住院患者老年综合评价规范及初步效果分析-中华老年多器官疾病杂志.DOCVIP

·专栏· 住院患者老年综合评估规范及初步效果分析 康 琳1，朱鸣雷1，王秋梅1，谢海雁2， 曾 平1，刘晓红1* （中国医学科学院北京协和医学院：老年医学组1，高干保健科2，北京 100730） 【摘 要】目的 探讨在老年住院患者中进行老年综合评估对于老年人全面综合管理的作用。方法 制定标准的老年综合评估流程，采用标准流程对我院老年病房2013年9月至2014年9月连续入院的≥65岁患者进行老年综合评估，分析其筛查老年综合征的效果。结果 标准化的评估流程便于临床使用，接受评估的179例患者中，年龄（72.5±8.1）岁。通过老年综合评估发现，视力异常患者占62.0%，睡眠障碍41.3%，听力异常40.8%，慢性疼痛34.6%，跌倒25.7%，多重用药23.5%，便秘21.8%，抑郁焦虑18.4%，尿失禁16.2%，谵妄10.6%。以不同主诉入院的15例患者最终诊断为老年综合征,占8.4%。结论 老年综合征在老年患者中普遍存在，运用标准化的老年综合评估方法可以进行有效筛查，有利于老年患者的全人管理。 【关键词】住院老年患者；老年综合评估；老年综合征 【中图分类号】 R592 【文献标识码】 A 【DOI】 10.11915/j.issn.1671?5403.2015.xx.xxx Standardization and preliminary effect of comprehensive geriatrics assessment for elderly inpatients KANG Lin1, ZHU Ming-Lei1, WANG Qiu-Mei1, XIE Hai-Yan2, ZENG Ping1, LIU Xiao-Hong1* (1Department of Geriatrics, 2Department of Senior cadre Healthcare, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China) 【Abstract】 Objective To investigate the role of comprehensive geriatric assessment (CGA) for comprehensive management for elderly inpatients. Methods A standard CGA process was built and then employ to assess the elderly inpatients (over 65 years old) within 48 h after consecutively admitted in the geriatric ward of our hospital from September 2013 to September 2014. The effect of CGA was evaluated. Results Our standard CGA process was very convenient in clinical practice. There were 179 patients over 65 years were enrolled in this study, with a mean age of 72.5?.1. CGA showed following geriatrics syndromes, 62.0% with poor vision, 41.3% with sleep disorder, 40.8% with hearing loss, 34.6% with pain, 25.7% having falls, 23.5% having pol月ypharmacy, 21.8% with constipation, 18.4% with mood disorder, 16.2% with incontinence, and 10.6% with cognitive impairment. There were 15 elderly patients (8.4%) who admitted because of different complaints but finally discharged with the first diagnosis of geriatric syndrome. Conclusion Geriatric syndromes are very common in th