[1]谢静,李玉红,孙小红,等.老年2型糖尿病住院患者认知衰弱的检出率及影响因素分析[J].国际内分泌代谢杂志,2023,43(03):247-251.[doi:10.3760/cma.j.cn121383-20220926-09048]
　Xie Jing,Li Yuhong,Sun Xiaohong,et al.Detection rate and influencing factors of cognitive frailty in hospitalized elderly patients with type 2 diabetes mellitus[J].International Journal of Endocrinology and Metabolism,2023,43(03):247-251.[doi:10.3760/cma.j.cn121383-20220926-09048]
点击复制

老年2型糖尿病住院患者认知衰弱的检出率及影响因素分析()
分享到：

《国际内分泌代谢杂志》[ISSN:1673-4157/CN:12-1383/R]

卷:
43
期数:
2023年03期
页码:
247-251
栏目:
论著
出版日期:
2023-05-20

文章信息/Info

Title:
Detection rate and influencing factors of cognitive frailty in hospitalized elderly patients with type 2 diabetes mellitus
作者:
谢静1; 2; 李玉红1; 孙小红2; 赵晓彤2
1安徽医科大学护理学院,合肥 230601; 2安徽医科大学第一附属医院内分泌代谢科,合肥 230022
Author(s):
Xie Jing1; 2;  Li Yuhong1;  Sun Xiaohong2;  Zhao Xiaotong2.
1School of Nursing, Anhui Medical University, Hefei 230601, China; 2Department of Endocrinology and Metabolism, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China
关键词:
2型糖尿病;  认知衰弱;  住院;  影响因素
Keywords:
Type 2 diabetes mellitus;  Cognitive frailty;  Hospitalization;  Influencing factors
DOI:
10.3760/cma.j.cn121383-20220926-09048
摘要:
目的 了解老年2型糖尿病住院患者认知衰弱现状及影响因素。方法 收集290例老年2型糖尿病患者的资料,使用一般资料调查表、2型糖尿病自我管理行为量表、简易衰弱量表、简易精神状态量表、临床痴呆评定量表、日常生活活动评估量表及5条目老年抑郁量表对研究对象进行调查。结果 认知衰弱检出率12.8%,二元Logistic回归分析显示文化程度(OR=0.114,P<0.05)、睡眠时长(OR=0.173,P<0.05)、合并糖尿病慢性并发症数量(OR=6.753,P<0.05)、抑郁(OR=5.706,P<0.05)及自我管理行为(OR=0.01,P<0.05)是认知衰弱的影响因素。结论 老年2型糖尿病住院患者存在认知衰弱现象,医护人员应该关注低教育水平、睡眠不足、合并糖尿病慢性并发症、自我管理水平差以及存在抑郁的患者,在预防认知衰弱的同时提高老年人的生活质量。
Abstract:
Objective To understand the current situation and influencing factors of cognitive frailty in hospitalized elderly patients with type 2 diabetes mellitus.Methods Data of 290 elderly patients with type 2 diabetes mellitus were collected. Self-designed general information questionnaires, the type 2 diabetes mellitus self-management behavior scale, simple frailty questionnaire, simple mental state examination scale, clinical dementia rating, activities of daily living scale and 5-item geriatric depression scale were used to investigate elderly patients with type 2 diabetes mellitus.Results The detection rate of cognitive frailty was 12.8%. Binary Logistic regression analysis showed that educational level(OR=0.114, P<0.05), sleep duration(OR=0.173, P<0.05), number of chronic complications associated with diabetes(OR= 6.753, P<0.05), depression,(OR=5.706, P<0.05), and self-management behavior(OR=0.01, P<0.05)were the influencing factors.Conclusion Cognitive frailty exists in elderly hospitalized patients with type 2 diabetes. Clinical medical workers should pay attention to patients with low education level, lack of sleep, chronic complications associated with diabetes, poor self-management level, and depression, so as to improve the quality of life of the elderly while preventing cognitive frailty.

