组织损伤、关节脱位 10 例(4.2%),骨折 2 例(0.8%)。240 例老年人跌倒风险评估量表得分为(4.50±1.99)分。跌倒单因素分析表明,空巢老年人的年龄、居住环境、健康状况、抑郁情绪、行走能力与其跌倒有关 (P<0.05)。logistic 回归分析表明,年龄、行走能力、居住环境、健康状况是影响空巢老年人跌倒的主要因素(P<0.05)。 结论 空巢老年人的跌倒发生率较高,其安全应引起社会的高度重视,应根据空巢老年人跌倒的影响因素早期采取干预措施,改善其安全状况。

    Release date:2017-02-22 03:47 Export PDF Favorites Scan
  • Prevalence and related factors of malnutrition in patients with progressive non-small cell lung cancer

    Objective To assess the prevalence of malnutrition in patients with advanced non-small cell lung cancer (NSCLC) using the Global Leadership Initiative on Malnutrition (GLIM) criteria, analyze its associated factors, and explore the adverse effects of malnutrition on advanced NSCLC patients in multiple aspects. Methods Patients with NSCLC who were hospitalized for the first time in the Department of Oncology, Shangjin Hospital, West China Hospital, Sichuan University between January and December 2021 were retrospectively selected as the study objects. Malnutrition assessment was carried out in all patients according to GLIM criteria, and the current situation and related factors of malnutrition were analyzed. The Barthel index scale was used to compare the daily activity ability between the malnourished group and the non-malnourished group, the Quality-of-Life Questionnaire-Core 30 scale was used to compare the quality of life between the two groups, and the adverse reactions of the two groups were compared by the hospital information system course records. Results According to GLIM diagnostic criteria, 134 of 285 patients (47.0%) were diagnosed with malnutrition. The results of binary multiple logistic regression analysis showed that age [60-69 vs. <60 years old: odds ratio (OR)=2.323, 95% confidence interval (CI) (1.277, 4.397); ≥70 vs. <60 years old: OR=10.816, 95%CI (4.185, 27.959)], previous medical history [OR=2.740, 95%CI (1.313, 5.717)], and albumin level [OR=0.905, 95%CI (0.848, 0.965)] were associated with malnutrition in patients with advanced NSCLC (P<0.05). The daily activity ability and quality of life in the malnourished group were significantly worse than those in the non-malnourished group (87.57±12.48 vs. 91.82±6.77, P<0.05; 76.22±11.52 vs. 83.96±9.75, P<0.05), and the incidence of adverse reactions in the malnourished group was higher than that of the non-malnourished group (50.7% vs. 31.8%, P<0.05). Conclusions The prevalence of malnutrition in patients with advanced NSCLC is high, and advanced age, previous medical history and albumin are related factors of malnutrition in patients with advanced NSCLC. Combined malnutrition may have adverse effects on mobility, quality of life and adverse effects of anti-tumor therapy in advanced NSCLC patients.

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