ABSTRACT
Objective To investigate the incidence and influencing factors of geriatric syndrome (GS) in Beijing area, and to analyze the relationship between GS and Barthel Index (Barthel ADL) score and quality of life. Methods From June 2018 to December 2018, a community-based or door-to-door survey of elderly people >65 years old in some communities in Beijing was conducted. The incidence of GS and its gender distribution, age distribution, and type distribution were investigated. At the same time, GS patients were selected as the observation group, and among people without GS in physical examination, a random sampling method was used to select the control group. The general data, Barthel ADL score, and World Health Organization Quality of Life (WHOQOL-BREF) score were compared between the two groups. The relevant influencing factors of GS and its correlation with the Barthel ADL score and WHOQOL-BREF scores were analyzed. Results Among 500 elderly people in the community investigated in the present study, 97.00% of patients had ≥1 types of GS, 84.80% of patients had ≥2 types, and 70.20% of patients had ≥3 types of GS. High education level (OR=0.329, 95%CI: 0.259-0.418) and retirement pension (OR=0.727, 95%CI: 0.576-0.918) were the protective factors for the occurrence of GS. Hyperlipidemia (OR=3.176, 95%CI: 2.518-4.007), diabetes (OR=2.473, 95%CI: 1.718-3.559), coronary heart disease (OR=2.658, 95%CI:1.649-4.286), hypertension (OR=3.230, 95%CI:2.008-5.197), osteoarthropathy (OR=4.166, 95%CI: 3.008-5.769), cancer (OR=3.008, 95%CI: 1.894-4.778), acute cerebral infarction (OR=3.420, 95%CI: 2.335-5.009), and acute myocardial infarction (OR=2.112, 95%CI: 1.169-3.814) were the risk factors for GS (P<0.05). The Barthel ADL score and WHOQOL-BREF score of the observation group were lower than those of the control group (P<0.05). GS was negatively correlated with Barthel ADL and WHOQOL-BREF scores (P<0.05). Conclusion GS was common in the elderly in Beijing, and its occurrence was related to factors such as education level, retirement pension, hyperlipidemia, diabetes, coronary heart disease, hypertension, osteoarthropathy, cancer, acute cerebral infarction, and acute myocardial infarction. Strengthening the early assessment and management of GS will help improve the daily life and quality of life of the elderly.
ABSTRACT
Objective:To explore the effect of continuous nursing on the nutritional status, muscle strength, physical activity function, quality of life, and degree of weakness of elderly patients.Methods:120 cases of elderly debilitated patients admitted in Beijing Friendship Hospital from June 2019 to July 2020 were selected and divided into a control group and a continuous care group according to the random number table method, with 60 cases in each group. The control group was given routine nursing, and the continuing nursing group was given continuous nursing. The cumulative frailty index (FI); the score of grip strength, timed up and go test (TUGT), short physical performance battery (SPPB); body mass index (BMI), serum albumin level and quality of life score of the two groups were compared.Results:After the intervention, the FI score, SPPB score and overall health score of the continuous nursing group were 0.25±0.05, 9.35±1.36, 68.22±6.32 respectively, and those of the control group were 0.36±0.12, 7.55±1.18, 60.56±6.38 respectively, the differences between the two groups were statistically significant ( t value was -6.554, 7.744, 6.607, P<0.05); after the intervention, the grip strength, TUGT level, BMI and serum albumin level in the continuous nursing group were (28.36±1.52) kg, (15.34±2.14) s, (21.15±0.95) kg/m 2, (36.85±3.92) g/L, respectively, while those in the control group were (25.22±1.78) kg, (19.56±2.68) s, (19.28±1.18) kg/m 2, (32.18±4.82) g/L, and the differences between the two groups were statistically significant ( t value was -9.531-10.391, P<0.05). Conclusion:Continuous nursing can effectively ameliorate the nutritional status of elderly debilitated patients, improve muscle strength, physical activity and quality of life, and delay the debilitating process.