目的 调查农村老年肌少症患者社会隔离现状并分析其影响因素，为制订干预措施提供参考。 方法 2023年5-7月，便利抽样法选取郑州市白寨镇4个行政村的236例老年肌少症患者研究对象，采用Lubben社会网络量表、简易体能状况量表、修订的疲劳影响量表、匹兹堡睡眠质量指数、汉密尔顿抑郁量表等对其进行调查。 结果 老年肌少症患者社会隔离得分为（11.43±4.30）分，家庭隔离得分为（6.42±2.34）分，朋友隔离得分为（4.99±2.60）分，社会隔离、家庭隔离、朋友隔离发生率分别为37.3%、30.5%、37.7%；Logistic回归分析结果显示，年龄、性别、居住方式、子女情况、睡眠、抑郁、疲劳、躯体功能和生活空间水平是其社会隔离的影响因素（均P＜0.05）。 结论 农村老年肌少症患者社会隔离发生率较高，医护人员应重点关注此类人群，针对其影响因素制订干预措施，改善患者社会隔离现状，延缓肌少症的发展。

Objective To investigate the status quo of social isolation in rural older adults with sarcopenia and analyze its influencing factors,so as to provide reference for the enaction of intervention measures.Methods 236 older adults with sarcopenia in 4 administrative villages of Baizhai town in Zhengzhou were selected by convenience sampling from May to July in 2023.A survey was conducted using Lubben social network scale,short physical performance battery,modified fatigue impact scale,Pittsburgh sleep quality index and Hamilton depression scale.Results The score of social isolation was (11.43±4.30),that of isolation from family (6.42±2.34),and that of isolation from friends(4.99±2.60).The incidence of these 3 types of isolation was 37.3%,30.5% and 37.7%,respectively.Logistic regression analysis demonstrated that age,gender,lifestyle,children’s status,sleep,depression,fatigue,physical function,and the status of living space were the influencing factors of social isolation (all P＜0.05).Conclusions The incidence of social isolation in older adults with sarcopenia in rural areas is high.Medical staff should focus on the group and enact intervention measures according to their influencing factors,so as to improve the situation and delay the development of sarcopenia.

R473.59

河南省医学科技攻关计划省部共建青年项目（SBGJ202003030）