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综述

维持性血液透析患者躯体衰弱测量工具及影响因素的研究进展

  • 朱铮炜 ,
  • 张建军 ,
  • 曹惠婷 ,
  • 孙诣深 ,
  • 陶幸娟
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  • 200025 上海,上海交通大学1医学院 2护理学院

收稿日期: 2024-04-08

  修回日期: 2024-05-14

  网络出版日期: 2024-08-12

基金资助

上海交通大学医学院大学生创新训练计划(1824070);上海交通大学医学院护理学科人才队伍建设项目(护交医[2021]21号)

Research progress in the assessment tools and influencing factors of somatic frailty in patients with maintenance hemodialysis

  • ZHU Zheng-Wei ,
  • ZHANG Jian-Jun ,
  • CAO Hui-Ting ,
  • SUN Yi-Shen ,
  • TAO Xing-Juan
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  • School of Medicine and 2School of Nursing, Shanghai Jiao Tong University, Shanghai 200025, China

Received date: 2024-04-08

  Revised date: 2024-05-14

  Online published: 2024-08-12

摘要

维持性血液透析患者往往合并衰弱,而衰弱可导致多种临床不良结局,给患者的生活质量和生命安全带来极大威胁。衰弱是一种复杂的综合征,通常涵盖躯体、认知和社会等方面,这三方面是相互联系、相互作用、相互影响的。躯体衰弱发病率较高且通常会引起认知衰弱和社会衰弱,若能在早期及时评估并进行干预,可减轻或扭转病情发展。因此,本文对躯体衰弱的评估工具、影响因素等进行综述,以期为我国维持性血液透析患者开展衰弱的干预治疗提供借鉴。

本文引用格式

朱铮炜 , 张建军 , 曹惠婷 , 孙诣深 , 陶幸娟 . 维持性血液透析患者躯体衰弱测量工具及影响因素的研究进展[J]. 中国血液净化, 2024 , 23(08) : 612 -615 . DOI: 10.3969/j.issn.1671-4091.2024.08.009

Abstract

Maintenance hemodialysis (MHD) patients are often associated with somatic frailty, which leads to a variety of adverse clinical outcomes and causes significant threats to the quality of life and life safety of the patients. Frailty is a complex syndrome usually involving somatic, cognitive and social aspects, which are interconnected and interacted each other. The incidence of somatic frailty is high, and it is usually associated with cognitive and social frailty. The progression of frailty can be alleviated or reversed, if assessment and intervention are made at an early stage. This paper reviews the assessment tools and influencing factors for somatic frailty, with the aim of providing references for the development of frailty interventions for MHD patients in China.

