Cognitive frailty in older patients with chronic heart failure and its influencing factors
10.3760/cma.j.issn.0254-9026.2024.02.014
- VernacularTitle:老年慢性心力衰竭患者认知衰弱现状调查及影响因素分析
- Author:
Jian LIU
1
;
Fen WANG
;
Zeping YAN
;
Jiurui WANG
;
Zhiwei WANG
;
Qian LIANG
;
Xiaorong LUAN
Author Information
1. 山东大学护理与康复学院，济南 250012
- Keywords:
Heart failure;
Cognition disorders;
Questionnaires
- From:
Chinese Journal of Geriatrics
2024;43(2):228-233
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the characteristics of cognitive frailty and its influencing factors in older patients with chronic heart failure.Methods:In this cross-sectional study, 300 older patients hospitalized for chronic heart failure in a tertiary hospital in Shandong Province between September 2021 and September 2022 were selected.A general information questionnaire, the mini-nutritional assessment scale-short form(MNA-SF), the athens insomnia scale(AIS), the ulca loneliness scale, the geriatric depression scale-5 item version(GDS-5), and the social support rating scale(SSRS)were used for assessment and influencing factors were identified by univariate and Logistic regression analysis.Results:Among 300 older patients with chronic heart failure, the prevalence of cognitive frailty was 75.3%(226 cases). Logistic regression analysis showed that age between 70-79 years( OR=0.543, 95% CI: 0.299-0.987), education level( OR=3.644, 95% CI: 1.780-7.461), weekly intellectual activity( OR=2.168, 95% CI: 1.082-4.334)and loneliness( OR=1.101, 95% CI: 1.032-1.175)were factors influencing cognitive frailty in older patients with chronic heart failure. Conclusions:The prevalence of cognitive frailty in older patients with chronic heart failure is high, and age, education level, weekly intellectual activity and loneliness are influencing factors, with education level having the greatest impact on older patients with chronic heart failure.
