Correlation between frailty and nursing dependence in elderly hospitalized patients
老年住院患者衰弱与护理依赖的相关性

摘要

目的 探讨老年住院患者衰弱与护理依赖的相关性。方法 此次研究共选取78例老年患者进行对比实验，均在2021年1月~2023年12月在院内住院治疗，经评估均为衰弱症，收集其各项基本资料，并结合其临床表现对衰弱与护理依赖的相关性展开深入分析。结果 经实验中各项数据表明，78例老年住院衰弱患者均存在不同程度的护理依赖表现，轻度、中度、重度依赖各45、24、9例，占比分别为57.69%、30.77%、11.54%。衰弱与护理依赖呈正相关性（P＜0.05）。在分析各因素后可见，年龄、婚姻状况、有无身体锻炼、进食方式、有无吞咽困难、有无排便障碍、四肢活动、有无慢性伤口、有无跌倒史、有无压力性损伤等特征均会直接关系到护理依赖性及依赖程度（P＜0.05）。结论 对于老年住院衰弱患者而言，年龄越高、丧偶、无体育锻炼、需协助进食、存在吞咽障碍、排便异常、偏瘫与无力、存在慢性伤口、有跌倒史及压力性损伤患者对护理依赖程度较高，对此还应当及时对患者的病情及依赖程度展开深入评估，并及时采取针对性的干预对策，最大程度的降低其依赖度，切实满足其实际需求，从根本上降低各不良事件的发生。

Abstract

Objective To explore the correlation between frailty and nursing dependence in elderly hospitalized patients.
Methods A total of 78 elderly patients were selected for comparative experiment in this study, all of whom were hospitalized in the hospital from January 2021 to December 2023. All of them were assessed to be frailty. Basic data of them were collected, and the correlation between frailty and nursing dependence was analyzed in depth based on their clinical manifestations.
Results The experimental data showed that 78 hospitalized elderly patients with asthenia had different degrees of nursing dependence, with 45 cases of mild, 24 cases of moderate and 9 cases of severe dependence, accounting for 57.69%, 30.77% and 11.54%, respectively. There was a positive correlation between frailty and nursing dependence (P < 0.05). After analyzing the various factors, it can be seen that age, marital status, physical exercise, eating pattern, dysphagia, defecation disorder, limb movement, chronic wound, fall history, stress injury and other characteristics are directly related to nursing dependence and dependence degree (P < 0.05).
Conclusion   For elderly hospitalized patients with fthenia, the older the age, widowed, no physical exercise, need assistance to eat, dysphagia, abnormal defecation, hemiplegia and weakness, chronic wounds, history of falls and stress injuries, the higher the degree of dependence on nursing. In this regard, in-depth assessment of the patient's condition and degree of dependence should be carried out in time, and targeted intervention measures should be taken in time. Reduce its dependence to the greatest extent, effectively meet its actual needs, and fundamentally reduce the occurrence of adverse events.