社会支持对维持性血液透析老年患者衰弱的影响

叶丽钦; 周莹; 张海林; 尹丽霞; 张永萍

doi:10.3760/cma.j.issn.0254-9026.2019.01.017

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中华老年医学杂志

• 临床研究 •

ENGLISH ABSTRACT

社会支持对维持性血液透析老年患者衰弱的影响

作者及单位信息

出版日期： 2019 -01 -14 ·

DOI： 10.3760/cma.j.issn.0254-9026.2019.01.017

Influence of social supports on frailty in elderly maintenance hemodialysis patients

Authors Info & Affiliations

Ye Liqin

Blood Purification Center, the Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang 222002 China

Zhou Ying

Department of Nursing, Xuzhou Medical University, Xuzhou 221004, China

Zhang Hailin

Blood Purification Center, the Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang 222002 China

Yin Lixia

Blood Purification Center, the Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang 222002 China

Zhang Yongping

Blood Purification Center, the Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang 222002 China

Published： 2019 -01 -14 ·

DOI： 10.3760/cma.j.issn.0254-9026.2019.01.017

662

275

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摘要

目的调查维持性血液透析老年患者衰弱和领悟社会支持的现状，并探讨领悟社会支持对衰弱的影响。

方法采用Fried衰弱表型评估方法和领悟社会支持量表对237例维持性血液透析老年患者进行横断面调查。

结果237例维持性血液透析老年患者衰弱的患病率为163例(68.8%)，领悟社会支持水平低，衰弱与领悟社会支持总分、家庭支持、朋友支持、其他支持呈负相关( r＝－0.326，－0.129，－0.301和－0.230，均 P<0.05)，回归分析结果显示：朋友支持、透析龄、Charlson合并症指数评分、日常生活能力评分是维持性血液透析老年患者衰弱的主要影响因素。

结论医护人员应对维持性血液透析老年患者进行衰弱评估，可通过提高朋友支持来改善患者的衰弱状况。

关键词：维持性血液透析;衰弱;社会支持

ABSTRACT

ObjectiveTo investigate the current situations of the frailty and the perceived social support and explore the influence of social support on the frailty in elderly maintenance hemodialysis patients.

MethodsThe 237 elderly patients with maintenance hemodialysis were investigated by the Fried frailty phenotype and the perceived social support scale in this cross-sectional study.

ResultsThe prevalence of frailty was 163(68.8%)in 237 patients.The level of perceived social support was low.The frailty was negatively correlated with the social support score, family support, friends support, and other support( r=-0.326, -0.129, -0.301 and -0.230, respectively, all P<0.05). Multiple logistic regression analysis showed that friends support, dialysis vintage, Charlson comorbidity index(CCI)score and activities of daily living(ADL)score were the main influential factors for frailty in elderly maintenance hemodialysis patients.

ConclusionsMedical staff should evaluate the frailty in elderly patients with maintenance hemodialysis, and the frailty can be alleviated by improving the support of friends.

KEYWORDS： Maintenance hemodialysis;Frailty;Social support

Corresponding author: Zhang Hailin, Email: nc.defudabe.umjnxxlh

FUNDING:

Lianyungang Municipal Commission of Health and Family Planning Technology Project（201708）

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All articles published represent the opinions of the authors, and do not reflect the official policy of the Chinese Medical Association or the Editorial Board, unless this is clearly specified.

引用本文

叶丽钦,周莹,张海林,等. 社会支持对维持性血液透析老年患者衰弱的影响[J]. 中华老年医学杂志,2019,38(1)：72-75.

DOI:10.3760/cma.j.issn.0254-9026.2019.01.017

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版权归中华医学会所有。

未经授权，不得转载、摘编本刊文章，不得使用本刊的版式设计。

除非特别声明，本刊刊出的所有文章不代表中华医学会和本刊编委会的观点。

维持性血液透析(MHD)是终末期慢性肾脏病的主要替代治疗。近年来，国内外关于衰弱的研究多集中在社区老年人群或住院患者，对于门诊行血液透析治疗的老年患者衰弱关注较少。国外Lurie等 ^{[
1
]}的研究发现，心肌梗死患者领悟社会支持水平越高，衰弱的发生风险越低。本研究拟通过调查MHD老年患者的衰弱与领悟社会支持现状，探讨领悟社会支持对衰弱的影响，为进一步实施针对性的干预措施提供理论依据。

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摘要
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备注信息

通信作者：张海林，Email： nc.defudabe.umjnxxlh

利益冲突

所有作者均声明不存在利益冲突

基金项目：

连云港市卫计委科技项目 (201708) 查看更多基金信息

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