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新疆牧区高血压老人认知衰弱现状及影响因素

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目的 调查新疆牧区高血压老人发生认知衰弱的现状,并探讨其影响因素.方法 选取2021年5月至2022年7月乌鲁木齐县某卫生院体检和就诊的高血压老人作为研究对象,符合纳入及排除标准的共1 046例老年患者完成问卷调查及体格检查.以FRAIL衰弱评估量表、蒙特利尔认知评估量表及临床痴呆量表进行认知衰弱的评估.结果 343例高血压老人存在认知衰弱,认知衰弱发生率为32.8%(343/1 046).Logistic回归分析结果显示,高龄、喝咸奶茶、高血压病程长、营养不良、血脂异常及IADL受损是高血压老人发生认知衰弱的危险因素(P<0.05),吃红肉、体育锻炼是高血压老人发生认知衰弱的保护因素(P<0.05).结论 牧区高血压老人认知衰弱的发生率较高.牧区医护人员应重视该人群认知衰弱的评估,及时采取针对性的干预措施,预防或改善高血压老人的认知衰弱,以提高其生活质量.
Status and influencing factors of cognitive frailty in elderly patients with hypertension in Xinjiang pastoral areas
Objective To investigate the status and influencing factors of cognitive frailty of elderly patients with hypertension in Xinjiang pastoral areas.Methods A total of eligible 1,046 elderly patients with hypertension who underwent physical examination and treatment at a health center in Urumqi County from May 2021 to July 2022 were as subjects.The questionnaire survey and physical examination were performed in the patients.The cognitive frailty was assessed using FRAIL Scale,Montreal Cognitive Assessment(MoCA)and Clinical Dementia Rating(CDR).Results A total of 343/1,046(32.8%)elderly patients with hypertension had cognitive frailty.Logistic regression analysis results showed that advanced age,drinking salty milk tea,long course of hypertension,dystrophy,lipid abnormality,damaged instrumental activities of daily living(IADL)were risk factors for cognitive frailty in elderly patients with hypertension(P<0.05),while eating red flesh and physical training exercise were protective factors(P<0.05).Conclusion The incidence of cognitive frailty in elderly patients with hypertension is higher in Xinjiang pastoral areas.Medical staff in pastoral areas should pay attention to the assessment of cognitive frailty and timely take targeted intervention measures.Therefore,the quality of life of the elderly with hypertension may be improved by the changes in their cognitive frailty.

cognitive frailtyhypertensionpastoral areasinfluencing factors

吴培、孟娜、宋晓薇、袁媛、陶宁、詹怀峰、由淑萍

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830000 乌鲁木齐市,新疆医科大学护理学院

新疆医科大学公共卫生学院

新疆维吾尔自治区乌鲁木齐县板房沟中心卫生院

认知衰弱 高血压 牧区 影响因素

中华人民共和国教育部人文社会科学研究项目省部共建中亚高发病成因与防治国家重点实验室"护理学"研究专项

17YJCZH230SKL-HIDCA-2023-HL10

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(12)