Status quo and influencing factors of quality of life in neurological patients with cognitive disorder
10.3760/cma.j.issn.1674-2907.2019.09.019
- VernacularTitle:神经内科认知障碍患者生活质量现状及影响因素分析
- Author:
Li LIAO
1
;
Xuefen LI
;
Lili TAN
;
Xiaofang LI
;
Xuemei GU
;
Yan KANG
Author Information
1. 南京医科大学附属脑科医院神经内科
- Keywords:
Quality of life;
Cognitive disorder;
Neurology;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2019;25(9):1145-1149
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the quality of life in patients with cognitive disorder and to discuss its influencing factors so as to provide a reference for improving the quality of life in patients with cognitive disorder. Methods? Totally 1 398 neurological patients from a neuropsychiatric hospital in Nanjing were screened using cluster sampling and 125 patients with cognitive disorder were selected as subjects between January and December 2017. The subjects received a cross-sectional study with Quality of Life in Alzheimer's Disease (QOL-AD), Montreal Cognitive Assessment Scale (MoCA), Activities of Daily Living Scale (ADL), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) and the general information questionnaire. Variance analysis, Pearson correlation analysis and multivariate linear regression analysis were used for statistical analysis. Results? The morbidity of cognitive disorder in neurological patients from our hospital was 9.3%. Their QOL-AD score was (31.88±6.54). Sex, educational background, nature of work, household income, sleep and bad social relations are factors affecting the quality of life of the subjects (P<0.05). According to multivariate linear regression analysis, MoCA, SAS and SDS were main factors affecting the quality of life of the subjects (P<0.05). Conclusions? Male patients with lower education, physical work and bad social relations are high-risk patients with lower quality of life. Cognitive disorder, anxiety and depression are main risk factors affecting the quality of life in patients with cognitive disorder. Nursing workers should improve and maintain the patients'cognitive ability, enrich their cultural life and social activities, and enhance their mental health, thereby improving their quality of life.