2026-03-11T01:08:30Z https://ir.kagoshima-u.ac.jp/oai

oai:ir.kagoshima-u.ac.jp:00015668 2026-03-03T15:11:01Z 228:230:5999 57:58:59

循環器疾患をもつ高齢患者のフレイルと生活の関係 : 入院から退院3か月後の縦断的調査による検討 Relationship between frailty and life in elderly patients with cardiovascular disease : longitudinal study from admission to 3 months after discharge 益満, 智美 MASUMITSU, Tomomi 木佐貫, 彰 KISANUKI, Akira 宮田, 昌明 MIYATA, Masaaki 丹羽, さよ子 NIWA, Sayoko open access cardiovascular disease elderly frailty Background: In this study, we examined the relationship between the frailty status and daily activities before and after hospitalization in patients with cardiovascular diseases. Methods: The 31 patients admitted to a ward of Cardiovascular Medicine in a Hospital from November, 2018 to May, 2019 were enrolled. Finally, 25 patients with informed consents were analyzed. A questionnaire survey was performed on admission, discharge and 3 months after discharge. Results: In 25 participants at admission, 15 (60%) were in the non-frailty status group and 10 (40%) were in the frailty status group. As a result of intergroup comparison, the frailty status group was significantly older than the non-frailty status group (p=0.014), and the nutritional evaluation of elderly people and the albumin level at admission in the frailty status group were significantly lower compared with the non-frailty status group (p=0.019, p=0.012). There was a tendency for significant differences in N-terminal-pro-B-natriuretic peptide (NT-proBNP). For the living style in hospital, the rate of lie on bed in the frailty status group was more compared with the non-frailty status group (p=0.039). The 4 frail patients at discharge did not participated in the social activities 2 weeks after discharge. Furthermore, the exercise level 3 months after discharge in the frail patients (n=3) was significantly lower than that in the non-frail patients (n=9) (p=0.036). Conclusion: It was suggested that the frailty status of elderly inpatients with cardiovascular diseases was associated with the prehospital undernutrition and the social activities and exercise levels after discharge. 近年の高齢者への医療は目覚ましく発達してきたが，高齢者は予備力が低くストレスや環境による変化に適応しにくいため入院を契機にフレイルに陥りやすい．自立した生活から要介護状態への移行を招く原因としてフレイルが注目されている．循環器疾患があるとフレイルの発症率は1.5倍となることが報告されている．地域在住高齢者におけるフレイルの研究は数多く報告されているが，循環器疾患をもつ高齢入院患者におけるフレイルの生活の中での関連要因についての報告は見当たらない．本研究では，循環器疾患をもつ高齢患者のフレイルに影響を及ぼす要因について，入院前の生活との関係および入院から退院後の生活との関係から検討する． 鹿児島大学 Kagoshima University 2021 jpn departmental bulletin paper VoR http://hdl.handle.net/10232/00031556 https://ir.kagoshima-u.ac.jp/records/15668 03685063 AN00040104 鹿児島大学医学雑誌 Medical journal of Kagoshima University 73 1 9 https://ir.kagoshima-u.ac.jp/record/15668/files/AN00040104_73_p1-9.pdf application/pdf 683.0 kB 2021-02-03 2021-01