乌鲁木齐市住院老年患者认知衰弱现状及影响因素研究

Current situation and influential factors of cognitive frailty among elderly patients in Urumqi,China

目的调查乌鲁木齐市住院老年患者认知衰弱现状,并探讨其影响因素。方法2019年3—12月,选取乌鲁木齐市3所三级甲等医院老年医学中心的住院老年患者为研究对象,采用一般情况调查表、FRAIL量表、蒙特利尔认知评估量表、临床痴呆评定量表进行调查。结果共调查1006例住院老年患者,其中认知衰弱131例占13.0%。多因素Logistic回归分析显示,年龄、抑郁、工具性日常生活活动量表得分及是否患有糖尿病是认知衰弱的影响因素(P<0.001)。结论乌鲁木齐市住院老年患者认知衰弱患病率较高,医护人员应高度重视对住院老年患者认知衰弱的评估,并及时提供有针对性地干预策略,以预防、延缓或逆转认知衰弱发生发展。

Objective To investigate the current status of cognitive frailty among elderly patients in Urumqi and to identify its influencing factors.Methods From March to December 2019,the elderly from 3 tertiary hospitals′geriatrics centers in Urumqi were recruited using the general information questionnaire,FRAIL Scale,Montreal Cognitive Assessment and Clinical Dementia Rating.Results A total of 1006 elderly patients were surveyed,among which,131(13.0%)cases were deemed to have developed cognitive frailty.The results of multivariate logistic regression analysis showed that age,depression,Instrumental Activities of Daily Living Scale score and diabetes were influencing factors of cognitive frailty(P<0.001).Conclusion The prevalence rate of cognitive frailty in elderly patients is relatively high.Medical staff should attach great importance to the assessment of cognitive frailty in elderly patients and take targeted intervention in time to prevent,slow down or reverse the onset and development of cognitive frailty.