摘要
目的 了解老年肠造口患者口腔衰弱现状,并分析影响口腔衰弱的因素。方法 回顾性分析2023年5月至2023年12月期间于山东省立医院胃肠外科门诊就诊的老年肠造口患者作为研究对象。采用一般资料问卷、口腔衰弱指数(oral frailty index-8,OFI-8)、埃德蒙顿衰弱评估量表(edmonton frail scale,EFS)、营养风险筛查评分2002进行问卷调查,根据OFI-8得分将患者划分为口腔衰弱组和非口腔衰弱组,采用二分类logistic回归模型进行多因素分析,探讨影响老年肠造口患者口腔衰弱的因素。结果 共收集283例调查对象,老年肠造口患者口腔衰弱的发生率为66.4%(188/283)。多因素分析结果显示,年龄大[OR=1.181,95%CI(1.015,1.373),P=0.032]、有吸烟史[OR=2.721,95%CI(1.122,6.599),P=0.027]、有饮酒史[OR=2.878,95%CI(1.185,6.991),P=0.020]、有义齿[OR=3.173,95%CI(1.297,7.759),P=0.011]、术后发生口腔疾病≥2种[OR=5.802,95%CI(1.911,17.615),P=0.002]、有营养风险[OR=2.744,95%CI(1.033,7.284),P=0.043]、EFS得分高[OR=1.823,95%CI(1.309,2.538),P<0.001]、造口类型为永久[OR=2.659,95%CI(1.126,6.275),P=0.026]是老年肠造口患者出现口腔衰弱的危险因素。结论 老年肠造口患者口腔衰弱的发生率较高,应提高对此类患者口腔衰弱的关注度,针对高危因素实施精准化干预措施,预防口腔衰弱的发生或改善口腔衰弱状况。
Objective To understand the current status of oral frailty in older patients with colostomy,and analyze the factors affecting oral frailty.Methods A retrospective analysis was conducted on older patients with colostomy who visited the Department of Gastrointestinal Surgery,Shandong Provincial Hospital from May 2023 to December 2023.The questionnaire survey was conducted using the general data questionnaire,oral frailty index-8(OFI-8),the edmonton frail scale(EFS),and the nutritional risk screening score 2002.According to the OFI-8 score,the patients were divided into oral frailty group and non-oral frailty group,and the two-classified logistic regression model was used for multivariate analysis to explore the factors affecting the oral frailty of older patients.Results A total of 283 survey subjects were collected,and the incidence of oral frailty in older patients was 66.4%(188/283).Multivariate analysis showed that old age[OR=1.181,95%CI(1.015,1.373),P=0.032],history of smoking[OR=2.721,95%CI(1.122,6.599),P=0.027],history of alcohol[OR=2.878,95%CI(1.185,6.991),P=0.020],dentures[OR=3.173,95%CI(1.297,7.759),P=0.011],postoperative oral diseases≥2[OR=5.802,95%CI(1.911,17.615),P=0.002],nutritional risk[OR=2.744,95%CI(1.033,7.284),P=0.043],high EFS score[OR=1.823,95%CI(1.309,2.538),P<0.001],permanent stoma[OR=2.659,95%CI(1.126,6.275),P=0.026]were risk factors for oral frailty in older patients with colostomy.Conclusions The incidence of oral frailty in older patients with colostomy is relatively high.We should pay more attention to the patients’oral frailty,and implement precise intervention measures for high-risk factors to prevent the occurrence of oral frailty or improve the condition of oral frailty.
作者
陈英娟
辛学玲
孙凤
CHEN Yingjuan;XIN Xueling;SUN Feng(Department of Gastrointestinal Surgery,Shandong Provincial Hospital,Ji’nan 250021,P.R.China)
出处
《中国普外基础与临床杂志》
2025年第12期1612-1617,共6页
Chinese Journal of Bases and Clinics In General Surgery
关键词
口腔衰弱
老年患者
肠造口
影响因素
colostomy
older patient
oral frailty
influence factor
