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Journal of Nursing ›› 2023, Vol. 30 ›› Issue (23): 6-11.doi: 10.16460/j.issn1008-9969.2023.23.006

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Current status of reversible cognitive frailty of elderly people in medical-nursing combined care institutions and its influencing factors

REN Ying1,2, YU Wei-hua2,1, ZHANG Li1   

  1. 1. School of Nursing, Anhui Medical University, Hefei 230601, China;
    2. Dept. of Nursing Administration, the Third Affiliated Hospital of Anhui Medical University (the First People's Hospital of Hefei), Hefei 230061, China
  • Received:2023-07-31 Online:2023-12-10 Published:2024-01-09

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Abstract: Objective To investigate the current status of reversible cognitive frailty among the elderly in medical-nursing combined care institutions and analyze its influencing factors. Methods From February to May 2023, convenience sampling was used to select 438 elderly people from 5 medical-nursing integrated care institutions in Hefei as the subjects. General information questionnaire, Fried Frailty Phenotype, Montreal Cognitive Assessment, Clinical Dementia Rating Scale, Single Item Subjective Cognitive Decline, Mini Nutritional Assessment (MNA) and the Geriatric Depression Scale (SDS) were used for the investigation. Binary Logistic regression was used to analyze the influencing factors of reversible cognitive frailty in the elderly. Results The incidence of reversible cognitive frailty was 29.0% in the elderly in medical-nursing integrated care institutions. Binary Logistic regression analysis showed that age(OR=3.243, 9.832), number of chronic diseases（OR=2.700, 4.508）and depression（OR=3.681）were the risk factors for reversible cognitive frailty in the elderly in medical-nursing integrated care institutions（all P<0.05）. Education background（OR=0.448, 0.387, 0.316）, self-rated sleep quality（OR=0.475）, nutritional status（OR=0.298,0.106）and exercise（OR=0.496,0.483）were its protective factors（all P<0.05）. Conclusion The incidence of reversible cognitive frailty was 29.0% in the elderly in medical-nursing integrated care institutions. It is crucial to pay closer attention to specific subgroups within this population, including those who are advanced in age, have lower levels of education, multiple chronic diseases, poor self-rated sleep quality, limited physical exercise, malnutrition, and depression. Targeted intervention strategies should be implemented to mitigate or prevent the occurrence and progression of reversible cognitive frailty.

Key words: elderly people, medical-nursing combined care institutions, reversible cognitive frailty

CLC Number: 

  • R473.59
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