[1]王利芳,尹彬洁,郭佳玉,等.老年血液透析患者认知衰弱现状及其影响因素分析[J].医学信息,2021,34(03):142-145.[doi:10.3969/j.issn.1006-1959.2021.03.040]
　WANG Li-fang,YIN Bin-jie,GUO Jia-yu,et al.Analysis of the Current Status of Cognitive Weakness and Its Influencing Factors in Elderly Hemodialysis Patients[J].Medical Information,2021,34(03):142-145.[doi:10.3969/j.issn.1006-1959.2021.03.040]
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老年血液透析患者认知衰弱现状及其影响因素分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年03期
页码:
142-145
栏目:
调查分析
出版日期:
2021-02-01

文章信息/Info

Title:
Analysis of the Current Status of Cognitive Weakness and Its Influencing Factors in Elderly Hemodialysis Patients
文章编号:
1006-1959（2021）03-0142-04
作者:
王利芳; 尹彬洁; 郭佳玉; 等
（南华大学护理学院，湖南 衡阳 421000）
Author(s):
WANG Li-fang; YIN Bin-jie; GUO Jia-yu; et al.
(School of Nursing,University of South China,Hengyang 421000,Hunan,China)
关键词:
老年; 维持性血液透析; 认知衰弱; 抑郁
Keywords:
Old age; Maintenance hemodialysis; Cognitive weakness; Depression
分类号:
R473.2
DOI:
10.3969/j.issn.1006-1959.2021.03.040
文献标志码:
A
摘要:
目的 了解老年维持性血液透析患者认知衰弱现状，探讨其发生的主要影响因素。方法 于2020年5月~7月，通过便利抽样法，采用Fried衰弱表型量表、蒙特利尔量表（长沙版）、临床痴呆评定量表、Zung氏抑郁自评量表，对衡阳市三所三级甲等医院的204例老年血透患者进行现况调查。结果 老年维持性血液透析患者发生认知衰弱42例，发生率为20.58%。单因素分析结果提示，两组性别、受教育程度、婚姻状况、居住状态、付费方式、血透期、乙肝（丙肝）病史、饮酒、吸烟占比比较，差异无统计学意义（P＞0.05）；不同年龄、脑卒中病史、合并症数量及抑郁程度的老年MHD患者认知衰弱比较，差异具有统计学意义（P＜0.05）。Logistic回归模型结果显示，高龄、合并3种及3种以上并发症、有脑卒中病史和中、重度抑郁是老年维持性血液透析患者认知衰弱发生的危险因素。结论 老年维持性血液透析患者认知衰弱患病率较高，高龄、合并3种及3种以上并发症、有脑卒中病史和中、重度抑郁患者易发生认知衰弱。应加强早期认知衰弱筛查，促进患者的自我管理从而减少合并症及脑卒中的发生，帮助患者减轻心理负担情绪可有效预防认知衰弱发生的风险。
Abstract:
Objective To understand the status of cognitive weakness in elderly maintenance hemodialysis patients, and to explore the main influencing factors.Methods From May to July 2020, the Fried Frailty Phenotype Scale, Montreal Scale (Changsha version), Clinical Dementia Rating Scale, and Zung Depression Self-Rating Scale were adopted by convenience sampling method. The current situation of 204 elderly hemodialysis patients in three tertiary A hospitals was investigated.Results 42 cases of elderly maintenance hemodialysis patients had cognitive weakness, the incidence was 20.58%. The univariate analysis showed that there was no significant difference in the proportions of gender, education level, marital status, residence status, payment method, hemodialysis period, hepatitis B (hepatitis C) history, drinking, and smoking between the two groups (P＞0.05)；The cognitive decline of elderly MHD patients with different ages, stroke history, number of comorbidities, and degree of depression was statistically significant (P＜0.05).Logistic regression model results showed that advanced age, combined with 3 or more complications, history of stroke, and moderate or severe depression are risk factors for cognitive weakness in elderly maintenance hemodialysis patients.Conclusion The prevalence of cognitive weakness in elderly maintenance hemodialysis patients is high. Patients with advanced age, with 3 or more complications, a history of stroke, and moderate or severe depression are prone to cognitive weakness. Early cognitive weakness screening should be strengthened to promote patient self-management to reduce the occurrence of comorbidities and strokes. Helping patients to reduce their psychological burden can effectively prevent the risk of cognitive weakness.

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更新日期/Last Update: 1900-01-01