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山东大学学报 (医学版) ›› 2022, Vol. 60 ›› Issue (11): 108-112.doi: 10.6040/j.issn.1671-7554.0.2022.0345

• 公共卫生与管理学 • 上一篇    下一篇

老年2型糖尿病患者轻度认知功能障碍的影响因素

于书卷1,2,3,王美娟4,陈丽5,曹英娟1,2,4,吕晓燕1,2,6,刘雪燕4,林鹏5,颜景政4   

  1. 山东大学 1.齐鲁医院护理部;2.护理理论与实践创新研究中心;3.齐鲁医院泌尿外科;4.护理与康复学院;5.齐鲁医院内分泌科;6.齐鲁医院国际医疗部, 山东 济南 250012
  • 出版日期:2022-11-10 发布日期:2022-11-04
  • 通讯作者: 曹英娟. E-mail:caoyj@sdu.edu.cn
  • 基金资助:
    国家自然科学基金(72274110);山东大学合作横向课题(6010121001)

Influencing factors of mild cognitive impairment in elderly patients with type 2 diabetes

YU Shujuan1,2,3, WANG Meijuan4, CHEN Li5, CAO Yingjuan1,2,4 LYU Xiaoyan1,2,6, LIU Xueyan4, LIN Peng5, YAN Jingzheng4   

  1. Shandong University 1. Department of Nursing, Qilu Hospital;
    2. Nursing Theory &
    Practice Innovation Research Center;
    3. Department of Urology, Qilu Hospital;
    4. School of Nursing and Rehabilitation;
    5. Department of Endocrinology, Qilu Hospital;
    6. International Medical Services, Qilu Hospital, Jinan 250012, Shandong, China
  • Online:2022-11-10 Published:2022-11-04

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摘要： 目的 分析老年2型糖尿病患者轻度认知功能障碍(MCI)的影响因素,为制定针对性的干预措施提供参考。 方法 采用便利抽样法,选取2021年11月至12月山东大学齐鲁医院老年2型糖尿病患者110例,分为MCI组(n=72)和非MCI组(n=38)。采用单因素和多因素非条件Logistic回归分析老年2型糖尿病患者MCI的影响因素。 结果 110例老年2型糖尿病患者中,患MCI者72例(65.45%)。MCI组、非MCI组患者的年龄、文化程度、家庭月收入、糖尿病病程、睡前血糖差异均有统计学意义(P均<0.05)。多因素非条件Logistic回归分析结果显示,家庭月收入(OR=0.236,95%CI: 0.096~0.581)、糖尿病病程(OR=1.077,95%CI: 1.005~1.154)、睡前血糖水平(OR=1.213,95%CI: 1.030~1.428)是老年2型糖尿病患者MCI的影响因素(P=0.002,P=0.036,P=0.020)。 结论 老年2型糖尿病患者MCI患病率较高,家庭月收入低、糖尿病病程长、睡前血糖高可能会增加MCI的发生风险,应予以重点关注。

关键词: 老年人, 2型糖尿病, 轻度认知功能障碍, 影响因素

Abstract: Objective To analyze the influencing factors of mild cognitive impairment(MCI)in elderly patients with type 2 diabetes, and to provide reference for the development of targeted intervention measures. Methods A total of 110 elderly patients with type 2 diabetes were selected with convenience sampling method during Nov. and Dec. 2021, and divided into MCI group and non-MCI group. The influencing factors of MCI were analyzed with univariate and multivariate non-conditional Logistic regression. Results Of the 110 patients, 72(65.45%)had MCI. There were statistically significant differences in age, education level, monthly family income, duration of diabetes and blood glucose before bedtime between MCI group and non-MCI group(P<0.05). Multivariate Logistic regression analysis showed that the monthly family income(OR=0.236, 95%CI: 0.096-0.581), duration of diabetes(OR=1.077, 95%CI: 1.005-1.154), and blood glucose before bedtime(OR=1.213, 95%CI: 1.030-1.428)were the influencing factors of MCI(P=0.002, P=0.036, P=0.020). Conclusion The prevalence of MCI in patients with type 2 diabetes is high. Low family monthly income, long course of diabetes and high blood glucose before bedtime may increase the risk of MCI and should arouse attention.

Key words: Elderly, Type 2 diabetes, Mild cognitive impairment, Influencing factors

中图分类号: 

  • R587.1
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