Analysis of the status and influencing factors of different types of cognitive frailty in aged inpatients with hypertension
10.3760/cma.j.cn115682-20231211-02546
- VernacularTitle:老年住院高血压病患者不同认知衰弱分型现状及其影响因素分析
- Author:
Shuao TANG
1
;
Mengyao WEI
;
Ludan XU
;
Xinyu ZHAO
;
Binru HAN
;
Yanqiu WANG
Author Information
1. 首都医科大学宣武医院护理部，北京 100053
- Keywords:
Hypertension;
Aged;
Cognitive frailty;
Reversible cognitive frailty;
Potentially reversible cognitive frailty;
Influencing factor
- From:
Chinese Journal of Modern Nursing
2024;30(26):3566-3573
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the status and influencing factors of different types of cognitive frailty in aged inpatients with hypertension.Methods:Totally 300 aged patients with hypertension admitted to the Cardiology, Geriatrics, and Endocrinology Departments of Xuanwu Hospital, Capital Medical University, from April to October 2022 were selected by convenience sampling. Data were collected using a general information questionnaire, the Fried Frailty Phenotype (FP), the Mini-Mental State Examination (MMSE), the 9-item Subjective Cognitive Decline Questionnaire-9 (SCD-Q9), the Morisky Medication Adherence Scale (MMAS), the Pittsburgh Sleep Quality Index (PSQI), the Hospital Anxiety and Depression Scale (HADS), the Social Support Rating Scale (SSRS), and the Mini Nutritional Assessment (MNA) .Results:A total of 300 questionnaires were distributed and returned, yielding a 100.00% response rate. Among the 300 aged hypertensive patients, 74 were diagnosed with reversible cognitive frailty (RCF) and 98 with potentially reversible cognitive frailty (PRCF). Logistic vegression analysis showed that, factors influencing RCF included daily exercise habits and the use of thiazide diuretics ( P<0.05) ; factors influencing PRCF included age, pre-retirement occupation, daily exercise habits, sleep quality, Barthel Index score, and serum albumin levels ( P<0.05) . Conclusions:The status of both RCF and PRCF is relatively high among aged inpatients with hypertension. The influencing factors for different types of cognitive frailty vary. Targeted interventions based on both common and specific influencing factors should be developed to reverse or slow the progression of cognitive frailty in aged hypertensive patients.
