Hội chứng dễ bị tổn thương theo thang điểm SEGA ở người cao tuổi mắc đái tháo đường typ 2 tại bệnh viện 19-8=Frailty syndrome according to the SEGA scale in elderly people with type 2 diabetes at the 19-8 Hospital

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Trung Anh Nguyễn, Xuân Thanh Nguyễn, Viết Lực Trần, Thị Dịu Vũ, Thị Thanh Huyền Vũ, Thu Thủy Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Nghiên cứu y học (Đại học Y Hà Nội), 2024

Mô tả vật lý: tr.53-64

Bộ sưu tập: Metadata

ID: 244626

Thêm vào giỏ

Nghiên cứu nhằm đánh giá hội chứng dễ bị tổn thương theo thang điểm đánh giá lão khoa cấp cứu rút gọn (Short Emergency Geriatric Assessment - SEGA) ở người cao tuổi mắc đái tháo đường typ 2 tại bệnh viện 19-8. Nghiên cứu mô tả cắt ngang trên 512 người bệnh ≥ 60 tuổi được chẩn đoán ĐTĐ điều trị tại bệnh viện 19-8. Người bệnh được phỏng vấn theo bộ câu hỏi thống nhất đánh giá tình trạng hội chứng dễ bị tổn thương bằng thang điểm SEGA, các thông tin chung, các đặc điểm bệnh ĐTĐ, biến chứng của ĐTĐ và một số hội chứng lão khoa. Tỉ lệ người bệnh kiểm soát tốt HbA1c ≤ 7,5% chiếm 74,4%. Tỉ lệ người bệnh kiểm soát kém HbA1c >
8,5% chiếm 14,6%. Tỉ lệ hội chứng dễ bị tổn thương theo thang điểm SEGA là 27,5%, hội chứng dễ bị tổn thương nặng là 11,3%. Có mối liên quan có ý nghĩa thống kê giữa tình trạng dinh dưỡng, chức năng hoạt động hàng ngày, chức năng hoạt động hàng ngày có dụng cụ, mức độ hoạt động thể lực, trạng thái tâm thần tối thiểu, trầm cảm, nguy cơ ngã, Sarcopenia, chức năng thể chất với HCDBTT (p <
0,01). Bệnh nhân đái tháo đường có hội chứng dễ bị tổn thương chiếm tỉ lệ không nhỏ khi được sàng lọc bằng thang điểm SEGA - bộ công cụ dễ sử dụng, khách quan, có tính ứng dụng cao trong thực hành lâm sàng có thể áp dụng thường quy để có thể phát hiện sớm hội chứng dễ bị tổn thương ở người bệnh ĐTĐ cao tuổi.The study aimed to evaluate the frailty syndrome according to the SEGA scale in elderly people with type 2 diabetes at the August 19 hospital. A cross-sectional descriptive study on 512 60 years oldpatients diagnosed with diabetes treated at the 19-8 Hospital. Patients were interviewed according to the questionnaire to assess frailty syndrome status using the SEGA (Short Emergency Geriatric Assessment) scale, general information, characteristics of diabetes, complications of diabetes, and some other factors including geriatric syndrome. The proportion of patients with acceptable diabetes control with HbA1c ≤ 7.5% accounted for 74.4%. The proportion of patients with poor control with HbA1c >
8.5% accounted for 14.6%. The rate of frailty syndrome according to the SEGA scale was 27.5%, and severe frailty syndrome was 11.3%. There was a statistically significant relationship between nutritional status, daily functional function, daily functional function with tools, physical activity level, minimal mental state, depression, risk of fall muscle, Sarcopenia, and physical function with HCDBTT (p <
0.01). A large proportion of diabetic patients with frailty syndrome are screened according to the SEGA scale, which is an easy-to-use, objective, and highly applicable toolkit in routine clinical practice to early detect frailty syndrome in elderly diabetic patients.

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