| 卞娜娜,胡立群,李红旗,刘文婷,胡传来,严光.安徽省老年高血压患者认知功能障碍影响因素分析[J].中国临床保健杂志,2024,(1):50-54. |
| 安徽省老年高血压患者认知功能障碍影响因素分析 |
| Influencing factors of cognitive impairment among the community elderly patients with hypertension in Anhui province |
| 投稿时间：2023-10-11 |
| DOI：10.3969/J.issn.1672-6790.2024.01.011 |
| 中文关键词: 高血压 认知功能障碍 危险因素 老年人 调查和问卷 |
| 英文关键词: Hypertension Cognitive dysfunction Risk factors Aged Surveys and questionnaires 〖FL |
| 基金项目:安徽省自然科学基金项目(2303085MH239) |
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| 中文摘要: |
| 目的 了解安徽省老年高血压患者认知功能障碍的现状并分析其影响因素。方法 采取随机整体抽样方法抽取安徽省老年专项活动中共计3 391例60岁以上的老年人群进行问卷调查,采用简易精神状态检查量表评估老年人认知功能障碍的患病情况,以面对面填写问卷的方式获取老年人高血压患病情况,通过多因素回归分析对不同影响因素与老年高血压患者认知功能障碍的相关性进行分析。结果 调查共检出高血压患者1 879例,高血压合并认知功能障碍患者276例,老年高血压患者在不同年龄分层中认知功能障碍的患病率差异有统计学意义(χ2=137.241,P<0.001)。其中年龄(OR=2.848,95%CI:2.282～3.555,P<0.05)、罹患抑郁(OR=2.750,95%CI:1.786～4.236,P<0.05)、失眠(OR=2.141,95%CI:1.507～3.043,P<0.05)、日常生活能力(OR=5.252,95%CI:4.207～6.558,P<0.05)、三酰甘油(OR=1.153,95%CI:1.027～1.294,P=0.016)是老年高血压患者合并认知功能障碍的危险因素,而参加团体活动(OR=0.498,95%CI:0.392～0.631,P<0.05)、喜欢运动(OR=0.399,95%CI:0.273～0.583,P<0.05)是老年高血压患者合并认知功能障碍的保护因素。结论 年龄、抑郁状态、喜欢运动、参加团体活动、失眠、日常生活能力、三酰甘油升高等是老年高血压患者认知功能障碍的影响因素,早期筛查和干预认知功能障碍的影响因素,有助于老年高血压人群认知功能障碍的预防。 |
| 英文摘要: |
| Objective To investigate the status of cognitive impairment in elderly patients with hypertension in Anhui Province,and analyze the influencing factors.Methods A total of 3 391 elderly people over 60 years old were selected from Special Activities for the Elderly in Anhui Province by random cluster sampling.The prevalence of cognitive impairment in the elderly was assessed by Mini-mental State Examination screening questionnaire.The prevalence of hypertension in the elderly was obtained by face-to-face interview.The correlation between different lifestyles and cognitive impairment in elderly patients with hypertension was analyzed by multivariate regression analysis.Results A total of 1 879 patients with hypertension and 276 elderly patients with hypertension had cognitive impairment.The significant differences in the elderly patients with hypertension had cognitive impairment in different age stratifications(χ2=137.241,P<0.001).Age(OR=2.848,95%CI:2.282-3.555,P<0.05),Depression status inventory(OR=2.750,95%CI:1.786-4.236,P<0.05),insomnia(OR=2.141,95%CI:1.507-3.043,P<0.05),activities of daily living(OR=5.252,95%CI:4.207-6.558,P<0.05)and triglyceride(OR=1.153,95%CI:1.027-1.294,P=0.016) were risk factors for cognitive impairment in elderly patients with hypertension.The protective factors of cognitive impairment in elderly patients with hypertension were enjoying exercise(OR=0.399,95%CI:0.273-0.583,P<0.05),often participating in community activities(OR=0.498,95%CI:0.392-0.631,P<0.05)for the elderly.Conclusions Aged,depressed state,regular exercise,participating in community activities,sleep time deficiency,activities of daily living and high triglycerides are the influential factors of cognitive impairment in elderly patients with hypertension.The influencing factors of early screening and intervention of cognitive dysfunction are helpful for the prevention of cognitive dysfunction in the elderly hypertension. |
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