| Objective:To explore the current frailty status of elderly patients with hypertension in rural area of China,and analyze theinfluencing factors offrailty in ruralelderly patients withhypertension,for purpose of provide theoretical and data support for the prevention and treatment of frailty in rural elderly patients with hypertension inthe future.Methods:A total of 200 elderly patients diagnosed with hypertension admitted to Jiangxi Ganzhou Xingguo County People’s Hospital from 2021.02 to 2022.07 were selected by random sampling according to the inclusion and exclusion criteria.There were 103 males and 97 females.Atotal of 200 elderly hypertensive patients in rural areas were selected as the research objects.Questionnaires werefilled intoevaluate theinfluence ofgender,marital status,living habits,mental state,physical condition,income,education level and otherfactors on frailty.At the same time,the frailty index list was filled out to evaluate whether the patient had frailty.SPASS 21.0 software was used to analyze the survey data,compare the blood pressure level and blood pressure control level of rural elderly patients with hypertension under different circumstances,and analyze the factors affecting the frailty of rural elderly patients with hypertension.Results:1.In number of 200 questionnaires were distributed in this study,and 196 valid questionnaires were collected with an effective recovery rate of 98%.Among them,100 were malepatients,accounting for 51.02% of thetotal respondents.There were 96 female patients,accounting for 48.98% of the total subjects.The average age was(69.35±12.11)years(range,60-92 years).2.In this survey,the systolic blood pressure and diastolic blood pressure of elderly male hypertensive patients in rural areas were 152.36±14.31 mm Hg and 91.77±10.97 mm Hg,respectively.The mean systolic blood pressure of female patients was 154.21±13.02 mm Hg,and the mean diastolic blood pressure was 96.79±7.35 mm Hg.The diastolic blood pressure of female patients was significantly higherthan that ofmale patients(P< 0.05),andthedifference was statistically significant.3.In this study,the blood pressure control of rural elderly hypertensive patients aged 60-69 was relatively stable,and the difference was statistically significant compared with theother two agegroups(P< 0.05).4.The results of this study showed that among 196 elderly hypertensive patients in rural areas,67 patients werefrailty patients,theincidence of frailty was 34.2%.5.Through univariate analysis,the statistical results showed that the prevalence of frailty was higher inrural elderly hypertensivepatients with female,low education level,low income,sleep disorders,donot participate inphysical exercise,poor psychological state andlow social support,and thedifference was statistically significant(P< 0.05).6.Through multifactorunconditional Logistics regression analysis,theresults showed that sleep disorders is an independent risk factor for frailty in elderly hypertensive patients in rural areas.In addition,low education level and abnormal body mass index were also one of the influencing factors of hypertension frailty in therural elderly.Conclusion:1.The blood pressure control rate of rural elderly patients with hypertension is low.2.The blood pressure of female patients with hypertension in rural areas is higher than that of male patients.3.Female,low education level,low income,sleep disorders,do not participate in physical exercise,poor psychological state,and lowsocial support elderly hypertensive patients in rural areas have a higher prevalence of frailty.4.Sleep disorders is an independent risk factor for frailty in elderly hypertensive patients in rural areas,Low educational level and abnormal BMI are also influential factors for the occurrence of decline in elderly hypertensive patients in rural areas. |
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