维持性腹膜透析患者衰弱与认知衰弱发生现状及其影响因素分析

目的 探讨维持性腹膜透析患者衰弱及认知衰弱发生现状并分析其影响因素。方法 选取2022年1月—2022年12月就诊于在本院肾脏内科的94例维持性腹膜透析患者为研究对象,采用一般资料问卷、临床衰弱量表、简易智力状况检查量表对入组患者进行调查,采用Logistic回归分析影响维持性腹膜透析患者衰弱及认知衰弱的因素。结果 本研究共纳入94例维持性腹膜透析患者,年龄34~78岁。量表评估结果显示：衰弱CFS得分(4.67±1.27)分,其中衰弱前期患者46人,衰弱患者25人；认知衰弱MMSE得分(24.49±8.43)分,其中MMSE得分＜21分的维持性腹膜透析患者有26人；有19人表现为衰弱和认知衰弱共存。影响因素分析结果显示：年龄大、居住地农村、高血压、体重指数低、吸烟是维持性腹膜透析患者衰弱的危险因素,年龄大、受教育程度低、居住地农村、糖尿病、饮酒是维持性腹膜透析患者认知衰弱的危险因素(P＜0.05)。结论 维持性腹膜透析患者衰弱程度及发生率处于较高水平,认知衰弱程度及发生率处于一般水平。临床工作人员应根据患者具体情况,及时识别患者衰弱及认知衰弱的情况,以减少因衰弱及认知衰弱带来的跌倒坠床、走失等不良事件的发生。

Analysis of Current Situation and Influencing Factors of Debilitation and Cognitive Impairment in Maintenance Peritoneal Dialysis Patients

Objective:To explore the current situation of debilitation and cognitive decline in maintenance Peritoneal dialysis patients and analyze the influencing factors.Method:94 cases of maintenance Peritoneal dialysis patients in the Department of Nephrology of our hospital from January 2022 to December 2022 were selected as the research objects. The general information questionnaire, clinical asthenia scale, and simple intelligence status checklist were used to investigate the enrolled patients. Logistic regression analysis was used to analyze the factors affecting the asthenia and cognitive asthenia of maintenance Peritoneal dialysis patients.Result:A total of 94 maintenance Peritoneal dialysis patients, aged from 34 to 78 years, were included in this study. The evaluation results of the scale showed that the CFS score for frailty was (4.67 ± 1.27) points, with 46 pre frailty patients and 25 frailty patients; The MMSE score of cognitive impairment was (24.49 ± 8.43), of which 26 patients with maintenance Peritoneal dialysis had MMSE score<21; There are 19 people who exhibit coexistence of frailty and cognitive impairment. The results of influencing factor analysis showed that age, living in rural areas, hypertension, low body mass index and smoking were the risk factors for the weakness of maintenance Peritoneal dialysis patients, while age, low education level, living in rural areas, diabetes and alcohol consumption were the risk factors for the awareness weakness of maintenance Peritoneal dialysis patients (P < 0.05).Conclusion:The degree of weakness and incidence rate of maintenance Peritoneal dialysis patients are at a high level, while the degree of cognitive weakness and incidence rate are at a general level. Clinical staff should promptly identify the condition of patient weakness and cognitive impairment based on the specific situation of the patient, in order to reduce the occurrence of adverse events such as falls, bed falls, and loss caused by weakness and cognitive impairment.