住院病人老年综合征共患情况调查

摘要

[目的]了解住院病人老年综合征罹患现况,为下一步的综合管理提供参考.[方法]对成都市某两家三级医院老年科住院病人376例进行老年综合评估.[结果]住院病人老年综合征发生前5位的分别是日常生活能力下降、营养不良风险及营养不良、慢性疼痛、多重用药、慢性便秘.不同性别老年病人跌倒高风险、慢性疼痛发生率比较差异有统计学意义(P＜0.05).不同年龄老年病人跌倒高风险、尿失禁、多重用药、慢性便秘、慢性疼痛、压疮风险发生率比较差异有统计学意义(P＜0.05).不同婚姻状况老年病人慢性疼痛发生率比较差异有统计学意义(P＜0.05).老年人患老年综合征(4.71±2.13)种,310例(82.45％)老年人同时患3种及以上老年综合征.[结论]随着年龄增加,老年人患老年综合征数量增加,老年综合征共患问题明显,医务工作者应在未来的工作中加强对老年综合征的评估及管理,推进老年人照护发展.%Objective:To understand the prevalence of geriatric syndromes in hospitalized patients and provide references for the next comprehensive management.Methods:A total of 376 geriatric inpatients from two third grade hospitals in Chengdu were evaluated comprehensively.Results:The top five causes of geriatric syndromes in hospitalized patients were respectively impaired daily living ability and malnutrition risk and malnutrition, chronic pain, multiple drug use and chronic constipation.There were significant differences in the incidence of high risk of falls and chronic pain between different genders of elderly patients (P＜0.05).There were significant differences in the incidence of risk of falls, urinary incontinence, multiple drug use, chronic constipation, chronic pain and pressure ulcer among different ages of elderly patients (P＜0.05).There were significant differences in the incidence of chronic pain among elderly patients with different marital status (P＜0.05).The elderly suffered from senile syndromes (4.71±2.13), 310 cases (82.45％) suffered from three or more geriatric syndromes at the same time.Conclusions:With the increase of age, the number of elderly patients suffering from geriatric syndromes increased, and the co-occurrence of geriatric syndromes was obvious.Medical workers should strengthen the evaluation and management of geriatric syndromes in future, and promote the development of geriatric care.