老年骨质疏松合并肌少症患者生活空间现状及影响因素分析OA
Current status and influencing factors of life space in elderly patients with osteoporosis complicated by sar-copenia
目的 探讨老年骨质疏松合并肌少症患者生活空间现状及其影响因素,以期为临床治疗提供参考.方法 选取2023年5月—2024年8月浙江中医药大学附属杭州市中医院骨伤科收治的512例老年骨质疏松合并肌少症患者为研究对象.通过一般资料调查问卷、数字评定量表(NRS)、Barthel指数(BI)、国际版跌倒效能量表(FES-Ⅰ)及老年人生活空间评价量表(LSA)对患者进行调查.采用多元线性回归分析影响老年骨质疏松合并肌少症患者生活空间的因素.结果 老年骨质疏松合并肌少症患者的LSA评分为(50.66±8.45)分,其中生活空间低水平者占63.48%,生活空间中等水平、高水平者分别占25.78%、10.74%.多元线性回归分析显示,年龄≥70岁(β=-1.021,95%CI:-1.462～-0.580)、文化程度高中及中专以下(β=-0.742,95%CI:-1.154～-0.330)、家庭月收入<5 000元(β=-0.552,95%CI:-0.777～-0.327)、独居(β=-0.844,95%CI:-1.275～-0.413)、有1年内跌倒史(β=-0.662,95%CI:-1.058～-0.266)、中度疼痛(β=-0.412,95%CI:-0.612～-0.212)、重度疼痛(β=-0.789,95%CI:-1.087～-0.491)、轻度依赖(β=-0.921,95%CI:-1.376～-0.466)、中重度依赖(β=-0.854,95%CI:-1.287～-0.421)、中度恐惧(β=-0.652,95%CI:-0.891～-0.413)、重度恐惧(β=-0.552,95%CI:-0.777～-0.327)是患者 LSA 评分降低的独立影响因素(P<0.05),可解释总变异的59.07%.结论 合并肌少症的老年骨质疏松患者更易出现生活空间受限,该情况受疼痛程度、日常生活活动能力、跌倒恐惧等多重因素影响.因此,临床需重点评估患者生活空间水平,结合相关影响因素开展个体化干预,从而改善其活动空间、提升活动能力.
Objective To explore the current status and influencing factors of life space in elderly patients with osteoporosis complicated by sarcopenia,so as to provide a reference for clinical treatment.Methods A total of 512 elderly patients with osteoporosis complicated by sarcopenia admitted to the Department of Orthopedics and Traumatology,Hangzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University,from May 2023 to August 2024 were selected as study participants.The patients were surveyed using a general information questionnaire,the Numerical Rating Scale(NRS),the Barthel Index(BI),the Falls Efficacy Scale-International(FES-I),and the Life Space Assessment(LSA)for the elderly.Multiple linear regression analysis was used to analyze the factors influencing the life space of elderly patients with osteoporosis complicated by sarcopenia.Results The LSA score of elderly patients with osteoporosis complicated by sarcopenia was(50.66±8.45).Among them,63.48%had a low life space level,25.78%had a moderate life space level,and 10.74%had a high life space level.Multiple linear regression analysis showed that age≥70 years(β=-1.021,95%CI:-1.462 to-0.580),education level below high school or technical secondary school(β=-0.742,95%CI:-1.154 to-0.330),monthly family income<5,000 yuan(β=-0.552,95%CI:-0.777 to-0.327),living alone(β=-0.844,95%CI:-1.275 to-0.413),history of falls within 1 year(β=-0.662,95%CI:-1.058 to-0.266),moder-ate pain(β=-0.412,95%CI:-0.612 to-0.212),severe pain(β=-0.789,95%CI:-1.087 to-0.491),mild de-pendence(β=-0.921,95%CI:-1.376 to-0.466),moderate to severe dependence(β=-0.854,95%CI:-1.287 to-0.421),moderate fear(β=-0.652,95%CI:-0.891 to-0.413),and severe fear(β=-0.552,95%CI:-0.777 to-0.327)were independent factors associated with lower LSA scores in these patients(P<0.05),explaining 59.07%of the total variance.Conclusion Elderly patients with osteoporosis complicated by sarcopenia are more likely to have restrict-ed life space,which is influenced by multiple factors such as pain level,activities of daily living,and fear of falling.There-fore,clinical attention should be given to assessing patients'life space levels and implementing individualized interventions based on relevant influencing factors,so as to improve their activity space and strengthen their mobility.
孙瑛;何永江;叶萍;傅晓婷;舒琼燕;骆彩琴;周岑卉
浙江中医药大学附属杭州市中医院骨伤科,杭州 310007浙江中医药大学附属杭州市中医院骨伤科,杭州 310007浙江中医药大学附属杭州市中医院骨伤科,杭州 310007浙江中医药大学附属杭州市中医院骨伤科,杭州 310007浙江中医药大学附属杭州市中医院骨伤科,杭州 310007浙江中医药大学附属杭州市中医院骨伤科,杭州 310007浙江中医药大学附属杭州市中医院骨伤科,杭州 310007
医药卫生
骨质疏松肌少症生活空间代谢性疾病
OsteoporosisSarcopeniaLife spaceMetabolic diseases
《保健医学研究与实践》 2026 (4)
69-75,7
浙江省医药卫生科技计划项目(2022KY995).
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