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

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.