老年2型糖尿病合并老年综合征患者躯体功能、跌倒风险及自我照顾能力分析OA
Analysis of physical function,fall risk and self-care ability of older patients with type 2 diabetes patients and geriatric syndrome
目的 探讨老年2型糖尿病合并老年综合征患者的躯体功能、跌倒风险及自我照顾能力.方法 选取2024年1-10月在该院治疗的老年2型糖尿病合并老年综合征患者150例作为观察组,同时选取老年单纯2型糖尿病患者150例作为对照组,比较2组Tinetti-平衡与步态量表(Tinetti-POMA)、Barthel指数量表、Morse跌倒评估量表和自我护理能力测定量表(ESCA)差异,同时分析观察组伴不同数量老年综合征患者间上述指标差异.结果 观察组Tinetti-POMA评分和Barthel指数低于对照组,而 Morse跌倒评分高于对照组,差异均有统计学意义(P<0.05).观察组ESCA量表健康知识、自护技能、自我概念、自我责任得分和总分低于对照组,差异均有统计学意义(P<0.05).观察组老年综合征数量>3种患者 Tinetti-POMA评分和Bar-thel指数低于老年综合征数量≤3种患者,而 Morse跌倒评分高于老年综合征数量≤3种患者,差异均有统计学意义(P<0.05).观察组老年综合征数量>3种患者ESCA量表健康知识、自护技能、自我概念、自我责任得分和总分低于老年综合征数量≤3种患者,差异均有统计学意义(P<0.05).结论 与老年单纯2型糖尿病患者相比,老年2型糖尿病合并老年综合征患者躯体功能和自我照顾能力下降、跌倒风险增高,且与伴老年综合征数量有关.
Objective To explore the physical function,fall risk and self-care ability of older patients with type 2 diabetes and geriatric syndrome.Methods A total of 150 older patients with type 2 diabetes melli-tus and geriatric syndromes who were treated in the hospital from January to October 2024 were selected as the observation group,while 150 older patients with simple type 2 diabetes mellitus were selected as the con-trol group.The differences between the two groups in the Tinetti-Balance and Gait Scale(Tinetti-POMA),Barthel Index Scale,Morse Fall Assessment Scale and Exercise of Self-Care Agency Scale(ESCA)were com-pared.At the same time,the differences in the above indicators among patients with different numbers of geri-atric syndromes in the observation group were analyzed.Results The Tinetti-POMA score and Barthel index of the observation group were lower than those of the control group,while the Morse fall score was higher than that of the control group,all differences were statistically significant(P<0.05).The scores of health knowledge,self-care skills,self-concept,self-responsibility and total score in the ESCA scale of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The Tinetti-POMA score and Barthel index of patients with>3 types of geriatric syndromes in observation group were lower than those of patients with≤3 types of geriatric syndromes,the differences were statisti-cally significant(P<0.05).The Morse fall score in observation group was higher than that of patients with≤3 types of geriatric syndromes,the difference was statistically significant(P<0.05).The scores of health knowledge,self-care skills,self-concept,self-responsibility and total score in the ESCA scale of patients with>3 types of geriatric syndromes in observation group were lower than those of patients with≤3 types of geriatric syndromes,the differences were statistically significant(P<0.05).Conclusion Compared with older patients with type 2 diabetes,older patients with type 2 diabetes combined with geriatric syndrome have de-creased physical function and self-care ability,increased risk of falls,and are associated with the number of pa-tients with geriatric syndrome.
刘稳;赵青华;陈超然
河南大学第一附属医院老年消化病科,河南 开封 475000河南大学第一附属医院老年消化病科,河南 开封 475000河南大学护理与健康学院,河南 开封 475000
医药卫生
2型糖尿病老年综合征躯体功能跌倒风险自我照顾能力
Type 2 diabetesGeriatric syndromePhysical functionRisk of fallingSelf-care a-bility
《现代医药卫生》 2026 (4)
931-934,4
河南省开封市科技发展计划项目(2304018).
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