参考文献/References:

[1] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2020年版)[J].中华糖尿病杂志,2021,13(4):315-409.DOI:10.3760/cma.j.cn115791-20210221-00095.
[2] 陈燕语,王双,朱欢,等.认知衰弱——老年糖尿病的新型并发症[J].华西医学,2019,34(10):1192-1196.DOI:10.7507/1002-0179.201907082.
[3] Abdelhafiz AH,Sinclair AJ.Cognitive frailty in older people with type 2 diabetes mellitus:the central role of hypoglycaemia and the need for prevention[J].Curr Diab Rep,2019,19(4):15.DOI:10.1007/s11892-019-1135-4.
[4] Kelaiditi E,Cesari M,Canevelli M,et al.Cognitive frailty:rational and definition from an(I.A.N.A./I.A.G.G.)international consensus group[J].J Nutr Health Aging,2013,17(9):726-734.DOI:10.1007/s12603-013-0367-2.
[5] Mantovani E,Zucchella C,Schena F,et al.Towards a redefinition of cognitive frailty[J].J Alzheimers Dis,2020,76(3):831-843.DOI:10.3233/JAD-200137.
[6] 孔令磷,赵慧敏,刘玥婷,等.社区老年2型糖尿病患者认知衰弱现状及影响因素[J].护理学杂志,2020,35(7):89-92.DOI:10.3870/j.issn.1001-4152.2020.07.089.
[7] 张爽,陈影,姜宗良,等.社区老年糖尿病患者认知衰弱现状及影响因素分析[J].中国护理管理,2020,20(3):383-388.DOI:10.3969/j.issn.1672-1756.2020.03.014.
[8] 王璟璇,王瑞霞,林秋菊.门诊诊断初期非胰岛素依赖型糖尿病患者自我照顾行为及其相关因素之探讨[J].台湾护理杂志,1998,45(2):60-65.
[9] Abellan van Kan G,Rolland Y,Bergman H,et al.The I.A.N.A task force on frailty assessment of older people in clinical practice[J].J Nutr Health Aging,2008,12(1):29-37.DOI:10.1007/BF02982161.
[10] Folstein MF,Folstein SE,McHugh PR."Mini-mental state".A practical method for grading the cognitive state of patients for the clinician[J].J Psychiatr Res,1975,12(3):189-198.DOI:10.1016/0022-3956(75)90026-6.
[11] Hughes CP,Berg L,Danziger WL,et al.A new clinical scale for the staging of dementia[J].Br J Psychiatry,1982,140(6):566-572.DOI:10.1192/bjp.140.6.566.
[12] Ma L,Zhang L,Sun F,et al.Cognitive function in prefrail and frail community-dwelling older adults in china[J].BMC Geriatr,2019,19(1):53.DOI:10.1186/s12877-019-1056-8.
[13] 周巧学,周建荣,库敏,等.养老机构老年人认知衰弱现状及影响因素分析[J].护理学杂志,2020,35(9):88-92.DOI:10.3870/j.issn.1001-4152.2020.09.088.
[14] Suain Bon R,Ariaratnam S,Mat Saher Z,et al.Cognitive impairment and its associated risk factors in the elderly with type 2 diabetes mellitus[J].Front Psychiatry,2021,12:669725.DOI:10.3389/fpsyt.2021.669725.
[15] Wai JL,Yu DS.The relationship between sleep-wake disturbances and frailty among older adults:a systematic review[J].J Adv Nurs,2020,76(1):96-108.DOI:10.1111/jan.14231.
[16] Çavuogˇlu Ç,Deniz O,Tuna Dogˇrul R,et al.Frailty is associated with poor sleep quality in the oldest old[J].Turk J Med Sci,2021,51(2):540-546.DOI:10.3906/sag-2001-168.
[17] Kim H,Awata S,Watanabe Y,et al.Cognitive frailty in community-dwelling older Japanese people:prevalence and its association with falls[J].Geriatr Gerontol Int,2019,19(7):647-653.DOI:10.1111/ggi.13685.
[18] Ma L,Tang Z,Zhang L,et al.Prevalence of frailty and associated factors in the community-dwelling Population of China[J].J Am Geriatr Soc,2018,66(3):559-564.DOI:10.1111/jgs.15214.
[19] Hayley S,Hakim AM,Albert PR.Depression,dementia and immune dysregulation[J].Brain,2021,144(3):746-760.DOI:10.1093/brain/awaa405.
[20] Son YJ,Lee K,Kim BH.Gender differences in the association between frailty,cognitive impairment, and self-care behaviors among older adults with atrial fibrillation[J].Int J Environ Res Public Health,2019,16(13):2387.DOI:10.3390/ijerph16132387.

