[1]王芸,周梅芳,陈斯霞,等.腹膜透析患者主观认知下降现状及其与衰弱的相关性研究[J].军事护理,2023,40(08):49-52.[doi:10.3969/j.issn.2097-1826.2023.08.012]
　WANG Yun,ZHOU Meifang,CHEN Sixia,et al.Subjective Cognitive Decline of Peritoneal Dialysis Patients and Its Correlation with Frailty[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(08):49-52.[doi:10.3969/j.issn.2097-1826.2023.08.012]
点击复制

腹膜透析患者主观认知下降现状及其与衰弱的相关性研究
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年08期
页码:
49-52
栏目:
研究荟萃
出版日期:
2023-08-15

文章信息/Info

Title:
Subjective Cognitive Decline of Peritoneal Dialysis Patients and Its Correlation with Frailty
文章编号:
2097-1826(2023)08-0049-04
作者:
王芸1; 周梅芳1; 陈斯霞1; 朱义盼1; 潘烨瑾1; 王赟2; 田凤美2
(1.苏州大学附属第二医院 腹膜透析中心,江苏 苏州 215004; 2.苏州大学附属第二医院 护理部)
Author(s):
WANG Yun1; ZHOU Meifang1; CHEN Sixia1; ZHU Yipan1; PAN Yejin1; WANG Yun2; TIAN Fengmei2
(1.Peritoneal Dialysis Center,The Second Affiliated Hospital of Soochow University,Suzhou 215004,Jiangsu Province,China; 2 Department of Nursing,The Second Affiliated Hospital of Soochow University)
关键词:
腹膜透析;  主观认知下降;  衰弱;  相关性
Keywords:
peritoneal dialysis;  subjective cognition decline;  frailty;  correlation
分类号:
R473.5
DOI:
10.3969/j.issn.2097-1826.2023.08.012
文献标志码:
A
摘要:
目的 了解腹膜透析患者主观认知下降现状,分析影响因素,并探讨其与衰弱的相关性。方法 2021年8-12月,便利抽样方法选取某三级甲等医院腹膜透析中心规律随访的腹膜透析患者275例为研究对象,应用一般资料调查表、简易智能精神状态量表、主观认知下降问卷、中文版Tilburg衰弱评估量表、主观综合营养评估量表对其进行评估。结果 42.9%(118/275)的患者主观认知下降评分大于3分,存在主观认知下降。年龄、受教育程度、衰弱、营养状况是主观认知下降的影响因素(均P<0.05)。主观认知下降组和非主观认知下降组衰弱评分差异有统计学意义(P<0.05),主观认知下降与衰弱呈正相关(r=0.64,P<0.001)。结论 腹膜透析患者主观认知下降及衰弱水平均较高,二者相互影响; 提示医护人员应加强患者认知和衰弱状况的评估,尽早采取针对性干预措施,减少透析相关并发症,改善患者生活质量。
Abstract:
Objective To study the present situation of the subjective cognition decline of peritoneal dialysis patients,analyze the influencing factors,and explore the correlation between it and frailty.Methods From August 2021 to December 2021,275 peritoneal dialysis patients who were regularly followed up by a level-3 grade-A hospital were selected by convenient sampling method.The patients were assessed by General Information Questionnaire,Simple Intelligent Mental Status Scale,Subjective Cognitive Decline Questionnaire,Tilburg Decline Assessment Scale(Chinese version),and Subjective Comprehensive Nutritional Assessment Scale.Results Among all the subjects,42.9%(118/275)patients showed their subjective cognitive decline scores were greater than 3,indicating a subjective cognitive decline.The influencing factors of subjective cognitive decline were age,education level,frailty,and nutritional status(all P<0.05).There was a statistically significant difference in the total score of frailty between the SCD group and the non-SCD group(P<0.05).The decline of subjective cognition was positively correlated with frailty(r=0.64,P<0.001). Conclusions Peritoneal dialysis patients can show subjective cognitive decline and frailty at a high level,and these two factors affect each other,suggesting that clinical staff should strengthen the assessment of patients' cognition and frailty and provide targeted interventions as early as possible,to reduce dialysis-related complications and improve their quality of life.

