住院內科高齡病患多面向衰弱之現況與相關因子探討

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Title:	住院內科高齡病患多面向衰弱之現況與相關因子探討 Investigating the Related Factors of Multiple Domain Frailty of Elderly in the Internal Wards
Authors:	史斐月
Contributors:	醫務管理系張碩芳
Keywords:	住院高齡病患常有複雜的健康問題，其中衰弱為高齡者最主要的多面向症候群，此會導致老年人變得依賴，影響生活型態及品質，同時與住院天數、院內跌倒、發生壓瘡、死亡率以及入住機構比率呈正相關。目前住院高齡病患相關研究大多著重在身體活動功能上的衰退，高齡病患多面向衰弱相關研究較少，對於住院高齡病患衰弱的現況與相關因素亦尚不清楚。故本研究目的為探討住院內科高齡病患多面向衰弱的現況及相關因子。在南臺灣某醫學中心的6個內科病房，針對65歲以上的住院高齡病患為研究對象，在住院72小時內期間採用病歷瀏覽及運用結構性問卷進行資料收集，調查住院高齡者多面向衰弱的現況，分析多面向衰弱與相關因子之間的關係。資料收集後，以SPSS 18.0版統計軟體進行描述性統計及推論性統計分析。研究中符合收案病患共103人，結果顯示，住院高齡病患衰弱比例為30.1%，非衰弱比例為69.9%。衰弱組以女性、低教育程度、已婚者較多，但無統計意義。在年齡上衰弱組明顯較非衰弱組大，且衰弱組有顯著較多的身體疼痛、管路留置、輔具使用、一年內曾至急診或住院紀錄等問題。在多面向量表評分上，衰弱組也有顯著較差的日常活動功能得分、手握力得分、老年憂鬱量表（GDS）得分、簡易心智狀態檢查（SPMSQ）得分與生活品質量表得分。盼研究結果能盡早警覺衰弱的可能性，提供衰弱病患及家屬相關健康照護處置，及擬定適當的住、出院照護計畫，避免高齡者提早進入病態老化階段，達到全方位照護，達到降低居家照護需求的目的。 Elders hospitalized have many complicated health problems;frailty was a multiple dimensional geriatric syndrome and resulted in the higher dependence and lower quality of life. Research indicated that frailty syndrome was associated with length of stay, falls, pressure injury, mortality rate and institutionalization. Researcher paid more attention on the functional decline of hospitalized older patients but it was unclear about the multiple dimensions frailty, the relationships and adverse outcomes. This study was conducted (Data was collected)in a southern medical center in Taiwan. One hundred and three patients above 65 years old enrolled in the study. Data was collected by chart reviewing and structural questionnaire at the time points of admission . Demographic, diagnosis, comorbidity, social activities, cognitive function, mental status, physical activity and quality of life were also considered. The data were analyzed using SPSS for Windows, Version 18.0, and analyses included descriptive statistics, Chi-square test and independent t-tests. A total of 103 subjects completed the study, which included elders hospitalized frailty 30.1%, non- frailty 69.9%. The difference for frail and non- frail elders hospitalized appeared significant in age, gender, care giver, invasive catheterizations, assistive device, had went to emergency room or hospitalized within a year, daily activities. There is also a difference in Geriatric Depression Scale(GDS), Short Portable Mental State Questionnaire(SPMSQ) and Quality of Life Scale(ED-5Q). This study will be a reference to enhance care, prevent frailty, and to maintain care for hospitalized older adult. 住院高齡病患多面向衰弱相關因子 Elders hospitalized Multi-dimensional frailty risk
Date:	2019
Issue Date:	2020-12-09 14:43:02 (UTC+8)
Relation:	電子全文公開日期：2024-08-23 學年度：107，75頁
Appears in Collections:	[Dept. of Hospital and Health (including master's program)] Dissertations and Theses

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