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Research on frailty assessment and nursing intervention in elderly patients with cardiovascular surgery |
ZHANG Xiaohong1 MENG Li′na2 ZHANG Peipei3 LIU Yanhui1 |
1.School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;
2.Department of Psychiatry, Anding Hospital of Tianjin, Tianjin 300074, China;
3.Department of Clinical Laboratory, Tianjin Children′s Hospital, Tianjin 300134, China |
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Abstract Cardiovascular disease is one of the most common clinical diseases and surgery is the main clinical treatment. Frailty is a multidimensional syndrome refers to the decline of homeostasis reserve function, which is closely related to the growth of age. With age, frailty becomes common and widely associated with the outcome of cardiovascular surgery. There is a high incidence of frailty in patients with cardiovascular disease, with a high incidence of frailty and an increased risk of deterior ating health and mortality in those with frailty. Therefore, frailty is a indicator of poor prognosis in elderly patients with cardicvascular diease. However, there are fewer studies on frailty assessment and intervention in elderly patients undergoing cardiovascular surgery. This study summarized frailty assessment and intervention measures, so as to show the importance of frailty assessment in patients with cardiovascular disease.
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[1] 杨小红,刘娜,刘晓云,等.老年患者心脏术后肺部感染原因分析及干预对策[J].老年医学与保健,2019,25(2):165-168.
[2] Pratesi A,Orso F,Ghiara C,et al. Cardiac surgery in the elderly:What goals of care? [J]. Monaldi Arch Chest Dis,2017,87(2):852.
[3] Rajabali N,Rolfson D,Bagshaw SM. Assessment and Utility of Frailty Measures in Critical Illness,Cardiology and Cardiac Surgery [J]. Can J Cardiol,2016,32:1157-1165.
[4] Afilalo J,Lauck S,Kim DH,et al. Frailty in older adults undergoing aortic valve replacement:the FRAILTY-AVR study [J]. J Am Coll Cardiol,2017,70(6):689-700.
[5] 杨婧,习玲,郝春艳,等.衰弱与心血管系统疾病相关性的研究进展[J].实用老年医学,2020,34(2):194-197.
[6] Bergquist CS,Jackson EA,Thompson MP,et al. Understanding the Association Between Frailty and Cardiac Surgical Outcomes [J]. Ann Thorac Surg,2018,106:1326-1332.
[7] Koh LY,Hwang NC. Frailty in Cardiac Surgery [J]. J Cardiothorac Vasc Anesth,2019,33:521-531.
[8] Henry L,Halpin L,Barnett SD,et al. Frailty in the Cardiac Surgical Patient-Comparison of Frailty Tools and Associated Outcomes [J]. Ann Thorac Surg,2019,108(1):16-22.
[9] 刘春艳,姜春燕,李虹伟.衰弱合并老年心血管疾病发病机制的研究进展[J].临床和实验医学杂志,2020,19(3):334-337.
[10] Green P,Chung CJ,Oberweis BS,et al. The “Eyeball Test” for Risk Assessment in Aortic Stenosis:Characterizing Subjective Frailty using Objective Measures [J]. Structural Heart,2019,3(1):44-52.
[11] 2011 Using gait speed to measure frailty [EB/OL].(2014-11-14).http://www.sts.org/news/using-gait-speed-measurefrailty.
[12] Satoshi Y,Masakazu S,Keisuke O,et al. Impact of preoperative frailty on regaining walking ability in patients after cardiac surgery:Multicenter cohort study in Japan [J]. Arch Gerontol Geriatr,2019,83:204-210.
[13] Rodrigues MK,Marques A,Lobo DML,et al. Pre-frailty increases the risk of adverse events in older patients undergoing cardiovascular surgery [J]. Arq Bras Cardiol,2017,109(4):299-306.
[14] Philippe A,Aaron W,Ines N,et al. The Edmonton Frail Scale Improves the Prediction of 30-day Mortality in Elderly Patients Undergoing Cardiac Surgery:A Prospective Observational Study [J]. J Cardiothorac Vasc Anesth,2019,33(4):945-952.
[15] Amabili P,Wozolek A,Noirot I,et al. The edmonton frail scale improves the prediction of 30-day mortality in elderly patients undergoing cardiac surgery:a prospective observational study [J]. J Cardiothorac Vasc Anesth,2019, 33(4):945-952.
[16] Kovacs J,Moraru L,Antal K,et al. Are frailty scales better than anesthesia or surgical scales to determine risk in cardiac surgery? [J]. Korean J Anesthesiol,2017,70(2):157-162.
[17] 伏蓉,张蕊,刘雅玲.多元运动干预对社区老年人衰弱状态的影响[J].中国老年保健医学,2020,18(2):33-35.
[18] Vigorito C,Abreu A,Ambrosetti,et al. Frailty and cardiac rehabilitation:A call to action from the EAPC Cardiac Rehabilitation Section [J]. Eur J Prev Cardiol,2016,24(6):577.
[19] Arthur HM,Daniels C,McKelvie R,et al. Effect of a preoperative intervention on preoperative and postoperative outcomes in low-risk patients awaiting elective coronary artery bypass graft surgery. A randomized,controlled trial [J]. Ann Intern Med,2000,133:253-262.
[20] Neupane I,Arora RC,Rudolph JL. Cardiac surgery as a stressor and the response of the vulnerable older adult [J]. Exp Gerontol,2017,87(Pt B):168-174.
[21] María EG,Zapico SC. Frailty,Cognitive Decline,Neurodegenerative Diseases and Nutrition Interventions [J]. Int J Mol Sci,2019,20:2842-2860.
[22] 吴永华,杨丽君,张俐.老年衰弱、肌少症与营养[J].实用老年医学,2017(4):9-13.
[23] Stoppe C,Goetzenich A,Whitman G,et al. Role of nutrition support in adult cardiac surgery:A consensus statement from the International Multidisciplinary Expert Group on Nutrition in Cardiac Surgery [J]. Crit Care,2017, 21:131.
[24] Goldfarb M,Bendayan M,Rudski LG,et al. Cost of Cardiac Surgery in Frail Compared to Non-Frail Older Adults [J]. Can J Cardiol,2017,33:1020-1026.
[25] 毕淑亭,云青.高龄心脏手术患者围术期心理护理干预体会[J].实用临床护理学电子杂志,2017,2(43):59.
[26] 梁敉宁,陈琼妮,汪健健,等.心理联络护理模式在心血管外科术前患者中的实践[J].护理学杂志,2018,33(14):78-82.
[27] 赖紫霞,舒惠萍.综合护理干预对SICU心脏手术后患者谵妄的护理效果[J].当代护士:下旬刊,2019,26(2):120-122.
[28] 羊炜霞,王招娣,程丽娟,等.老年综合评估团队诊治老年人衰弱综合征的护理体会[J].护理与康复,2018,17(6):63-65.
[29] Partridge JS,Harari D,Martin FC,et al. Randomized clinical trial of comprehensive geriatric assessment and optimization in vascular surgery [J]. Br J Surg,2017,104:679-687. |
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