老年慢性心力衰竭患者认知衰弱现状调查及影响因素分析  

Cognitive frailty in older patients with chronic heart failure and its influencing factors

作　　者：刘健[1] 王芬[2] 延泽萍 王九瑞 王志伟[1] 梁倩[1] 栾晓嵘[3] Liu Jian;Wang Fen;Yan Zeping;Wang Jiurui;Wang Zhiwei;Liang Qian;Luan Xiaorong(College of Nursing and Rehabilitation,Shandong University,Jinan 250012,China;Department of Cardiology,Qilu Hospital of Shandong University,Jinan 250012,China;Department of Hospital Infection Management,Qilu Hospital of Shandong University,Jinan 250012,China)

机构地区：[1]山东大学护理与康复学院,济南250012 [2]山东大学齐鲁医院心内科,济南250012 [3]山东大学齐鲁医院医院感染管理处,济南250012

出　　处：《中华老年医学杂志》2024年第2期228-233,共6页Chinese Journal of Geriatrics

摘　　要：目的调查老年慢性心力衰竭(HF)患者认知衰弱现状及影响因素。方法横断面研究,纳入2021年9月至2022年9月在山东省某三级甲等医院因HF住院的300例老年患者,使用一般资料调查表,微型营养评定量表-简表(MNA-SF),阿森斯失眠量表(AIS),孤独感量表(ULCA),老年抑郁量表(GDS-5),社会支持评定量表(SSRS)进行调查。采用单因素及Logistic回归分析影响因素。结果300例老年HF患者中,认知衰弱的发生率为75.3%(226例)。Logistic回归分析结果显示,年龄70~79岁(OR=0.543,95%CI:0.299~0.987),受教育程度(OR=3.644,95%CI:1.780~7.461),每周智力活动情况(OR=2.168,95%CI:1.082~4.334),孤独感(OR=1.101,95%CI:1.032~1.175)是老年HF患者认知衰弱的影响因素。结论老年HF患者认知衰弱的发生率高,年龄、受教育程度、每周智力活动情况、孤独感是其影响因素,其中受教育程度对老年HF患者的影响最大。Objective To investigate the characteristics of cognitive frailty and its influencing factors in older patients with chronic heart failure.MethodsIn this cross-sectional study,300 older patients hospitalized for chronic heart failure in a tertiary hospital in Shandong Province between September 2021 and September 2022 were selected.A general information questionnaire,the mini-nutritional assessment scale-short form(MNA-SF),the athens insomnia scale(AIS),the ulca loneliness scale,the geriatric depression scale-5 item version(GDS-5),and the social support rating scale(SSRS)were used for assessment and influencing factors were identified by univariate and Logistic regression analysis.ResultsAmong 300 older patients with chronic heart failure,the prevalence of cognitive frailty was 75.3%(226 cases).Logistic regression analysis showed that age between 70-79 years(OR=0.543,95%CI:0.299-0.987),education level(OR=3.644,95%CI:1.780-7.461),weekly intellectual activity(OR=2.168,95%CI:1.082-4.334)and loneliness(OR=1.101,95%CI:1.032-1.175)were factors influencing cognitive frailty in older patients with chronic heart failure.ConclusionsThe prevalence of cognitive frailty in older patients with chronic heart failure is high,and age,education level,weekly intellectual activity and loneliness are influencing factors,with education level having the greatest impact on older patients with chronic heart failure.

关 键 词：心力衰竭 认知障碍 问卷调查 

分 类 号：R541.6[医药卫生—心血管疾病]