摘要
目的:调查在门诊随访的非透析慢性肾脏病(CKD)患者轻度认知功能障碍(MCI)的发生现状,并分析其影响因素,为后期制定干预策略提供依据。方法:采取便利抽样法,于2018年12月至2020年1月采用蒙特利尔认知评估量表(MoCA)调查214例在门诊随访的非透析CKD患者,评估其MCI的现状,并分析其影响因素。结果:本次调查对象的MCI平均得分为(24.24±3.95)分,117例(54.7%)患者患有MCI。二分类Logistic回归分析结果显示,年龄、CKD分期、受教育程度、职业状态、规律运动及医疗费用支付方式是门诊非透析CKD患者MCI的影响因素。结论:超过一半的门诊非透析CKD患者患有MCI。因此,肾内科医护人员应重视对门诊CKD患者MCI的筛查,并制定具有针对性的干预措施,以期能减少MCI造成不良预后的发生。
Objective:To investigate the status of Mild Cognitive Impairment(MCI)in non-dialysis outpatients with Chronic Kidney Disease(CKD)and explore its influencing factors.Methods:Totally 214 outpatients with non-dialysis CKD were investigated from December 2018 to January 2020 using Montreal Cognitive Assessment(MoCA)Questionnaire.Convenient sampling method was performed.The MCI status was evaluated and the influencing factors were explored.Results:The average MCI score of the CKD patients was 24.24±3.95.Totally 117(54.7%)CKD patients were diagnosed as MCI.Binary logistic regression analysis showed that old age,CKD stage,education level,occupation status,regular exercise and payment of medical expenses were influencing factors of MCI in CKD patients.Conclusion:More than half of pre-dialysis CKD patients have developed MCI.Therefore,nursing staff should pay attention to the screening of MCI in CKD patients,and carry out targeted intervention,in order to reduce the adverse prognosis caused by MCI.
作者
潘永毅
龚妮容
谢文鸿
谢迪
贾翎
陶晓蕾
PAN Yongyi;GONG Nirong;XIE Wenhong;XIE Di;JIA Ling;TAO Xiaolei(Department of Nephrology National Clinical Research Center for Kidney Disease,Nanfang Hospital,Southern Medical University,Guangzhou,510515,China;不详)
出处
《中国护理管理》
CSCD
2021年第8期1235-1239,共5页
Chinese Nursing Management
基金
国家自然科学基金(81202280)。
关键词
非透析
慢性肾脏病
轻度认知功能障碍
现状调查
影响因素
non-dialysis
Chronic Kidney Disease
Mild Cognitive Impairment
status investigation
influencing factors
