认知情绪调节策略对老年共病病人衰弱的影响  

Effects of cognitive emotion regulation strategies on frailty in elderly patients with comorbidities

作　　者：缪羽菲 钱湘云 MIAO Yu-fei;QIAN Xiang-yun(School of Nursing,Nantong University Medical College,Nantong 226000,China;Department of Infection,Nantong Third People’s Hospital,Nantong 226006,China)

机构地区：[1]南通大学医学院护理学院,江苏省南通市226000 [2]南通大学附属南通第三医院(南通市第三人民医院)传染科,江苏省南通市226006

出　　处：《实用老年医学》2023年第8期839-842,847,共5页Practical Geriatrics

基　　金：南通市2022年度社会科学基金资助项目(RB22-113)。

摘　　要：目的探讨老年共病病人应对事件时采用的认知情绪调节策略以及其与衰弱的关系。方法于2021年5~12月,采用便利抽样法选取江苏省南通市第三人民医院300例老年共病病人为研究对象,采用病人一般情况调查表、中文版Tilburg衰弱评估量表、认知情绪调节问卷中文版(CERQ-C)进行问卷调查。统计病人衰弱的发生率,分析认知情绪调节策略与衰弱的关系。结果老年共病病人衰弱发生率为57.0%(171/300),衰弱组与非衰弱组在年龄、居住状态、婚姻状况、近期记忆力、吸烟、饮酒、认知情绪调节方面差异均有统计学意义。二元Logistic回归分析结果显示,高龄、近期记忆下降、非适应性认知情绪调节为衰弱的危险因素,而适应性认知情绪调节、重新关注计划、饮酒则是其保护因素(P<0.05)。结论老年共病病人衰弱发生率较高,应对负性生活事件时,老年共病病人倾向于采用非适应性认知情绪调节策略,认知情绪调节策略会影响病人的衰弱,且年龄、近期记忆力、饮酒也与衰弱相关。Objective To explore the cognitive emotion regulation strategies adopted by the elderly patients with comorbidities in response to events and its relationship with frailty.Methods From May to DecembeR2021,the convenience sampling method was used to select 300 elderly patients with comorbidities in Nantong Third People’s Hospital as the research subjects.Questionnaires conducted using the patient general information questionnaire,Chinese version of Tilburg Frailty Assessment Scale,and Chinese version of Cognitive Emotion Regulation Questionnaire(CERQ-C).The incidence rate of frailty and the relationship of cognitive emotion regulation strategy with frailty were analyzed.Results The incidence rate of frailty in the elderly patients with comorbidities was 57.0%(171/300).There were significant differences in age,residence status,marital status,recent memory,smoking,drinking and cognitive emotional regulation between the frailty group and the non-frailty group.Binary Logistic regression analysis showed that aged,recent memory decline and non-adaptive cognitive emotional regulation were risk factors foRfrailty,while adaptive cognitive emotion regulation,refocus planning and drinking were protective factors.Conclusions The prevelence of frailty in elderly patients with comorbidities is high.Elderly patients with comorbidities tend to adopt non-adaptive cognitive emotion regulation strategies in response to negative life events.Cognitive emotional regulation strategies,age,recent memory and drinking can affect frailty.

关 键 词：老年人 共病 认知情绪调节策略 衰弱 

分 类 号：R592[医药卫生—老年医学]