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预防医学  2025, Vol. 37 Issue (6): 593-597    DOI: 10.19485/j.cnki.issn2096-5087.2025.06.011
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疗休养老年人老年综合评估结果分析
王剑铃, 沈小华, 李婷, 宋维红
杭州市五云山医院(杭州市健康促进研究院),浙江 杭州 310008
Results of comprehensive geriatric assessment among convalescent elderly population
WANG Jianling, SHEN Xiaohua, LI Ting, SONG Weihong
Hangzhou Wuyunshan Hospital (Hangzhou Health Promotion Research Institute), Hangzhou, Zhejiang 310008, China
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摘要 目的 分析疗休养老年人老年综合评估(CGA)结果,为加强疗休养老年人健康管理服务提供参考。方法 选择2021年1月—2023年12月在杭州市五云山医院疗休养的200名老年人为研究对象,采用CGA路径表调查老年人的基本信息、躯体状况、心理状况、功能状况和社会环境;分析老年人基本特征,服药依从性、疼痛、营养不良和衰弱等躯体状况,认知功能、焦虑症状和抑郁症状等心理状况,以及跌倒风险和社会支持水平等功能状况和社会环境评估结果。结果 200名老年人中,男性占58.00%、70~<80岁占44.50%、高中及以上文化程度占58.00%、无配偶占55.00%、无子女占61.50%、职工基本医疗保险占60.50%。躯体状况方面,慢性病共病占59.00%,多重用药占40.50%,服药依从性差、疼痛、营养不良和衰弱发生率分别为22.50%、10.00%、54.00%和36.00%。心理状况方面,认知功能受损、焦虑症状和抑郁症状发生率分别为57.00%、89.50%和91.00%。功能状况和社会环境方面,有跌倒风险占90.00%,高水平社会支持占31.00%。单因素分析结果显示,≥80岁、小学及以下文化程度的老年人服药依从性差发生率较高;服药依从性差的老年人疼痛发生率较高;认知功能受损、有焦虑症状和抑郁症状的老年人营养不良发生率较高(均P<0.05)。结论 疗休养老年人躯体状况和心理状况较差,跌倒风险较高,社会支持水平不足,其中服药依从性差与高龄、文化程度较低有关,营养不良与认知功能受损、焦虑症状和抑郁症状有关;应加强疗休养老年人综合健康管理,提供个性化的健康管理服务,提高其生活质量与幸福感。
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王剑铃
沈小华
李婷
宋维红
关键词 老年人老年综合评估服药依从性疼痛营养不良    
AbstractObjective To explore the results of comprehensive geriatric assessment (CGA) among convalescent elderly population, so as to provide the basis for strengthening the health management service level for convalescent elderly population. Methods A total of 200 elderly people who convalesced at Hangzhou Wuyunshan Hospital from January 2021 to December 2023 were selected as the research subjects. The basic information, physical condition, psychological status, functional status, and social environment of the elderly were investigated using the CGA protocol. The basic characteristics of the elderly, physical conditions such as medication adherence, pain, malnutrition and frailty, psychological conditions such as cognitive function, anxiety symptoms and depression symptoms, functional conditions such as fall risk and social support level and social environment assessment results were analyzed. Results Among the 200 elderly individuals, 58.00% were male, 44.50% were aged 70 to <80 years, 58.00% had an education level of high school or above, 55.00% were unmarried, 61.50% were childless, and 60.50% had basic medical insurance for employees. In terms of physical condition, 59.00% had comorbid chronic diseases, 40.50% used multiple medications, and the incidences of poor medication adherence, pain, malnutrition, and frailty were 22.50%, 10.00%, 54.00%, and 36.00%, respectively. Regarding psychological status, the incidences of impaired cognitive function, anxiety symptoms, and depressive symptoms were 57.00%, 89.50%, and 91.00%, respectively. In terms of functional status and social environment, 90.00% had a risk of falling, and 31.00% had a high level of social support. Univariable analysis showed that elderly individuals aged ≥80 years and those with an education level of primary school or below had higher incidences of poor medication adherence during convalescence; elderly individuals with poor medication adherence had a higher incidence of pain; and elderly individuals with impaired cognitive function, anxiety symptoms, and depressive symptoms had higher incidences of malnutrition (all P<0.05). Conclusions The physical condition and psychological status of convalescent elderly individuals are relatively poor, with a high risk of falling and insufficient levels of social support. Poor medication adherence is associated with advanced age and lower education levels, while malnutrition is associated with impaired cognitive function, anxiety symptoms, and depressive symptoms. Comprehensive health management for convalescent elderly population should be strengthened, and personalized health management services should be provided to improve their quality of life and sense of well-being.