参考文献

[1] 叶丽钦, 张海林, 周莹. 血液透析患者衰弱的相关研究进展 [J]. 中华护理杂志,2018,53(1): 99-104.
[2] 罗建仪, 郭红英, 李洁峰. 维持性血液透析患者衰弱现状及影响因素[J]. 齐鲁护理杂志,2019, 25(7): 81-84.
[3] Fried L P, Tangen C M, Walston J, et al. Frailty in older adults: evidence for a phenotype [J]. The journals of gerontology Series A, Biological sciences and medical sciences,2001,56(3): M146-156.
[4] 张枭霄, 高祖梅, 龚少智, 等. 老年血液透析患者衰弱评估工具的比较与衰弱现状分析 [J]. 当代护士(中旬刊),2022,18(2): 5-8.
[5] De Buyser S L, Petrovic M, Taes Y E, et al. Validation of the FNIH sarcopenia criteria and SOF frailty index as predictors of long-term mortality in ambulatory older men [J]. Age and ageing,2016,45(5): 602-608.
[6] Bilotta C, Nicolini P, Casè A, et al. Frailty syndrome diagnosed according to the Study of Osteoporotic Fractures (SOF) criteria and adverse health outcomes among community-dwelling older outpatients in Italy. A one-year prospective cohort study [J]. Archives of gerontology and geriatrics, 2012,54(2): e23-28.
[7] Imamura K, Yamamoto S, Suzuki Y, et al. Comparison of the association between six different frailty scales and clinical events in patients on hemodialysis [J]. Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2023, 38(2): 455-462.
[8] Johansen K L, Dalrymple L S, Delgado C, et al. Comparison of self-report-based and physical performance-based frailty definitions among patients receiving maintenance hemodialysis [J]. American journal of kidney diseases : the official journal of the National Kidney Foundation,2014,64(4): 600-607.
[9] Painter P, Kuskowski M. A closer look at frailty in ESRD: getting the measure right [J]. Hemodialysis international International Symposium on Home Hemodialysis, 2013, 17(1): 41-49.
[10] Salter M L, Gupta N, Massie A B, et al. Perceived frailty and measured frailty among adults undergoing hemodialysis: a cross-sectional analysis [J]. BMC geriatrics, 2015, 15(1):52.
[11] 卫尹, 曹艳佩, 杨晓莉, 等. 老年住院患者衰弱风险筛查工具的汉化及信效度研究[J]. 中国实用护理杂志,2018,34(20): 1526-1530.
[12] Barbosa E M S, Pereira A G, Mori V, et al. Comparison between FRAIL Scale and Clinical Frailty Scale in predicting hospitalization in hemodialysis patients [J]. Journal of nephrology, 2023,36(3): 687-693.
[13] Auyeung T W, Lee J S, Leung J, et al. The selection of a screening test for frailty identification in community-dwelling older adults [J]. The journal of nutrition, health & aging,2014,18(2): 199-203.
[14] Rockwood K, Song X, MacKnight C, et al. A global clinical measure of fitness and frailty in elderly people [J]. CMAJ : Canadian Medical Association journal,2005,173(5): 489-495.
[15] Flaatten H, De Lange D W, Morandi A, et al. The impact of frailty on ICU and 30-day mortality and the level of care in very elderly patients (≥?80?years) [J]. Intensive care medicine, 2017, 43(12): 1820-1828.
[16] Alfaadhel T A, Soroka S D, Kiberd B A, et al. Frailty and mortality in dialysis: evaluation of a clinical frailty scale [J]. Clinical journal of the American Society of Nephrology : CJASN, 2015, 10(5): 832-840.
[17] Chou Y C, Tsou H H, Chan D D, et al. Validation of clinical frailty scale in Chinese translation [J]. BMC geriatrics,2022,22(1): 604.
[18] 杨存美, 胡亦新, 舒刚明, 等. 三种评估量表在门诊老年病人衰弱筛查中的应用研究[J]. 实用老年医学,2022,36(7): 688-692.
[19] Abizanda P, Romero L, Sánchez-Jurado P M, et al. Association between Functional Assessment Instruments and Frailty in Older Adults: The FRADEA Study [J]. The Journal of frailty & aging,2012,1(4): 162-168.
[20] Singer J P, Diamond J M, Gries C J, et al. Frailty Phenotypes, Disability, and Outcomes in Adult Candidates for Lung Transplantation [J]. American journal of respiratory and critical care medicine,2015,192(11): 1325-1334.
[21] Fu W, Zhang A, Ma L, et al. Severity of frailty as a significant predictor of mortality for hemodialysis patients: a prospective study in China [J]. International Journal of Medical Sciences, 2021, 18(14): 3309-3317.
[22] Lee H J, Son Y J. Prevalence and Associated Factors of Frailty and Mortality in Patients with End-Stage Renal Disease Undergoing Hemodialysis: A Systematic Review and Meta-Analysis [J]. International journal of environmental research and public health,2021,18(7):3471.
[23] Drost D, Kalf A, Vogtlander N, et al. High prevalence of frailty in end-stage renal disease [J]. International urology and nephrology,2016,48(8): 1357-1362.
[24] Santos D, Pallone J M, Manzini C S S, et al. Relationship between frailty, social support and family functionality of hemodialysis patients: a cross-sectional study [J]. Sao Paulo medical journal, 2021,139(6): 570-575.
[25] Gong W, Yao L, Zhong X, et al. Prevalence and associated factors of frailty among Southern Chinese Han patients on haemodialysis: a multicentre, observational cross-sectional study [J]. BMJ open,2022,12(3):e054177.
