|
|
|
| Influencing factors for mild cognitive impairment among geriatric inpatients |
| ZHANG Yuan1, SHI Lingyun2, WU Ruikai3, HUANG Siying1, HAN Zhengfeng1
|
1. Department of Geriatrics, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830054, China;
2. The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830054, China;
3. Xinjiang Medical University, Urumqi, Xinjiang 830011, China |
|
|
|
|
Abstract Objective To investigate the influencing factors for mild cognitive impairment (MCI) among the elderly inpatients of the department of geriatrics, so as to provide the reference for early screening and prevention of MCI in the elderly population. Methods Inpatients aged 60 years and older and admitted to the Department of Geriatrics at the First Affiliated Hospital of Xinjiang Medical University were selected as the study subjects. Demographic information, past medical history, activities of daily living (ADL), depressive symptoms were collected through questionnaire surveys. MCI was diagnosed with Montreal Cognitive Assessment in combination with medical history and physical examination. Factors affecting MCI were identified using a multivariable logistic regression model. Results A total of 1 019 elderly patients were collected, including 472 males (46.32%) and 547 females (53.68%), and had a median age of 73.00 (interquartile range, 14.00) years. Among them, 746 patients had an educational level of junior high school or above, accounting for 73.21%, 446 patients had cerebrovascular disease, accounting for 43.77%, and 220 patients were diagnosed with MCI, with a detection rate of 21.59%. Multivariable logistic regression analysis showed that age (OR=1.354, 95%CI: 1.285-1.426), educational level (primary school, OR=0.345, 95%CI: 0.163-0.731; junior high school or above, OR=0.196, 95%CI: 0.096-0.402), ADL (moderate/severe dependence, OR=4.744, 95%CI: 2.044-11.012) and cerebrovascular disease (OR=2.335, 95%CI: 1.482-3.679) were the influencing factors for MCI among geriatric inpatients. Conclusions The MCI of the elderly inpatients of the department of geriatrics is related to age, educational level, ADL and cerebrovascular disease. Therefore, targeted health education and cognitive function training should be provided for elderly patients to prevent MCI.
|
|
Received: 04 December 2023
Revised: 08 March 2024
Published: 15 April 2024
|
|
|
|
|
|
[1] 石志学,张艳秋,张晗,等.世界卫生组织《失智症研究行动方案》解读及其启示[J].医学与哲学,2023,44(19):1-6.
[2] 田金洲,解恒革,王鲁宁,等.中国阿尔茨海默病痴呆诊疗指南(2020年版)[J].中华老年医学杂志,2021,40(3):269-283.
[3] 王晓薇,许艳岚.老年2型糖尿病患者认知衰弱风险预测研究[J].预防医学,2023,35(12):1037-1042.
[4] 史亚楠,官慧敏,孙秋华.老年轻度认知障碍患者抑郁情绪对工具性日常生活能力的影响[J].预防医学,2018,30(3):221-225.
[5] 纪南南,王玉环.国外老年人轻度认知功能障碍影响因素研究现况[J].中国老年学杂志,2016,36(10):2560-2562.
[6] 冯欢,吴锦晖.衰弱与认知功能障碍关系的研究进展[J].国际老年医学杂志,2023,44(6):641-645.
[7] 陈卓琦,徐林燕,邹继华,等.锻炼游戏在老年轻度认知障碍人群中的应用现状[J].护理学杂志,2024,39(1):111-115.
[8] 韩悦,杨振华,韩庆烽,等.多病共存患者认知功能的管理现状[J].中华全科医学,2023,21(8):1388-1392.
[9] 中华医学会神经病学分会痴呆与认知障碍学组.阿尔茨海默病源性轻度认知障碍诊疗中国专家共识2021[J].中华神经科杂志,2022,55(5):421-440.
[10] 张筱,袁欣瑞,朱瑞,等.简易智能精神状态量表和蒙特利尔认知评估量表差值在老年期痴呆鉴别诊断中的价值[J].中华老年医学杂志,2015,34(5):494-497.
[11] 马佳,张韶伟,刘文斌,等.社区老年轻度认知障碍患者抑郁焦虑状况及影响因素研究[J].中国全科医学,2020,23(33):4246-4251.
[12] 刘墩秀,丁福,朱跃平,等.汉化版Morse跌倒评估量表和HendrichⅡ跌倒因素模型量表在老年住院患者跌倒风险评估中的适用性比较[J].中国护理管理,2020,20(8):1168-1172.
[13] 韩君,王君俏,谢博钦,等.Fried衰弱表型和FRAIL量表及埃德蒙顿衰弱评估量表在社区高龄老年人衰弱筛查中一致性和适用性的比较研究[J].中国全科医学,2021,24(21):2669-2675.
[14] 吴瑞凯,马龙,周晓辉,等.住院老年患者轻度认知功能障碍风险预测模型的构建[J].医学新知,2024,34(1):14-24.
[15] JIA L,DU Y,CHU L,et al.Prevalence,risk factors,and management of dementia and mild cognitive impairment in adults aged 60 years or older in China:a cross-sectional study[J].Lancet Public Health,2020,5(12):661-671.
[16] 史路平,姚水洪,王薇.中国老年人群轻度认知障碍患病率及发展趋势的Meta分析[J].中国全科医学,2022,25(1):109-114.
[17] 马万瑞,李漫娜,王立群,等.≥55岁高血压患者发生轻度认知功能障碍的影响因素研究[J].中国全科医学,2023,26(9):1075-1079,1085.
[18] 钟素亚,仝振东,胡本祥,等.舟山市社区老年人轻度认知功能损害影响因素研究[J].预防医学,2018,30(2):170-172,175.
[19] 潘惠英. 金华市社区老年人轻度认知功能障碍的现况调查和干预性研究[D].上海:复旦大学,2012.
[20] BRONNICK K,EHRT U,EMRE M,et al.Attentional deficits affect activities of daily living in dementia-associated with Parkinson's disease[J].J Neurol Neurosurg Psychiatry,2006,77(10):1136-1142. |
|
|
|
