Analysis Of Elderly Frailty And Influencing Factors In Miaoqian Community Of Taiyuan City

Objective:To investigate the current situation of frailty in Miaoqian community of Taiyuan City,and analyze the factors related to frailty,further strengthen the identification and screening of community medical personnel on frailty,so as to provide evidence for intervention and reversal of frailty,reduce the incidence of frailty adverse events,and promote healthy aging of the population.Methods:In this study,a cross-sectional study design was adopted,including the elderly who were ≧65 years old in Miaoqian Community health service center of Taiyuan City from March 2022 to May 2022 and met the inclusion and exclusion criteria for physical examination as the research objects.Using the General Demographic Characteristics Questionnaire and the Health and Lifestyle Questionnaire,The Comprehensive geriatric Assessment Scale(mini-mental state examination,MMSE),(patients’ health questionnaire depression scale-9 item,PHQ-9),(generalized anxiety disorder-7,GAD-7),(nutritional risk screening 2002,NRS-2002),(seff-rating scale of sleep,SRSS),(numerical rating scale,NRS),(strength,assistance with walking,rise from a chair,climb stairs and falls,SARC-F).FRAIL scale screening to confirm the debilitation degree of the study object.Excel was used for data entry and SPSS 26.0 statistical software was used for analysis.Results:250 questionnaires were collected,and 200 were effectively collected,with a recovery rate of 80%.Two hundred subjects were divided into three groups,inclu ding 29 patients in the frail group(14.5%),90 patients in the pre-frail group(45%)and 81 patients in the robust group(40.5%).Univariate analysis showed that variables such as age,marital status,residence style,care,number of chronic dis eases,type of medication,weekly exercise,daily sedentary time,nutritional status,pain status,anxiety status,depression status,sleep status,cognitive function and sarcopenia screening were statistically significant among the three groups(P<0.05).Ordered multivariate logistic regression analysis showed that the age of the varia ble was(65~74 years old OR=0.150,95%CI 0.045~0.494;75~84 years old OR=0.351,95%CI 0.110~1.115),care situation(self-care OR=0.219,95%CI 0.054~0.886;Chi ld care OR=0.126,95%CI 0.022~0.738),the number of chronic diseases(0~1 OR=0.184,95%CI 0.030~1.152;2~3 kinds of OR=0.244,95%CI 0.049~1.212),weekly exercise(never =4.868,95%CI 1.450~16.342;Occasional OR=1.769,95%CI 0.817~3.829)and sarcopenia(OR=0.092,95%CI 0.022~0.380)were the factors influencing t he frailty of the elderly in the community(P<0.05).Conclusion:The incidence of senile frailty in community is high,especially the elderly in the early stage of frailty.we should strengthen the screening of frailty.Age,care status,number of chronic diseases,weekly exercise status,and sarcopenia status are the influencing factors of the elderly with frailty in the community.The occurrence of frailty can be delayed or reversed by managing frailty related risk factors and providing personalized targeted interventions.