[26] Yuan H, Zhang Y, Xue G, et al. Exploring psychosocial factors associated with frailty incidence among patients undergoing maintenance hemodialysis [J]. Journal of clinical nursing,2020,29(9-10): 1695-1703.
[27] 吴淑琳, 宋洁, 肖萍, 等. 维持性血液透析患者衰弱发生率及影响因素的系统评价 [J]. 中华护理教育,2021,18(4): 352-357.
[28] Chao C T, Wang J, Huang J W, et al. Chronic kidney disease-related osteoporosis is associated with incident frailty among patients with diabetic kidney disease: a propensity score-matched cohort study [J]. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA,2020,31(4): 699-708.
[29] 朱亚杰, 陈思婕, 辛霞, 等. 老年维持性血液透析患者衰弱发生情况及影响因素分析 [J]. 中华老年医学杂志,2023,42(1): 35-39.
[30] 罗建仪, 郭红英, 李洁峰. 维持性血液透析患者衰弱现状及影响因素[J]. 齐鲁护理杂志,2019,25(7): 81-84.
[31] Guo Y, Tian R, Ye P, et al. Frailty in Older Patients Undergoing Hemodialysis and Its Association with All-Cause Mortality: A Prospective Cohort Study [J]. Clinical interventions in aging,2022,17(1): 265-275.
[32] Woo K, Gascue L, Norris K, et al. Patient Frailty and Functional Use of Hemodialysis Vascular Access: A Retrospective Study of the US Renal Data System [J]. American journal of kidney diseases : the official journal of the National Kidney Foundation,2022,80(1): 30-45.
[33] Ye L, Tang X, Zhang H, et al. Prevalence and risk factors of pre-frailty and frailty in maintenance haemodialysis patients in China: A cross-sectional Study [J]. Journal of advanced nursing,2023,79(9): 3522-3534.
[34] Wang J, Huang L, Xu M, et al. Study on the Clinical Implications of NLR and PLR for Diagnosing Frailty in Maintenance Hemodialysis Patients and Their Correlations with Patient Prognosis [J]. Journal of healthcare engineering,2022,2022: 1267200.
[35] 陈琰, 郑淑蓓, 郑育, 等. 维持性血液透析患者的衰弱情况及其影响因素[J]. 中华肾脏病杂志,2017,33(10): 763-769.
[36] Sarkisian C A, Gruenewald T L, John Boscardin W, et al. Preliminary evidence for subdimensions of geriatric frailty: the MacArthur study of successful aging [J]. Journal of the American Geriatrics Society,2008,56(12): 2292-2297.
[37] 赵文一. 维持性血液透析患者发生衰弱相关因素分析与护理对策研究[J]. 当代护士,2022,29(11): 37-40.
[38] 王蕊花, 张光, 刘文媛, 等. 维持性血液透析患者系统免疫炎症指数与衰弱的相关性分析 [J]. 中国中西医结合肾病杂志,2023,24(8): 688-691.
[39] Deng Y, Yuan X, Guo X L, et al. Efficacy of atorvastatin on hippocampal neuronal damage caused by chronic intermittent hypoxia: Involving TLR4 and its downstream signaling pathway [J]. Respiratory physiology & neurobiology,2015,218: 57-63.
[40] Santos D, Ferreira L G S, Pallone J M, et al. Association between frailty and depression among hemodialysis patients: a cross-sectional study [J]. Sao Paulo medical journal ,2022,140(3): 406-411.
[41] Chi C Y, Lee S Y, Chao C T, et al. Frailty as an Independent Risk Factor for Depression in Patients With End-Stage Renal Disease: A Cross-Sectional Study [J]. Frontiers in medicine,2022,9: 799544.
[42] 王凯, 王蕊花. 老年维持性血液透析患者衰弱相关因素分析[J]. 中国血液净化,2020, 19(1): 12-16.
[43] Sy J, McCulloch C E, Johansen K L. Depressive symptoms, frailty, and mortality among dialysis patients [J]. Hemodialysis international International Symposium on Home Hemodialysis, 2019, 23(2): 239-246.
[44] 王孟孟. 老年血液透析患者疾病侵扰与情绪障碍及衰弱的相关性研究 [D]; 吉林大学, 2021.
[45] Goldstein B I, Carnethon M R, Matthews K A, et al. Major Depressive Disorder and Bipolar Disorder Predispose Youth to Accelerated Atherosclerosis and Early Cardiovascular Disease: A Scientific Statement From the American Heart Association [J]. Circulation,2015,132(10): 965-986.
[46] 杨亮, 程润, 窦俊凯, 等. 维持性血液透析病人衰弱发生风险列线图模型的构建[J]. 蚌埠医学院学报,2023,48(4): 538-543.
[47] 陈凌云, 倪松, 施凌云, 等. 尿毒症患者维持性血液透析疲乏与衰弱发生率及其影响因素研究[J]. 中国中西医结合肾病杂志,2021, 22(2): 116-120.
[48] 肖露微, 冷娟娟, 汪张毅, 等. 维持性血液透析患者衰弱现状调查与影响因素分析[J]. 护理实践与研究,2023,20(6): 825-830.
[49] 张海滨, 孟元, 杨靖, 等. 维持性血液透析患者衰弱影响因素相关性研究[J]. 中国中西医结合肾病杂志,2022,23(1): 40-42.
[50] Luger E, Dorner T E, Haider S, et al. Effects of a Home-Based and Volunteer-Administered Physical Training, Nutritional, and Social Support Program on Malnutrition and Frailty in Older Persons: A Randomized Controlled Trial [J]. Journal of the American Medical Directors Association,2016,17(7): 671.
[51] Huang C H, Lai Y C, Lee Y C, et al. Impact of Health Literacy on Frailty among Community-Dwelling Seniors [J]. Journal of clinical medicine,2018,7(12):481.
[52] 曹敏, 李琴, 冯莉, 等. 维持性血液透析患者健康素养与衰弱间的链式中介作用[J]. 中华全科医学,2023,21(3): 429-433.
[53] Zhu L, Liu Y, Yang F, et al. Prevalence, associated factors and clinical implications of medication literacy linked to frailty in hemodialysis patients in China: a cross-sectional study [J]. BMC nephrology,2023,24(1): 307.
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