Key wordsthe elderly    comprehensive geriatric assessment    medication adherence    pain    malnutrition
收稿日期: 2025-01-02      修回日期: 2025-04-22      出版日期: 2025-06-10
中图分类号:  R592  
作者简介: 王剑铃,本科,主管护师,主要从事老年疗休养及健康管理工作
通信作者: 沈小华,E-mail:1095356157@qq.com   
引用本文:   
王剑铃, 沈小华, 李婷, 宋维红. 疗休养老年人老年综合评估结果分析[J]. 预防医学, 2025, 37(6): 593-597.
WANG Jianling, SHEN Xiaohua, LI Ting, SONG Weihong. Results of comprehensive geriatric assessment among convalescent elderly population. Preventive Medicine, 2025, 37(6): 593-597.
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https://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2025.06.011      或      https://www.zjyfyxzz.com/CN/Y2025/V37/I6/593
[1] LEE H,LEE E,JANG I Y.Frailty and comprehensive geriatric assessment[J/OL].J Korean Med Sci,2020,35(3)[2025-04-22]. https://doi.org/10.3346/jkms.2020.35.e16.
[2] FOX S T,JANDA M,HUBBARD R.Understanding how comprehensive geriatric assessment works:the importance of varied methodological approaches[J].Aging Clin Exp Res,2023,35(2):417-423.
[3] CHOI J Y,RAJAGURU V,SHIN J,et al.Comprehensive geriatric assessment and multidisciplinary team interventions for hospitalized older adults:a scoping review[J/OL].Arch Gerontol Geriatr,2023,104(2)[2025-04-22]. https://doi.org/.10.1016/j.archger.2022.104831.
[4] 盛莉,帖茹萍.老年综合评估在老年心血管疾病诊治中的应用[J].中华老年心脑血管病杂志,2024,26(9):985-987.
SHENG L,TIE R P.The application of comprehensive geriatric assessment in the diagnosis and treatment of elderly cardiovascular diseases[J].Chin J Geriatr Heart Brain Ves Dis,2024,26(9):985-987.(in Chinese)
[5] SCHIPPINGER W.Comprehensive geriatric assessment[J].Wien Med Wochenschr,2022,172(5/6):122-125.
[6] 陈旭娇,严静,王建业,等.老年综合评估技术应用中国专家共识[J].中华老年医学杂志,2017,36(5):471-477.
CHEN X J,YAN J,WANG J Y,et al.Chinese experts consensus on application of comprehensive geriatric assessmen[J].Chin J Geriatr,2017,36(5):471-477.(in Chinese)
[7] MOON S J,LEE W Y,HWANG J S,et al.Accuracy of a screening tool for medication adherence:a systematic review and meta-analysis of the Morisky Medication Adherence Scale-8[J/OL].PLoS One,2017,12(11)[2025-04-22].https://doi.org/10.1371/journal.pone.0187139.
[8] CHIAROTTO A,MAXWELL L J,OSTELO R W,et al.Measurement properties of Visual Analogue Scale,Numeric Rating Scale,and Pain Severity Subscale of the brief pain inventory in patients with low back pain:a systematic review[J].J Pain,2019,20(3):245-263.
[9] GUIGOZ Y,VELLAS B,GARRY P J.Assessing the nutritional status of the elderly:the Mini Nutritional Assessment as part of the geriatric evaluation[J]. Nutr Rev,1996,54(1 Pt 2):59-65.
[10] CHURCH S,ROGERS E,ROCKWOOD K,et al.A scoping review of the Clinical Frailty Scale[J].BMC Geriatr,2020,20(1):393-410.
