老年2型糖尿病住院患者认知衰弱的检出率及影响因素分析

Detection rate and influencing factors of cognitive frailty in hospitalized elderly patients with type 2 diabetes mellitus

目的了解老年2型糖尿病住院患者认知衰弱现状及影响因素。方法收集290例老年2型糖尿病患者的资料, 使用一般资料调查表、2型糖尿病自我管理行为量表、简易衰弱量表、简易精神状态量表、临床痴呆评定量表、日常生活活动评估量表及5条目老年抑郁量表对研究对象进行调查。结果认知衰弱检出率12.8%, 二元Logistic回归分析显示文化程度(OR=0.114, P<0.05)、睡眠时长(OR=0.173, P<0.05)、合并糖尿病慢性并发症数量(OR=6.753, P<0.05)、抑郁(OR=5.706, P<0.05)及自我管理行为(OR=0.01, P<0.05)是认知衰弱的影响因素。结论老年2型糖尿病住院患者存在认知衰弱现象, 医护人员应该关注低教育水平、睡眠不足、合并糖尿病慢性并发症、自我管理水平差以及存在抑郁的患者, 在预防认知衰弱的同时提高老年人的生活质量。

Objective To understand the current situation and influencing factors of cognitive frailty in hospitalized elderly patients with type 2 diabetes mellitus.Methods Data of 290 elderly patients with type 2 diabetes mellitus were collected.Self-designed general information questionnaires,the type 2 diabetes mellitus self-management behavior scale,simple frailty questionnaire,simple mental state examination scale,clinical dementia rating,activities of daily living scale and 5-item geriatric depression scale were used to investigate elderly patients with type 2 diabetes mellitus.Results The detection rate of cognitive frailty was 12.8%.Binary Logistic regression analysis showed that educational level(OR=0.114,P<0.05),sleep duration(OR=0.173,P<0.05),number of chronic complications associated with diabetes(OR=6.753,P<0.05),depression,(OR=5.706,P<0.05),and self-management behavior(OR=0.01,P<0.05)were the influencing factors.Conclusion Cognitive frailty exists in elderly hospitalized patients with type 2 diabetes.Clinical medical workers should pay attention to patients with low education level,lack of sleep,chronic complications associated with diabetes,poor self-management level,and depression,so as to improve the quality of life of the elderly while preventing cognitive frailty.