农村社区2型糖尿病患者认知衰弱现状调查及影响因素分析  

Investigation on Status Quo and Influencing Factors of Cognitive Frailty in Type 2 Diabetes Patients in Rural Communities

作　　者：彭云霞 王娜 孙玉芳 崔景晶[4] Peng Yunxia;Wang Na;Sun Yufang;Cui Jingjing(Binzhou Medical College,Binzhou 256600,Shandong Province,China;Binzhou Binbei Street Community Health Service Center,Binzhou 256600,Shandong Province,China;Binzhou Huimin County Huji Town Health Center,Binzhou 256600,Shandong Province,China;The Affiliated Hospital of Binzhou Medical College,Binzhou 256600,Shandong Province,China)

机构地区：[1]滨州医学院,山东滨州256600 [2]滨州市滨北街道社区卫生服务中心,山东滨州256600 [3]滨州市惠民县胡集镇卫生院,山东滨州256600 [4]滨州医学院附属医院,山东滨州256600

出　　处：《中外医药研究》2025年第4期48-51,共4页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:调查农村社区2型糖尿病患者认知衰弱现状并分析其影响因素。方法:选取2024年1—6月滨州市滨北街道社区卫生服务中心管理的158例农村社区2型糖尿病患者作为研究对象。评估研究对象认知衰弱情况,并采用Logistic回归模型分析农村社区2型糖尿病患者出现认知衰弱的影响因素。结果:158例患者中25例发生认知损害,发生率为15.82%。认知衰弱者职业状况、个人月收入、糖化血红蛋白水平、夜间睡眠时间、抑郁率比较,差异有统计学意义(P<0.05)。Logistic回归分析显示,离/退休、无业/失业、个人月收入<3000元、夜间睡眠时间≤8 h、糖化血红蛋白≥7%、抑郁为农村社区2型糖尿病患者认知衰弱的危险因素(P<0.05)。结论:农村社区2型糖尿病患者易因未在职、个人月收入<3000元、睡眠时间≤8 h、血糖控制不理想以及伴有抑郁而出现认知功能下降。社区医疗机构需围绕上述因素加大对患者认知功能的检测和早期干预力度。Objective:To investigate the status quo of cognitive frailty of type 2 diabetes patients in rural communities and analyze its influencing factors.Methods:A total of one hundred and fifty-eight patients with type 2 diabetes in rural communities managed by Binzhou Binbei Street Community Health Service Center from January to June 2024 were selected as the study objects.The cognitive frailty of the subjects was assessed,and the influencing factors of cognitive frailty of type 2 diabetes patients in rural communities were analyzed by Logistic regression model.Results:Cognitive impairment occurred in 25 of 158 patients(15.82%).There were significant differences in occupational status,personal monthly income,glycosylated hemoglobin level,night sleep time and depression rate among cognitive fthenia patients(P<0.05).Logistic regression analysis showed that divorce/retirement,unemployment/unemployment,monthly personal income<3000 yuan,night sleep time≤8 h,glycosylated hemoglobin≥7%and depression were risk factors for cognitive decline in type 2 diabetes patients in rural communities(P<0.05).Conclusion:Patients with type 2 diabetes in rural communities are prone to cognitive frailty due to unemployment,monthly personal income<3000 yuan,sleep time≤8 h,unsatisfactory blood glucose control and depression.Community medical institutions need to strengthen the detection and early intervention of patients'cognitive function around the above factors.

关 键 词：2型糖尿病 农村社区 认知衰弱 现状 影响因素 

分 类 号：R587.1[医药卫生—内分泌]