社区老年糖尿病患者认知衰弱现状及影响因素分析

目的 :调查社区老年糖尿病患者认知衰弱现状,并分析其影响因素。方法 :采用便利抽样法,选取郑州市某社区卫生服务中心260例老年糖尿病患者为研究对象,采用一般资料调查表、衰弱表型、蒙特利尔认知评估量表、临床痴呆评定量表进行调查。结果 :共回收255份有效问卷。研究对象中共有28例发生认知衰弱,认知衰弱发生率为11.0%。多因素Logistic回归分析显示,高龄(≥75岁)及抑郁是认知衰弱的危险因素,规律运动是认知衰弱的保护因素(P<0.05)。结论 :社区老年糖尿病患者认知衰弱发生率较高,社区医护人员应重视该人群认知衰弱的评估,及时采取针对性的整体干预措施,预防或减缓老年糖尿病患者认知衰弱的发生发展。

Study on cognitive frailty and the influencing factors in community aged with diabetes

Objective: To investigate the prevalence of cognitive frailty in elderly diabetic patients in community and to analyze the influencing factors. Methods: A survey was conducted in 260 elderly diabetic patients from a community health service center in Zhengzhou by convenience sampling using the general information questionnaire, Frailty Phenotype, Montreal Cognitive Assessment and Clinical Dementia Rating. Results: Totally 255 valid questionnaires were collected. A total of 28 elderly patients with diabetes suffered from cognitive frailty, and the prevalence was 11.0%. The results of multivariate logistic regression analysis showed that old age(75 or older) and depression were risk factors of cognitive frailty, while regular exercise was protective factor(P<0.05). Conclusion: The prevalence rate of cognitive frailty in community elderly diabetic patients is relatively high. Community health care workers should pay attention to the assessment of cognitive frailty for community elderly diabetic patients, and take targeted overall intervention in time to prevent or slow down the onset and development of cognitive frailty.