首页|维持性腹膜透析患者衰弱与认知衰弱的现状调查及影响因素分析

维持性腹膜透析患者衰弱与认知衰弱的现状调查及影响因素分析

Investigation on the situation and influencing factors of frailty and cognitive frailty in maintenance peritoneal dialysis patients

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目的 探讨维持性腹膜透析患者衰弱及认知衰弱发生现状并分析其影响因素.方法 采用便利抽样法选取 2022 年 1 月至 12 月于徐州医科大学第二附属医院肾脏内科就诊的 94 例维持性腹膜透析患者为研究对象,采用一般资料问卷、临床衰弱量表(CFS)、简易智力状况检查量表(MMSE)对其进行衰弱及认知衰弱现状调查,采用Logistic回归对衰弱和认知衰弱进行影响因素分析.结果 CFS量表得分为(4.67±1.27)分,其中无衰弱组 23 例(24.47%)、衰弱组 71 例(75.53%);MMSE量表得分(24.49±8.43)分,其中无认知衰弱组 68 例(72.34%)、认知衰弱组 26 例(27.66%);19 例表现为衰弱和认知衰弱共存.Logistic回归分析结果显示:年龄、居住地、高血压、体重指数、吸烟是维持性腹膜透析患者衰弱的影响因素,年龄、受教育程度、居住地、糖尿病、饮酒是维持性腹膜透析患者认知衰弱的影响因素(P<0.05).结论 维持性腹膜透析患者衰弱发生率处于较高水平,认知衰弱发生率处于一般水平.临床工作人员应及时识别患者衰弱及认知衰弱,以减少因衰弱及认知衰弱带来的跌倒坠床等不良事件的发生.
Objective To investigate the status quo of frailty and cognitive frailty in maintenance peritoneal dialysis patients and analyze its influencing factors.Methods A total of 94 patients with maintenance peritoneal dialysis who were admitted to the Department of Nephrology,the Second Affiliated Hospital of Xuzhou Medical University from January to December 2022 were selected by convenience sampling method.General data questionnaire,Clinical frailty Scale(CFS)and Mini-mental State Examination Scale(MMSE)were used to investigate their frailty and cognitive frailty status.Logistic regression was used to analyze the influencing factors of frailty and cognitive frailty.Results The results of the scale evaluation showed that the score of CFS was(4.67±1.27),with 23 patients in the normal group and 71 patients in the asthenic.The score of MMSE was(24.49±8.43),with 68 in the normal group and 26 in the cognitive frailty group.19 patients showed a combination of frailty and cognitive decline.Logistic regression showed that older age,lower education level,rural area of residence,diabetes and drinking were risk factors for cognitive fissile patients with maintenance peritoneal dialysis(P<0.05).Conclusions The degree and incidence of frailty in maintenance peritoneal dialysis patients were at a high level,and the degree and incidence of cognitive frailty were at a general level.Patients'frailty and cognitive frailty in time should be identified by the specific conditions of patients,so as to reduce the occurrence of adverse events such as falling caused by frailty and cognitive frailty.

Maintenance peritoneal dialysisEnervationCognitive declineInfluencing factor

姚凤娇、王飞、李晶

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221006 江苏 徐州,徐州医科大学第二附属医院 肾内科

221006 江苏 徐州,徐州医科大学第二附属医院 消化内科

维持性腹膜透析 衰弱 认知衰弱 影响因素

2024

医药高职教育与现代护理
江苏省医学情报研究所

医药高职教育与现代护理

影响因子:0.253
ISSN:2096-501X
年,卷(期):2024.7(3)
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