| 顾世佳,刘欢,吴玉彤,郭守楠,梅光亮,刘薏薏,周志庆.老年慢性病住院患者主观认知下降现状及其与临床生理弹性、口腔衰弱的相关性[J].济宁医学院学报,2025,48(6):515-521 |
| 老年慢性病住院患者主观认知下降现状及其与临床生理弹性、口腔衰弱的相关性 |
| Study on the current situation of subjective cognitive decline in elderly inpatients with chronic diseases and its correlation with clinical physiological elasticity and oral frailty |
| 投稿时间：2025-06-07 |
| DOI：10.3969/j.issn.1000-9760.2025.06.007 |
| 中文关键词: 老年;慢性病;住院患者;主观认知下降;临床生理弹性;口腔衰弱;影响因素 |
| 英文关键词: The elderly;Chronic disease;Inpatients;Subjective cognition decline;Clinical physiological resilience;Oral frailty;Influencing factors |
| 基金项目:安徽省级研究生教育教学改革研究项目(2022jyjxggyj338);安徽省教育厅重大课题(2024AH040381);安徽省人文社会科学重点项目(SJD202305) |
| 作者 | 单位 | E-mail | | 顾世佳 | 皖南医学院研究生学院, 芜湖 241002 | | | 刘欢 | 皖南医学院第一附属医院弋矶山医院血液净化中心, 芜湖 241001 | | | 吴玉彤 | 皖南医学院护理学院, 芜湖 241000 | | | 郭守楠 | 皖南医学院护理学院, 芜湖 241000 | | | 梅光亮 | 皖南医学院第一附属医院弋矶山医院党委工作部, 芜湖 241001 | | | 刘薏薏 | 皖南医学院研究生学院, 芜湖 241002 | | | 周志庆 | 皖南医学院第一附属医院弋矶山医院护理部, 芜湖 241001 | 1274467404@qq.com |
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| 中文摘要: |
| 目的 调查老年慢性病住院患者主观认知下降现状及其与临床生理弹性、口腔衰弱的相关性。方法 采用简单随机抽样法,于2024年9月—2025年1月选取安徽省芜湖市2所三级甲等医院的515名≥60岁老年慢性病住院患者。采用一般资料调查问卷、主观认知下降量表(SCD-Q9)、临床生理弹性评估量表(CHEES)、口腔衰弱量表(OFI-8)进行调查。采用Spearman相关性和二元logistic回归分析老年慢性病住院患者主观认知下降的相关性及影响因素。结果 515名老年慢性病住院患者SCD-Q9得分4.5(1,7)分、CHEES得分(41.03±8.51)分、OFI-8得分6(3,9)分,SCD发生率44.9%。主观认知下降与临床生理弹性呈负相关(r=-0.676,P＜0.001),与口腔衰弱呈正相关(r=0.706,P＜0.001)。回归分析结果显示,年龄、近1年住院次数多、女性、口腔衰弱是老年慢性病住院患者主观认知下降的危险因素,锻炼频率高、临床生理弹性好是保护因素(均P＜0.05)。结论 老年慢性病住院患者主观认知下降发生率较高,医护人员应加强对主观认知下降的识别,并根据其影响因素并进行针对性的干预,以延缓老年慢性病住院患者主观认知功能的下降。 |
| 英文摘要: |
| Objective To investigate the status of subjective cognitive decline in elderly patients with chronic diseases and its correlation with clinical physiological elasticity and oral weakness. Methods Using simple random sampling,we recruited 515 elderly patients aged 60 and above with chronic diseases from two tertiary hospitals in Wuhu city,Anhui province between September 2024 and January 2025.The study employed four assessment tools:a general information questionnaire,the Subjective Cognitive Decline Scale (SCD-Q9),the Clinical Physiological Elasticity Assessment (CHEES),and the Oral Fraity Index-8 (OFI-8).Spearman correlation analysis and binary logistic regression were conducted to examine the relationship between subjective cognitive decline and its influencing factors among hospitalized elderly patients with chronic diseases. Results Among 515 elderly patients with chronic diseases hospitalized for chronic conditions (SCD),the SCD-Q9 score was 4.5 (1,7) points,CHEES score 41.03±8.51 points,and OFI-8 score 6(3,9) points, with a SCD incidence rate of 44.9%.Subjective cognitive decline showed a negative correlation with clinical physiological resilience (r=-0.676,P＜0.001) and a positive correlation with oral frailty (r=0.706,P＜0.001).Regression analysis revealed that older age,frequent hospitalization within the past year,female gender,and oral frailty were risk factors for subjective cognitive decline in elderly patients with chronic diseases,while high exercise frequency and good clinical physiological resilience served as protective factors (all P＜0.05). Conclusion The incidence of subjective cognitive decline is higher in elderly inpatients with chronic diseases.Medical staff should strengthen the identification of subjective cognitive decline,and carry out targeted intervention according to its influencing factors,so as to delay the decline of subjective cognitive function in elderly inpatients with chronic diseases. |
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