|
|
|
| Analysis of status and influencing factors of cognitive function in adult inpatients with hypertension |
| LIU Yaping1, CHENG Mei1*, ZHOU Wei1, QU Lei2, WANG Zitong1, SUN Xuewei2, DENG Fangfang1 |
1 School of Nursing, Binzhou Medical University, Yantai 264003, Shandong, P.R.China;
2 School of Basic Medical Sciences, Binzhou Medical University, Yantai 264003, Shandong, P.R.China |
|
|
|
|
Abstract Objective To investigate the status and influencing factors of cognitive function in adult inpatients with hypertension.Methods One hundred and fourteen adult inpatients with hypertension in the cardiology department of a tertiary hospital in Shandong province were selected and assessed with the general information questionnaire, Beijing version of the montreal cognitive assessment scale (MoCA). Results The total scores of MoCA in adult inpatients with hypertension was (24.37±2.69), and the incidence of cognitive dysfunction was 56.14% (64/114). Correlation analysis showed that the total score of MoCA in adult inpatients with hypertension was significantly negatively correlated with age (r=-0.45) and urea (r=-0.21) (P<0.05). Multiple linear regression analysis showed that education level (β=0.23) was a protective factor for cognitive function (P<0.05); age (β=-0.33), hypertension grade (β=-0.23), the history of stroke (β=-0.22) were the risk factors of cognitive function (P<0.05).Conclusion The incidence of cognitive dysfunction in adult inpatients with hypertension was high. Educational level, age, hypertension grade, and stroke history were the influencing factors of cognitive function. It is suggested to develop and implement personalized anti-hypertensive treatment programs to effectively control hypertension, prevent or delay the occurrence and development of cognitive dysfunction in adult inpatients with hypertension. At the same time, attention should be paid to the impact of education on the cognitive function of adult inpatients with hypertension.
|
|
Received: 29 September 2020
|
|
|
|
|
|
[1] 中国高血压防治指南修订委员会.中国高血压防治指南2018年修订版[J].心脑血管病防治,2019,19(1):1-44.
[2] WANG Z, CHEN Z, ZHANG L, et al. Status of hypertension in china: results from the china hypertension survey, 2012-2015[J]. Circulation,2018,137(22):2344-2356.
[3] SANFORD A M. Mild Cognitive Impairment[J]. Clinics in geriatric medicine,2017,33(3):325-337.
[4] WU L, HE Y, JIANG B, et al. The association between the prevalence, treatment and control of hypertension and the risk of mild cognitive impairment in an elderly urban population in China[J]. Hypertens Res,2016,39(5):367-375.
[5] 何志兰,殷实,吴新春,等.老年高血压患者认知功能障碍的影响因素[J].临床医学研究与实践,2020,5(21):16-17+23.
[6] 杨慧锋, 王可心, 牛伟华. 原发性高血压患者认知功能现状及其影响因素分析[J].临床医学研究与实践,2019,4(30):26-27+35.
[7] NASREDDINE Z S, PHILLIPS N A, BEDIRIAN V, et al. The montreal cognitive assessment, MoCA: a brief screening tool for mild cognitive impairment[J]. J Am Geriatr Soc,2005,53(4):695-699.
[8] 王炜,王鲁宁.“蒙特利尔认知评估量表”在轻度认知损伤患者筛查中的应用[J].中华内科杂志,2007,46(5):414-416.
[9] 高欣,鲍利,于会艳,等.北京某社区老年高血压患者认知功能调查[J].中国心血管杂志,2014,19(3):188-190.
[10] 黄容,许明生,曹永红.高血压患者认知功能障碍的影响因素分析[J].北京医学,2020,42(1):11-14.
[11] MUELA H C, COSTA-HONG V A, YASSUDA M S, et al. Hypertension severity is associated with impaired cognitive performance[J]. J Am Heart Assoc,2017,6(1):1-10.
[12] LIU Y, CAI ZL, XUE S, et al. Proxies of cognitive reserve and their effects on neuropsychological performance in patients with mild cognitive impairment[J]. J Clin Neurosci,2013,20(4):548-553.
[13] STERN Y. Cognitive reserve in ageing and Alzheimer's disease[J]. Lancet Neurol,2012,11(11):1006-1012.
[14] 罗志贤.高血压与老年人认知功能障碍的相关性[J].分子影像学杂志,2015,38(3):293-295.
[15] WILLIAMSON J D, PAJEWSKI N M, AUCHUS A P, et al. Effect of intensive vs standard blood pressure control on probable dementia: a randomized clinical trial[J]. Jama,2019,321(6):553-561.
[16] 李萍,黄雪花.家庭跟进式护理在社区老年脑卒中患者护理中的应用[J].现代诊断与治疗,2017,28(16):3108-3109.
[17] 刘怡晓.家庭认知训练护理对老年脑卒中患者血管性认知功能障碍的影响[J].临床医学研究与实践,2019,4(3):167-169. |
| [1] |
ZHAI Xiangming, ZHAO Yongjun, ZHU Qiuli, LIU Kun. Study on influencing factors of health equity of middle-aged and elderly residents in China[J]. 滨州医学院学报, 2020, 43(5): 381-383. |
| [2] |
LI Min, WANG Huikai, WANG Jinyan, HE Qianqian, GAO Junling, GONG Kaikai, MAN Yuqing. Effect observation of gastrodia elata granule combined with nifedipine controlled-release tablet
in the treatment of cervical hypertension[J]. 滨州医学院学报, 2020, 43(5): 336-339. |
| [3] |
LUO Lianping, XIAN Qiuxia, ZHANG Ling, WANG Yuxiong. Effects of nursing intervention based on CITF on nursing satisfaction and self-care abilityof patients with hypertensive cerebral hemorrhage[J]. 滨州医学院学报, 2020, 43(4): 305-308. |
| [4] |
. [J]. 滨州医学院学报, 2020, 43(1): 75-77. |
| [5] |
SONG Xiaowen, SONG Weiwei, ZHENG Haifei, CHEN Jinbo. The relationship between cognitive function and plasma homocysteine level in patients with subcortical ischemic vascular disease[J]. 滨州医学院学报, 2020, 43(1): 30-33. |
| [6] |
LIU Hongxia, SHI Zhen. Dicer expression in visceral white adipose tissue of obese hypertension patients[J]. 滨州医学院学报, 2019, 42(6): 407-410. |
|
|
|
|
