文章摘要
汪想想,张颖,张杰,吴泽兵,王书,曹倩.Tilburg量表与老年综合评估技术在评估高血压患者衰弱中的应用[J].中国临床保健杂志,2019,22(1):68-71.
Tilburg量表与老年综合评估技术在评估高血压患者衰弱中的应用
The application of the Tilburg Frailty Indicator and comprehensive geriatric assessment of assessing the frailty of Chinese hypertensive patients
投稿时间:2018-03-16  
DOI:10.3969/J.issn.1672-6790.2019.01.019
中文关键词: 高血压  蛋白质能量营养不良  健康影响评估  老年人
英文关键词: Hypertension  Protein-energy malnutrition  Health impact assessment  Aged 〖FL
基金项目:安徽省重点研究与开发计划项目(1704f0804042);安徽省合肥市科技攻关项目(201551);安徽省合肥市第五周期医学重点学科资助项目(卫科 2016-213号)
作者单位E-mail
汪想想 安徽医科大学第三附属医院、合肥市第一人民医院老年病科,合肥 230061 1322134689@qq.com 
张颖 安徽医科大学第三附属医院、合肥市第一人民医院老年病科,合肥 230061 zhangying196501@163.com 
张杰 安徽医科大学第三附属医院、合肥市第一人民医院老年病科,合肥 230061  
吴泽兵 安徽医科大学第三附属医院、合肥市第一人民医院老年病科,合肥 230061  
王书 安徽医科大学第三附属医院、合肥市第一人民医院老年病科,合肥 230061  
曹倩 安徽医科大学第三附属医院、合肥市第一人民医院老年病科,合肥 230061  
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中文摘要:
      目的 探究Tilburg量表(TFI)及其心理与躯体方面分别与老年综合评估中相关量表在评估高血压患者衰弱中的关联性。方法 选取243名高血压患者,用中文版的TFI与老年综合评估中相关量表对其进行衰弱评估。结果 研究人群TFI评分的平均值约为(7.10±3.32)分(中位数M=7,Q1、Q3分别为5、10;范围:0~14)。TFI评分与老年综合评估中的抑郁自评量表(SDS)评分(r=0.659,P<0.05)、焦虑自评量表(SAS)评分(r=0.623,P<0.05)呈正相关,与日常生活活动功能评定量表(ADL)评分(r=-0.470,P<0.05)、工具性日常生活活动功能评估量表(IADL)评分(r=-0.493,P<0.05)、简易智力状态检查量表评分(MMSE)(r=-0.545,P<0.05)呈负相关。TFI的心理方面评分与SDS评分(r=0.690,P<0.05)、SAS评分(r=0.631,P<0.05)呈正相关,与简易智力状态检查量表评分(r=-0.626,P<0.05)呈负相关;TFI的躯体方面评分与ADL评分(r=-0.534,P<0.05)、IADL评分(r=-0.570,P<0.05)呈负相关。结论 在老年高血压患者,TFI评分的结果与老年综合评估的相应的量表评分的结果相一致,中文版TFI可以应用于国内老年高血压患者衰弱的评估。
英文摘要:
      Objective To explore the correlation of the Tilburg Frailty Indicator (TFI) and its domains (mental and physical) with related tools in the comprehensive geriatric in assessing the frailty of Chinese hypertensive patients.Methods Totally 243 elderly hypertensive patients were enrolled in the study.The Chinese version of the Tilburg Frailty Indicator and comprehensive geriatric assessment was used to assess the frailty of them.The TFI score was compared to the score of Activities of Daily Living (ADL),the Instrumental Activity of Daily Living (IADL),the mini-mental state examination (MMSE),Self-rating depression scale (SDS),Self-Rating Anxiety scale (SAS),which were used in the comprehensive geriatric assessment.The correlation between the score of TFI and other scales was evaluated by using the Pearson′s coefficient of linear correlation (R).Results The average score of TFI was 7.10±3.32 (median:7,inter-quartile range:5,0 range[0,4])in this cohort.The TFI score was positively correlated with the SDS score (r=0.659,P<0.05) and SAS (r=0.623,P<0.05) score .And the TFI score was negatively correlated with the ADL score (r=-0.470,P<0.05),IADL score (r=-0.493,P<0.05),and MMSE score (r=-0.545,P<0.05).The mental score of TFI was positively correlated with SDS score (r=0.690,P<0.05),SAS score (r=0.631,P<0.05) and was negative correlation with MMSE (r=-0.626,P<0.05).The TFI physical score was negatively correlated with ADL score (r=-0.534,P<0.05),IADL score (r=-0.570,P<0.05).Conclusion In elderly patients with hypertension,the results of TFI score are in accordance with the corresponding scale score of the elderly comprehensive assessment,Chinese version of TFI can be applied to the evaluation of the frailty of the elderly patients with hypertension.
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