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| 普胸外科老年癌症患者口腔衰弱影响因素分析 |
| Analysis of influencing factors of oral frailty in elderly cancer patients in general thoracic surgery department |
| 投稿时间：2025-06-23 |
| DOI：10.3969/j.issn.1000-0399.2026.03.017 |
| 中文关键词: 老年癌症患者 口腔衰弱 影响因素分析 围手术期护理 |
| 英文关键词: Elderly cancer patients Oral weakness Influencing factors analysis Perioperative nursing |
| 基金项目:2023安徽省转化医学研究院科研基金项目(编号:2023zhyx-C52) |
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| 中文摘要: |
| 目的 探讨普胸外科老年癌症患者口腔衰弱的影响因素。方法 采用便利抽样法选取2024年11月至2025年3月安徽医科大学第一附属医院普胸外科收治的208例老年癌症患者，应用一般资料调查表、口腔衰弱指数-8、衰弱量表、日常生活活动能力量表、营养风险评分表、医院焦虑抑郁量表、领悟社会支持量表进行调查。采用logistic回归分析老年癌症患者口腔衰弱的影响因素。结果 208例老年癌症患者中，口腔衰弱（57.69%）120例。年龄（OR=1.081,95%CI:1.029～1.136）、焦虑抑郁（OR=3.413, 95%CI:1.866～6.243）、营养状况（OR=0.733, 95%CI:0.558～0.964）、癌症分期（OR=3.466, 95%CI:1.123～10.694）、社会支持（OR=1.006, 95%CI:1.000～1.012）是老年癌症患者口腔衰弱的影响因素（P<0.05）。结论 普胸外科老年癌症患者口腔衰弱发生率较高，建议医护人员重点关注高龄、晚期癌症患者，加强围手术期营养评估与支持，提供心理疏导以缓解焦虑抑郁，并鼓励家庭与社会支持，以制定多维度干预策略，降低口腔衰弱风险。 |
| 英文摘要: |
| Objective To explore the influencing factors of oral frailty in elderly cancer patients in general thoracic surgery department. Methods A total of 208 elderly cancer patients admitted to the Department of General Thoracic Surgery of the First Affiliated Hospital of Anhui Medical University were selected by convenience sampling method. The general information questionnaire, Oral frailty index 8, Frailty scale, activities of daily living scale, nutritional risk rating scale, Hospital Anxiety and Depression Scale and Perceived Social Support Scale were used to investigate the parameters. Logistic regression was used to analyze the influencing factors of oral frailty in elderly cancer patients. Results Among 208 elderly cancer patients, 120 cases(57.69%) had oral frailty. Age(OR=1.081,95%CI:1.029～1.136), anxiety and depression(OR=3.413, 95%CI:1.866～6.243), nutritional status(OR=0.733, 95%CI:0.558～0.964), cancer stage(OR=3.466, 95%CI:1.123～10.694), social support(OR=1.006, 95%CI:1.000～1.012) were the influencing factors of oral frailty in elderly cancer patients(P<0.05). Conclusion The incidence of oral frailty in elderly cancer patients in general thoracic surgery department is high. It is recommended that medical and nursing staff focus on elderly and advanced cancer patients, strengthen perioperative nutritional assessment and support, provide psychological counseling to relieve anxiety and depression, and encourage family and social support to develop multi-dimensional intervention strategies to reduce the risk of oral frailty. |
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