| 杨正霞,陈霞,张欣,李连华,赵颖欣.芜湖市社区老年脑卒中患者认知衰弱现状及其影响因素[J].济宁医学院学报,2025,48(6):497-503 |
| 芜湖市社区老年脑卒中患者认知衰弱现状及其影响因素 |
| Congnitive frailty and its influencing factors among community-dwelling elderly stroke patients in Wuhu city |
| 投稿时间：2025-05-22 |
| DOI：10.3969/j.issn.1000-9760.2025.06.004 |
| 中文关键词: 脑卒中;认知衰弱;睡眠质量;营养状况;恐惧疾病进展 |
| 英文关键词: Stroke;Cognitive frailty;Sleep quality;Nutritional status;Fear of disease progression |
| 基金项目:安徽省社会科学创新发展研究课题(2023CX102) |
| 作者 | 单位 | E-mail | | 杨正霞 | 皖南医学院第一附属医院护理部, 芜湖 241001 | | | 陈霞 | 皖南医学院第一附属医院护理部, 芜湖 241001 | chx1016@sina.com | | 张欣 | 皖南医学院研究生学院, 芜湖 241003 | | | 李连华 | 皖南医学院研究生学院, 芜湖 241003 | | | 赵颖欣 | 皖南医学院研究生学院, 芜湖 241003 | |
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| 中文摘要: |
| 目的 了解芜湖市社区老年脑卒中患者认知衰弱发生率并分析其影响因素。方法 2024年4月—2025年2月,采用便利抽样法,选取芜湖市某4个社区卫生服务中心中登记在册的301例老年脑卒中患者为研究对象。采用中文版Tilburg 衰弱量表、简易精神状态筛查量表、微型营养评定简表、匹兹堡睡眠质量指数、恐惧疾病进展简化量表对其进行调查。结果 芜湖市社区老年脑卒中患者认知衰弱发生率为46.5%(140/301例)。回归分析显示,女性、慢性病数量、用药数量、睡眠质量较差、营养状况较差、存在恐惧疾病进展心理是社区老年脑卒中患者发生认知衰弱的主要危险因素(P＜0.05)。结论 芜湖市社区老年脑卒中患者认知衰弱发生率为较高,医护人员应重视认知衰弱评估,制定个性化措施延缓认知衰弱发生。 |
| 英文摘要: |
| Objective To investigate the incidence of cognitive frailty and analyze its influencing factors among community-dwelling elderly stroke patients in Wuhu munity. Methods From April 2024 to February 2025, convenience sampling was to select 301 elderly stroke patients registered in four community health centers in Wuhu city as research subjects.The Chinese version of the Tilburg Frailty Indicator (TFI),the Mini-Mental State Examination (MMSE),the Mini Nutritional Assessment-Short Form (MNA-SF),the Pittsburghs Sleep Quality Index (PSQI),and the Fear of Progression Questionnaire-Short Form (FOP-Q-SF) were used for investigation. Results The incidence of cognitive frailty among elderly community-dwelling stroke patients in Wuhu city was 46.5% (140 out of 301 cases).Regression analysis showed that female gender,the number of chronic diseases,the number of medications,poor sleep quality,poor nutritional status,and fear of disease progression were the main influencing factors for cognitive impairment in elderly stroke patients (P＜0.05). Conclusion The incidence of cognitive frailty in elderly community-dwelling stroke patients in Wuhu is relatively high.Medical staff should pay attention to the assessment of cognitive weakness and develop personalized measures to delay the occurrence of cognitive weakness. |
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