[11] 高浪丽,冯冬梅,王荣海,等.意识模糊评估法简短量表的汉化及用于老年谵妄的信度和效度研究[J].实用老年医学,2019,33(2):133-136.
GAO L L,FENG D M,WANG R H,et al.Validity and reliability of the Chinese version of short form of Confused Assessment Method for the detection of delirium in the elderly[J].Pract Geriatr,2019,33(2):133-136.(in Chinese)
[12] DICK J P,GUILOFF R J,STEWART A,et al.Mini-mental state examination in neurological patients[J].J Neurol Neurosurg Psychiatry,1984,47(5):496-499.
[13] LEE S H,SHIN C,KIM H,et al.Validation of the Korean version of the Generalized Anxiety Disorder 7 self-rating Scale[J/OL].Asia Pac Psychiatry,2022,14(1)[2025-04-22].https://doi.org/10.1111/appy.12421.
[14] 闵宝权,周爱红,梁丰,等.病人健康问卷抑郁自评量表(PHQ-9)的临床应用[J].神经疾病与精神卫生,2013,13(6):569-572.
MIN B Q,ZHOU A H,LIANG F,et al.Clinical application of Patient Health Questionnaire for self-administered measurement (PHQ-9) as screening tool for depression[J].J Neurosci Mental Health,2013,13(6):569-572.(in Chinese)
[15] MONTORO-MEMBILA N,ARNEDO MONTORO M,FUNES M J,et al.The Cognitive Scale of Basic and Instrumental Activities of Daily Living for multidomain mild cognitive impairment and dementia patients:validation of its extended version[J].J Int Neuropsychol Soc,2022,28(6):628-641.
[16] KNOBE M,GIESEN M,PLATE S,et al.The Aachen Mobility and Balance Index to measure physiological falls risk:a comparison with the Tinetti POMA Scale[J].Eur J Trauma Emerg Surg,2016,42(5):537-545.
[17] ZOU Z X,WANG Z H,HEROLD F,et al.Validity and reliability of the physical activity and social support scale among Chinese established adults[J/OL].Complement Ther Clin Pract,2023,53(2)[2025-04-22].https://doi.org/10.1016/j.ctcp.2023.101793.
[18] ZHONG Y Q,GUO X J,LIU Y T,et al.Old people's preference for nursing homes in East China:a discrete choice experiment[J].BMC Nurs,2024,23(1):254-262.
[19] CHIN K,JONES R,LESTER E,et al.Comprehensive geriatric assessment,and related interventions,to improve outcomes for older patients undergoing transcatheter aortic valve implantation(TAVI):a systematic review[J].Eur Geriatr Med,2024,15(6):1615-1630.
[20] 刘宇丹,张彩云,郭明媚,等.慢性病共病患者服药依从性影响因素的Meta分析[J].预防医学,2024,36(9):790-795,800.
LIU Y D,ZHANG C Y,GUO M M,et al.Influencing factors for medication compliance in patients with comorbidities of chronic diseases:a meta-analysis[J].China Prev Med J,2024,36(9):790-795,800.(in Chinese)
[21] 罗园,张华,王三香,等.养老机构老年人跌倒风险综合评估工具的研制与检验[J].中国全科医学,2025,28(4):491-498.
LUO Y,ZHANG H,WANG S X,et al.Development of a comprehensive fall risk assessment tool for older people in elderly care institutions and its test[J].Chin Gen Pract,2025,28(4):491-498.(in Chinese)
[22] 关新月,王萧冉,张丹.老年共病患者服药依从性及其影响因素研究[J].中国全科医学,2024,27(20):2520-2526.
GUAN X Y,WANG X R,ZHANG D.Study of medication adherence and its influencing factors among elderly patients with multimorbidity[J].Chin Gen Pract,2024,27(20):2520-2526.(in Chinese)
[23] FIGUEIREDO T,MIDÃO L,SAMPAIO R,et al.Managing non-cancer chronic pain in frail older adults:a pilot study based on a multidisciplinary approach[J].Int J Environ Res Public Health,2023,20(24):7150-7158.
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