老年2型糖尿病病人认知衰弱现状及影响因素研究

    Study on the status of cognitive frailty in elderly patients with type 2 diabetes mellitus and its influencing factors

    • 摘要:
      目的通过对老年2型糖尿病病人进行认知衰弱(cognitive frailty,CF)现状及影响因素的调查和分析,为延缓CF发生提供护理干预方向。
      方法选取117例老年2型糖尿病病人,采用FRAIL衰弱量表、蒙特利尔认知评估量表和临床痴呆评定量表评定病人的CF现状,应用logistic回归分析探讨CF发生的相关因素。
      结果CF共计60例(51.28%),其中潜在可逆22例(18.80%),可逆38例(32.48%),认知正常组57例(48.72%)。单因素分析显示,CF组年龄大、学历低、体质量指数(BMI)≥24 kg/m2比例、病程>10年比例、生活能力障碍比例、睡眠较差和有抑郁的比例均高于认知正常组(P < 0.05~P < 0.01)。多因素分析显示,年龄中≥80者、BMI≥24 kg/m2、病程>10年、生活能力障碍和抑郁是发生CF的危险因素(P < 0.05~P < 0.01)。
      结论老年2型糖尿病较易发生CF,应早期筛查,明确分型,并根据其发生因素进行早期干预。

       

      Abstract:
      ObjectiveTo investigate and analyze the status quo of cognitive frailty(CF) in elderly patients with type 2 diabetes mellitus and its influencing factors for providing the direction of nursing intervention to delay the occurrence of CF.
      MethodsThe status quo of CF in 117 elderly patients with type 2 diabetes mellitus were investigated using the FRAIL frailty scale, montreal cognitive assessment scale and clinical dementia rating scale.The logistic regression analysis was used to analyze the related factors of CF occurrence.
      ResultsSixty cases with CF(51.28%) included 22 potentially reversible patients(18.80%) and 38 reversible patients (32.48%), and 57 cases (48.72%) with normal cognization were found.The results of univariate analysis showed that the proportions of older age, lower education, body mass index (BMI)≥24 kg/m2, disease course >10 years, disabled living ability, poor sleep and depression in CF group were higher than those in normal congnization group(P < 0.05 to P < 0.01).The results of multivariate analysis showed that the age≥80 years old, BMI≥24 kg/m2, disease duration >10 years, disability of living ability and depression were the risk factors of CF(P < 0.05 to P < 0.01).
      ConclusionsElderly type 2 diabetes mellitus is more prone to CF, so early screening, clear classification and early intervention should be carried out according to its occurrence factors.

       

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