A Study On The Present Situation And Correlation Between Overall Frailty And Social Frailty Of Hospitalized Elderly

Objective: Investigate the current situation of the hospitalized elderly’s overall frailty and social frailty,explore the relationship between the hospitalized elderly’s overall frailty and social frailty,analyze the influencing factors of the hospitalized elderly’s social frailty,and provide reference and basis for the medical staff’s early identification and intervention of the inpatient elderly’s social frailty.Method: The method of continuous sampling was adopted to select the elderly inpatients in the Department of Geriatrics of the First Affiliated Hospital of China Medical University from November 2019 to December 2020 as the research objects.The general information questionnaire,the social frailty scale,and the frailty comprehensive assessment scale were used.The Chinese version of the elderly health-related sense of control questionnaire surveyed them.Use Epi Data3.1 for data entry,SPSS23.0 for statistical analysis,frequency description for counting data,mean±standard deviation for measurement data for statistical description,analysis of variance,independent sample t test,and multiple linear regression for statistical analysis.Results:1.The overall frailty status of hospitalized elderly: The overall frailty score is(60.21±12.0),the overall frailty of the hospitalized elderly is more serious.2.Current status of social frailty in hospitalized elderly: the incidence of social frailty is42.7%(n=128),the pre-social frailty is 50.6%(n=152),and the non-social frailty is 6.7%(n=20).Among them,the highest positive report of loneliness was 90.7%(n=272).Status of the perceived control in health care of hospitalized elderly: The total score of the perceived control in health care of hospitalized elderly is(67±19.36)points,which is at a medium level.The elderly with an excellent the perceived control in health care scored5.3%(n=16),29.7%(n=89)of the elderly with a good the perceived control in health care,and 46%(n=138)of the elderly with a normal the perceived control in health care,the elderly with the perceived control in health care was 19%(n=57).3.The correlation between social frailty and overall frailty: the social frailty of hospitalized elderly people was significantly positively correlated with overall frailty,the correlation coefficient r=0.67,the perceived control in health care of hospitalized elderly people was significantly negatively correlated with overall frailty,the correlation coefficient r=-0.788,the difference was statistically significant(P<0.05).4.Analysis of influencing factors of social frailty in hospitalized elderly.Single factor analysis: The social frailty scores of hospitalized elderly people are in different ages,religious beliefs,marital status,education level,occupational status,living environment,people living together,family income,medical insurance type,type of disease,type of medication,course of disease,and the differences were statistically significant(P<0.05).The influencing factors of multi-factor analysis are: marital status,education level,family income,living environment,physical status,emotional status,social relationship,environmental status,and self-care ability.Conclusion: 1.The overall frailty of the elderly in hospital is serious.The medical staff should pay attention to the assessment and identification of the physiological,psychological,social,and environmental aspects of the elderly,to prevent and delay the occurrence and development of overall frailty.2.The incidence of social frailty in hospitalized elderly is relatively high.It is suggested that hospitalization is a high-risk group of social debilitating.Medical staff should pay attention to early cognition and early intervention to prevent and delay the occurrence and development of social frailty in hospitalized elderly.The perceived control in health care of the elderly in hospitals is at a medium level.Medical staff should increase the knowledge of disease health and self-care training for the elderly in hospitals to improve the perceived control in health care of the elderly’s health.3.The social frailty of hospitalized elderly is significantly positively correlated with overall frailty.the perceived control in health care of hospitalized elderly people was significantly negatively correlated with overall frailty.Medical staff can improve the perceived control in health care of the elderly,identify and intervene in social frailty,so as to delay the incidence and development of overall frailty.4.The influencing factors of social frailty of hospitalized elderly are: family monthly income,education level,marital status,co-residents,physical frailty,emotional status,social relationship,environmental frailty,and self-care ability.Clinical medical workers should fully consider the above related factors to prevent and delay the occurrence and development of social weakness in the elderly.