Title : The status and influencing factors of cognitive frailty in elderly patients with coronary heart disease in community
Abstract:
Objective: To investigate the status quo of cognitive frailty in elderly patients with coronary heart disease in community, and analyze its influencing factors, so as to provide reference for the management of cognitive frailty in community.
Methods: From November 2022 to February 2023, elderly patients with coronary heart disease (CHD) in a community health service center in Zhengzhou were selected as the study objects, and frailty phenotype, Montreal Cognitive Assessment Scale, Clinical Dementia Rating Scale, and general self-efficacy scale were used to investigate.
Results: Among 300 elderly patients with coronary heart disease, 108 (36%) had cognitive weakness, 67 (22.3%) had reversible cognitive weakness, and 41 (13.7%) had potential reversible cognitive weakness. Old age, co-existence of multiple diseases, and fall are the risk factors of cognitive decline in elderly patients with coronary heart disease. High self-efficacy and regular exercise were protective factors for cognitive decline in elderly patients with coronary heart disease (P<0.05).
Conclusion: The current situation of cognitive frailty in elderly patients with coronary heart disease in community is not optimistic. Medical staff should focus on early screening of elderly and comorbidities, and take active measures to delay or even reverse the cognitive frailty process.
Audience Take Away Notes:
- To investigate the status of cognitive frailty and its influencing factors in elderly patients with coronary heart disease in communities
- Fissile phenotype, Montreal Cognitive Assessment Scale, Clinical Dementia Rating Scale and general self-efficacy scale were used
- Taking elderly patients with coronary heart disease in a community health service center in Zhengzhou City as the research object, 300 elderly patients with coronary heart disease were collected, 36% of them had cognitive weakness.
- Research shows that old age, co-existence of multiple diseases and fall are risk factors for cognitive frailty in elderly patients with coronary heart disease, and high self-efficacy and regular exercise are protective factors for cognitive frailty in elderly patients with coronary heart disease (P < 0.05).
