摘要
目的 探讨住院高血压病老年人不同认知衰弱分型的患病率及影响因素.方法 采用便利抽样法,选取2022年4-10月首都医科大学宣武医院心脏内科、老年病(综合)科、内分泌科收治的300例患有高血压病的老年患者为研究对象.采用一般资料调查表、衰弱表型量表、简易精神状态检查量表、主观认知功能下降问卷-9、Morisky服药依从性量表、匹兹堡睡眠质量指数、医院焦虑抑郁量表、社会支持评定量表、微型营养评定法对患者进行调查.结果 本研究共发放问卷300份,回收有效问卷300份,问卷有效回收率为100.00％(300/300).300例高血压病老年人中74例老年人患可逆性认知衰弱(RCF),98例老年人患潜在可逆性认知衰弱(PRCF).Logistic回归显示,日常锻炼情况、是否使用噻嗪类药物是老年住院高血压病患者RCF的影响因素(P＜0.05);年龄、退休前从事职业、日常锻炼情况、睡眠情况、Barthel评分、血清白蛋白是老年住院高血压病患者PRCF的影响因素(P＜0.05).结论 住院高血压病老年人RCF和PRCF的患病率均较高,不同认知衰弱分型的影响因素有所差异,可依据二者共同及各自特异性的影响因素制订针对性干预措施,以逆转或延缓高血压病老年人认知衰弱的进展.
Abstract
Objective To investigate the status and influencing factors of different types of cognitive frailty in aged inpatients with hypertension.Methods Totally 300 aged patients with hypertension admitted to the Cardiology,Geriatrics,and Endocrinology Departments of Xuanwu Hospital,Capital Medical University,from April to October 2022 were selected by convenience sampling.Data were collected using a general information questionnaire,the Fried Frailty Phenotype(FP),the Mini-Mental State Examination(MMSE),the 9-item Subjective Cognitive Decline Questionnaire-9(SCD-Q9),the Morisky Medication Adherence Scale(MMAS),the Pittsburgh Sleep Quality Index(PSQI),the Hospital Anxiety and Depression Scale(HADS),the Social Support Rating Scale(SSRS),and the Mini Nutritional Assessment(MNA).Results A total of 300 questionnaires were distributed and returned,yielding a 100.00％response rate.Among the 300 aged hypertensive patients,74 were diagnosed with reversible cognitive frailty(RCF)and 98 with potentially reversible cognitive frailty(PRCF).Logistic vegression analysis showed that,factors influencing RCF included daily exercise habits and the use of thiazide diuretics(P＜0.05);factors influencing PRCF included age,pre-retirement occupation,daily exercise habits,sleep quality,Barthel Index score,and serum albumin levels(P＜0.05).Conclusions The status of both RCF and PRCF is relatively high among aged inpatients with hypertension.The influencing factors for different types of cognitive frailty vary.Targeted interventions based on both common and specific influencing factors should be developed to reverse or slow the progression of cognitive frailty in aged hypertensive patients.
基金项目
中华医学会杂志社2021-2022年护理学科研究课题(CMAPH-NRG2021041)
维普
万方数据