社区老年2型糖尿病患者认知衰弱现状及影响因素

Cognitive frailty and its influencing factors among the elderly with type 2 diabetes in community

目的调查社区老年2型糖尿病患者认知衰弱现状,并分析其影响因素,为衰弱管理提供参考.方法采用老年抑郁量表、衰弱表型及简易精神状态检查量表对291例社区老年2型糖尿病患者进行调查.结果共25例(8.6%)老年2型糖尿病患者存在认知衰弱.多因素Logistic回归分析结果显示,个人月收入、夜间睡眠时长、糖化血红蛋白、抑郁是社区老年2型糖尿病患者认知衰弱的影响因素(均P<0.05).结论社区老年2型糖尿病患者认知衰弱患病率较高,个人经济收入水平较低、夜间睡眠时间不足、高糖化血红蛋白水平及存在抑郁症状者更容易罹患认知衰弱,社区卫生服务机构应重视其认知衰弱的筛查和干预.

Objective To investigate the status of cognitive frailty and its influencing factors among the elderly with type 2 diabetes in community,so as to provide reference for the management of cognitive frailty.Methods A total of 291 elderly patients with type 2 diabetes in community were investigated using Geriatric Depression Scale-15,Frailty Phenotype and Mini-Mental State Examination.Results Totally 25(8.6%)of the participants developed cognitive frailty.Multivariate logistic regression analysis showed that,individual monthly income,sleep duration at night,glycated hemoglobin and depression symptoms were the influencing factors of cognitive frailty(P<0.05 for all).Conclusion The prevalence of cognitive frailty among the elderly with type 2 diabetes in the community is relatively high.The diabetic elderly with lower personal income,insufficient sleep duration at night,high glycated hemoglobin or depression symptoms are more likely to suffer from cognitive frailty.The community health centers should pay attention to the screening and intervention for their cognitive frailty.