福州地区2型糖尿病患者轻度认知障碍影响因素的调查  

Investigation of the Influencing Factors of Mild Cognitive Impairment in Type 2 Diabetes Patients in Fuzhou

作　　者：林贵钗 郑肖珠 苏素凤 黄志丽 俞朝亭 熊红萍 LIN Guichai;ZHENG Xiaozhu;SU Sufeng;HUANG Zhili;YU Chaoting;XIONG Hongping(Department of Endocrinology,Fuzhou Second General Hospital,Fuzhou 350007,China;Department of Critical Care Medicine,Fuzhou Second General Hospital,Fuzhou 350007,China)

机构地区：[1]福州市第二总医院内分泌科,福州350007 [2]福州市第二总医院重症医学科,福州350007

出　　处：《中国医药指南》2024年第36期133-136,共4页Guide of China Medicine

基　　金：福州市临床重点专科建设项目经费资助(20230106);福州市卫生健康科技创新平台建设项目(编号2020-S-wp4),项目名称构建糖尿病慢病管理一体化平台。

摘　　要：目的探讨福州地区2型糖尿病(T2DM)患者轻度认知障碍(MCI)的影响因素。方法采集2024年3月至2024年6月在我院内分泌科住院的215例T2DM患者作为研究对象,采集患者一般人口学资料、体重指数(BMI)、实验室指标信息。应用蒙特利尔认知评估(MoCA)量表评估研究对象的认知功能现状,并应用糖尿病管理自我效能(C-DMSES)量表进一步明确研究对象的自我管理情况。结果215例研究对象中,其中有197例为MCI者,占比91.63%,18例为非MCI者,占比8.37%。二分类Logistic逐步回归分析,年龄与自我效能是T2DM患者伴MCI的独立影响因素(P<0.05)。MoCA量表各模块与影响因素相关性分析,年龄与记忆力相关性最强,呈负相关关系(r=-0.621,P<0.01)。自我效能与注意力相关性最强,呈正相关关系(r=0.638,P<0.01)。结论福州地区T2DM患者MCI发生率相对较高,其发生影响因素与患者年龄、自我管理情况有关,在加强针对性干预同时,可通过加强记忆力及注意力训练,改善其认知功能障碍。Objective To explore the influencing factors of mild cognitive impairment(MCI)in patients with type 2 diabetes(T2DM)in Fuzhou.Methods The patients with type 2 diabetes hospitalized in the Department of Endocrinology of our hospital from March 2024 to June 2024 were collected as the research objects,and the general demographic data,body mass index(BMI),and laboratory index information of the patients were collected.The Montreal Cognitive Assessment(MoCA)scale was used to assess the cognitive function of the subjects,and the diabetes management self-efficacy(C-DMSES)scale was used to further clarify the self-management of the subjects.Results Among the 215 study subjects,197 were MCI patients,accounting for 91.63%,and 18 were non MCI patients,accounting for 8.37%.Binary logistic stepwise regression analysis showed that age and self-efficacy were independent influencing factors for T2DM patients with mild cognitive impairment(P<0.05).According to the correlation analysis of each module of MoCA scale and influencing factors,age has the strongest correlation with memory,showing a negative correlation(r=-0.621,P<0.01).Self efficacy has the strongest correlation with attention,showing a positive correlation(r=0.638,P<0.01).Conclusions The incidence of MCI in T2DM patients in Fuzhou is relatively high,and its influencing factors are related to the patient’s age and self-management situation.In addition to strengthening targeted intervention,cognitive dysfunction can be improved by enhancing memory and attention training.

关 键 词：2型糖尿病 轻度认知障碍 糖尿病管理 自我效能 

分 类 号：R587.1[医药卫生—内分泌]