Influencing factors of cognitive function in older patients with common cardiovascular diseases based on the health ecological model
10.3760/cma.j.cn115682-20240905-04953
- VernacularTitle:基于健康生态学模型的老年常见心血管疾病患者认知功能影响因素研究
- Author:
Yajie ZHAO
1
;
Huixiu HU
;
Chao SUN
;
Lei WANG
;
Di GUO
Author Information
1. 北京医院心内科 国家老年医学中心 中国医学科学院老年医学研究院，北京 100730
- Publication Type:Journal Article
- Keywords:
Cardiovascular disease;
Cognitive function;
Health ecological model;
Influencing factor
- From:
Chinese Journal of Modern Nursing
2025;31(22):2947-2954
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Based on the health ecological model, this study aimed to identify the influencing factors of cognitive function in older patients with common cardiovascular diseases in China, providing insights for the prevention of cognitive impairment in this population.Methods:A multi-stage sampling method was used to recruit 9 833 older patients with common cardiovascular diseases from ten ClassⅢ Grade A hospitals located in North China, East China, Central-South China, Southwest China, and Northwest China between January and December 2023. General information and cognitive status were assessed using a self-designed Ceneral Information Questionnaire and the Mini-mental State Examination. Binary Logistic regression was applied to explore factors influencing cognitive function.Results:Among the 9 833 patients, 2 394 (24.3%, 2 394/9 833) were identified with cognitive impairment. Binary Logistic regression analysis showed that intrapersonal level (gender, age, physical function, history of stroke, and history of chronic obstructive pulmonary disease), behavioral level (social activity participation and regular exercise), interpersonal network level (marital status and self-reported social support), and living and working conditions level (educational level, per capita monthly household income, and type of residence area) were the influencing factors of cognitive function ( P<0.05) . Conclusions:Cognitive function in older adults with cardiovascular diseases is suboptimal and influenced by multi-level and multidimensional factors. Healthcare providers should focus on monitoring high-risk individuals and promoting social participation and regular physical activity among this population.
