老年卧床不起患者的危险因素分析-老年病学专业论文.docxVIP

硕士学位论文 硕士学位论文 中文摘要 老年卧床不起患者的危险因素分析 摘要 目的：探索老年人卧床不起的危险因素。 方法：应用病例对照研究的方法对121例老年卧床不起患者及 121例老年非卧床不起患者采用自制结构式问卷进行躯体、心理和社 会因素调查。 结果：脑卒中(OR=4．94)，晚期恶性肿瘤(OR=I．72)，器官功能 衰竭(OR=8．34)，跌到后综合征(OR=15．7)，骨折(OR=2．47)，骨 关节病(OR=4．46)，高龄(OR=5．65)，老年性痴呆(OR=11．99)等疾 病是导致卧床不起的躯体危险因素；9．9％的患者是由2～3种疾病共 同作用所致；脑卒中所致者占48．8％。老年卧床不起患者抑郁评分 (12．3)、焦虑评分(47．0)明显高于对照组(分别为7．5及40．1， 尸=0．000)。老年卧床不起患者生活满意度评分(11．2)明显低于对 照组(13．8，尸=0．000)：社会支持总分(38．4)、主观支持评分(20．7) 和支持利用度评分(7．6)明显低于对照组(分别为42．7，23．2及 8．4，P：-O．000或PO．010)，而客观支持评分两组无差异(分别为10．1 及11．1，PO．05)。 结论：脑卒中、晚期恶性肿瘤、器官功能衰竭、跌倒后综合征、 骨折、骨关节病、高龄、老年性痴呆等是导致老年人卧床不起常见的 躯体危险因素。抑郁、焦虑及社会支持水平低下是促进卧床不起病情 恶化的危险因素。老年卧床不起患者的生活质量降低。 关键词老年人，卧床不起，危险因素 硕士学位论文 硕士学位论文 英文摘要 An Analysis on Risk Factors fOr Bedridden Elderly Patients ABSTRACT objectives：To explore the relative factors of the bedridden elderly patients． Methods：By case-con仃ol study,1 2 1 be出idden elderly patients and l 2 l non-bedridden elderly patients were assessed by self-designed structural questionnaire on rl’sk factors for bedridden elderly patients． Results：S仃oke(OR--4．94)，Advanced Stage of MNignancy (OR=1．72)，Organ Function Failure(OR=8．34)，After-fall Syndromes (OR=15．7)，Bone Fracture(OR=2．47)，Osteoarthropathia(OR=4．46)， Advanced Age(OR=5．65)，Senile Dementia(OR=11．99)，etc．were risk factors of bedridden elderly patients；9．9％of bedridden elderly patients were caused by concomitant contribution of 2-3 kinds of diseases；The proportion of Stroke was 48．8％．The mean total mean scores of The Geriatric Depression Scale and Self-Rating Anxiety．Scale in bedridden elderly inpatients were 12．3 and 47．0 respectively,which were higher than those in non-bedridden elderly patients(7．5 and 40．1，respectively, P=0．000)；The total mean score of Life Sati．,；faction Index A Was 11．2． which was obviously lower than those in non．bedridden elderly inpatients (13．8，P=0．000)；The subscale scores of Total Social Suppom，Subjective Social Support and Utilization of Social Support in Social Support Questionnaire were 38．4，20，7 and 7．