相似文献/References:

[1]曾静波,王姮.2型糖尿病与自身免疫反应[J].国际内分泌代谢杂志,2007,(04):259.
[2]朱素君,谢锦桃,刘军,等.二甲双胍：2型糖尿病治疗的基础药[J].国际内分泌代谢杂志,2007,(04):280.
[3]刘艳清 易秋艳 邵加庆.肠道菌群与肥胖和糖尿病的关系[J].国际内分泌代谢杂志,2015,(01):31.[doi:DOI：10.3760/cma.j.issn.1673-4157.2015.01.007]
　Liu Yanqing,Yi Qiuyan,Shao Jiaqing..Relationship between gut microbiota, obesity and diabetes[J].International Journal of Endocrinology and Metabolism,2015,(03):31.[doi:DOI：10.3760/cma.j.issn.1673-4157.2015.01.007]
[4]姚旻 赵爱源 张宏.肠道菌群与2型糖尿病[J].国际内分泌代谢杂志,2015,(01):35.[doi:DOI：10.3760/cma.j.issn.1673-4157.2015.01.008]
　Yao Min*,Zhao Aiyuan,Zhang Hong..Relationship between gut microbiota and type 2 diabetes[J].International Journal of Endocrinology and Metabolism,2015,(03):35.[doi:DOI：10.3760/cma.j.issn.1673-4157.2015.01.008]
[5]赵丽娟,徐宽枫,杨涛,等.SLC30A8和PTPRD基因多态性与南京地区中老年人群2型糖尿病的相关性研究[J].国际内分泌代谢杂志,2015,(03):145.[doi:10.3760/cma.j.issn.1673-4157.2015.03.001]
　Zhao Lijuan*,Xu Kuanfeng,Yang Tao,et al.Relationship between SLC30A8 and PTPRD gene polymorphisms and type 2 diabetes in middle aged and elderly people in Nanjing area[J].International Journal of Endocrinology and Metabolism,2015,(03):145.[doi:10.3760/cma.j.issn.1673-4157.2015.03.001]
[6]王洁,何媛,于珮.糖尿病肾病的相关危险因素分析[J].国际内分泌代谢杂志,2015,(03):153.[doi:10.3760/cma.j.issn.1673-4157.2015.03.003]
　Wang Jie*,He Yuan,Yu Pei..Risk factors of diabetic nephropathy[J].International Journal of Endocrinology and Metabolism,2015,(03):153.[doi:10.3760/cma.j.issn.1673-4157.2015.03.003]
[7]刘帅,张萍,方毅,等.2型糖尿病合并无症状冠状动脉钙化的相关危险因素分析[J].国际内分泌代谢杂志,2015,(03):158.[doi:10.3760/cma.j.issn.1673-4157.2015.03.004]
　Liu Shuai*,Zhang Ping,Fang Yi,et al.Analysis of the risk factors related with asymptomatic coronary calcification for type 2 diabetic patients[J].International Journal of Endocrinology and Metabolism,2015,(03):158.[doi:10.3760/cma.j.issn.1673-4157.2015.03.004]
[8]徐庆海,马颖,李铁马.2型糖尿病患者高甘油三酯血症-腰围表型与甲状腺功能异常的关系[J].国际内分泌代谢杂志,2015,(04):222.[doi:10.3760/cma.j.issn.1673-4157.2015.04.002]
　Xu Qinghai,Ma Ying,Li Tiema..Association of hypertriglyceridaemic-waist phenotype with thyroid dysfunction in patients with type 2 diabetes mellitus[J].International Journal of Endocrinology and Metabolism,2015,(03):222.[doi:10.3760/cma.j.issn.1673-4157.2015.04.002]
[9]潘道延,沈洁,朱筱,等.利格列汀对2型糖尿病大鼠代谢性内毒素血症的影响[J].国际内分泌代谢杂志,2015,(04):230.[doi:10.3760/cma.j.issn.1673-4157.2015.04.004]
　Pan Daoyan,Shen Jie,Zhu Xiao,et al.Effects of linagliptin on metabolic endotoxemia in type 2 diabetic rats[J].International Journal of Endocrinology and Metabolism,2015,(03):230.[doi:10.3760/cma.j.issn.1673-4157.2015.04.004]
[10]黄桥,白洁,杜洪泉.一种新的脂肪细胞因子——cartonectin[J].国际内分泌代谢杂志,2015,(04):265.[doi:10.3760/cma.j.issn.1673-4157.2015.04.014]
　Huang Qiao*,Bai Jie,Du Hongquan..A novel adipokine--cartonectin[J].International Journal of Endocrinology and Metabolism,2015,(03):265.[doi:10.3760/cma.j.issn.1673-4157.2015.04.014]

备注/Memo

备注/Memo:
通信作者:李玉红,Email:liyuhong@ahmu.edu.cn
基金项目:安徽省自然科学基金面上项目(1808085MH277)
更新日期/Last Update: 2023-05-20