参考文献/References:

[1] SHEA Y F,LEE M C,MOK M M,et al.Prevalence of cognitive impairment among peritoneal dialysis patients:a systematic review and meta-analysis[J].Clin Exp Nephrol,2019,23(10):1221-1234.
[2] SHEA Y F,LAM M F,LEE M S,et al.Prevalence of cognitive impairment among peritoneal dialysis patients,impact on peritonitis and role of assisted dialysis[J].Perit Dial Int,2016,36(3):284-290.
[3] JESSEN F,AMARIGLIO R E,VAN BOXTEL M,et al.A conceptual framework for research on subjective cognitive decline in preclinical Alzheimer's disease[J].Alzheimers Dement,2014,10(6):844-852.
[4] 杨晓辰,朱圆,孙琼,等.主观认知下降的影响因素、评估与干预研究新进展[J].诊断学理论与实践,2022,21(1):90-94.
[5] ADAME PEREZ S I,SENIOR P A,FIELD C J,et al.Frailty,health related quality of life,cognition,depression,vitamin D and health care utilization in an ambulatory adult population with type 1 and type 2 diabetes mellitus and chronic kidney disease:a cross sectional analysis[J].Can J Diabetes,2019:43(2):90-97.
[6] ROBERTSON D A,SAVVA G M,KENNY R A.Frailty and cognitive impairment-a review of the evidence and causal mechanisms[J].Ageing Res Rev,2013,12(4):840-851.
[7] 郝立晓,胡笑晨,韩璎,等.英文版主观认知下降问卷的汉化及信效度分析[J].中国全科医学,2019,22(26):3238-3245.
[8] HAO L,WANG X,ZHANG L,et al.Prevalence,risk factors,and complaints screening tool exploration of subjective cognitive decline in a large cohort of the Chinese population[J].J Alzheimers Dis,2017,60(2):371-388.
[9] 奚兴,郭桂芳,孙静.中文版Tilburg衰弱评估量表的信效度研究[J].护理学报,2013,20(16):1-5.
[10]NATIONAL KIDNEY FOUNDATION.Clinical practice guidelines for nutrition in chronic renal failure.K/DOQI,National Kidney Foundation[J].Am J Kidney Dis,2000,35(6 Suppl 2):S17-S140.
[11]周滢,甘珊,李峥.社区老年人主观认知下降现状及影响因素分析[J].解放军护理杂志,2021,38(4):21-24.
[12]胡晴,宋银华,王诗镔,等.养老机构老年人主观认知下降现况及影响因素研究[J].护理学杂志,2022,37(9):87-90.
[13]王凤,马微波,刘悦文,等.慢性肾脏病患者认知功能受损的相关机制分析[J].中国医学科学院学报,2022,44(6):1082-1088.
[14]HILL N L,MOGLE J,WION R,et al.Subjectivecongitive impairment and affective symptoms:a systematic review[J].Gerontologist.2016,56(6):e109-e127.
[15]唐寒芬,刘煜,肖力,等.腹膜透析患者营养不良防治进展[J].中国血液净化,2016,15(4):202-204.
[16]YI C,LIN J,CAO P,et al.Prevalence and prognosis of coexisting frailty and cognitive impairment in patients on continuous ambulatory peritoneal dialysis[J/OL].[2022-12-01].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251896/.DOI:10.1038/s41598-018-35548-4.
[17]王芸,苏红,王赟等.腹膜透析患者衰弱影响因素的研究进展[J].中国血液净化,2021,20(3):200-202.

相似文献/References:

[1]周滢,甘珊,李峥.社区老年人主观认知下降现状及影响因素分析[J].军事护理,2021,38(04):21.[doi:10.3969/j.issn.1008-9993.2021.04.006]
　ZHOU Ying,GAN Shan,LI Zheng.Status Quo of Subjective Cognitive Decline and Its Influencing Factors among Community-Dwelling Elder Adults[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(08):21.[doi:10.3969/j.issn.1008-9993.2021.04.006]

备注/Memo

备注/Memo:
【 收稿日期 】 2022-12-13 【 修回日期 】 2023-07-02
【 基金项目 】 苏州市科技发展计划项目(SYSD2020116)
【 作者简介 】 王芸,硕士,主管护师,电话:0512-67784153
【 通信作者 】 田凤美,电话:0512-67783327
更新日期/Last Update: 2023-08-15