Các yếu tố liên quan suy yếu và tính giá trị của thang suy yếu lâm sàng giản lược trên bệnh nhân cao tuổi=Related factors of frailty and validity of the simplified clinical frailty scale in older patients

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Tác giả: Thị Hồng Hoa Lê, Trần Tố Trân Nguyễn, Văn Trí Nguyễn, Minh Giao Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.352-358

Bộ sưu tập: Metadata

ID: 243569

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Frailty is a common geriatric syndrome. The simplified clinical frailty scale is simple and applicable in frailty assessment for older adults. Evaluating the related factors of frailty and the validity of the simplified clinical frailty scale would contribute to provide more comprehensive care for older adults. Objective: To evaluate the related factors of frailty and the validity of the simplified clinical frailty scale in older patients. Methods: This cross - sectional study recruited 279 older patients in the Geriatric Department at Nhan dan Gia Dinh Hospital from November 2022 to February 2023. Results: Among the 279 older patients analyzed in our study, the mean age was 75.7 ± 8.4 years
females comprised 65.2%. There was a negative correlation between frailty based on the simplified clinical frailty scale and activities of daily living impairment (Pearson = -0.666
p <
0.001) and instrumental activities of daily living impairment (Pearson = -0.837
p <
0.001). There was a moderate negative correlation of frailty and physical health (Pearson = -0.427
p <
0.001). In multivariable logistic regression analysis, frailty was significantly associated with age groups (p <
0.001), female gender (p <
0.05), and multimorbidity (p = 0.001). Conclusion: Related factors of frailty were age group, female gender, and multimorbidity. The simplified clinical frailty scale is a valid tool. It correlated with activities of daily living impairment, instrumental activities of daily living impairment, and physical health.Suy yếu là hội chứng lão khoa thường gặp ở người cao tuổi. Thang suy yếu lâm sàng giản lược là một công cụ đánh giá suy yếu đơn giản, dễ áp dụng trên bệnh nhân cao tuổi. Việc khảo sát các yếu tố liên quan suy yếu và tính giá trị của thang suy yếu lâm sàng giản lược giúp việc chăm sóc người cao tuổi toàn diện hơn. Mục tiêu: Khảo sát các yếu tố liến quan với suy yếu và đánh giá tính giá trị của thang suy yếu lâm sàng giản lược. Đối tượng và phương pháp: Cắt ngang mô tả trên 279 bệnh nhân cao tuổi tại Khoa Lão, Bệnh viện Nhân dân Gia Định từ tháng 11/2022 đến tháng 02/2023. Kết quả: Nghiên cứu được thực hiện trên 279 bệnh nhân cao tuổi với tuổi trung bình là 75,7 ± 8,4 (tuổi), nam giới chiếm tỉ lệ 34,8% và nữ giới chiếm 65,2%. Nghiên cho thấy có mối tương quan nghịch giữa suy yếu đánh giá bằng thang lâm sàng giản lược với tình trạng giảm chức năng cơ bản (Pearson = -0,666
p <
0,001) và tình trạng giảm hoạt động sinh hoạt (Pearson = -0,837
p <
0,001) và mối tương quan nghịch trung bình với sức khỏe thể chất (Pearson = -0,427
p <
0,001). Sau phân tích hồi quy đa biến, có mối liên quan giữa suy yếu với từng nhóm tuổi (p <
0,001), giới tính (p <
0,05) và tình trạng đa bệnh (p = 0,001). Kết luận: Suy yếu có mối liên quan độc lập với nhóm tuổi, giới tính nữ và tình trạng đa bệnh. Thang suy yếu lâm sàng giản lược có giá trị, có mối tương quan nghịch với tình trạng giảm hoạt động cơ bản, tình trạng giảm hoạt động sinh hoạt và sức khỏe thể chất.

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