Prevalence of Cognitive Impairment and Relationships with Other Factors in Patients with End Stage Kidney Disease Receiving Hemodialysis.

IF 0.8 4区 医学 Q4 NURSING Nephrology Nursing Journal Pub Date : 2024-01-01
Maureen Metzger, Souad Benloukil, Binu Sharma, Emaad M Abdel-Rahman
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Abstract

Despite recommendations, cognitive screening in patients with end stage kidney disease (ESKD) rarely happens, leading to underestimates of cognitive impairment (CI) prevalence and missed opportunities for intervention. We aimed to describe CI prevalence and associated factors in 100 patients receiving in-center hemodialysis aged 50 years and older. Cognitive function was measured using the Montreal Cognitive Assessment (MoCA). Descriptive analysis techniques characterized the sample and estimated mean scores. Non-parametric and parametric tests explored relationships among MoCA scores and other patient factors. Of the 100 patients, 32% had normal cognitive function, 56% mild CI, and 12% moderate CI. Age, income, and education level significantly corelated with cognitive function in our sample. Identifying clinical factors and appropriate follow up for abnormal screening are crucial next steps in managing cognitive impairment in patients with ESKD receiving in-center hemodialysis.

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接受血液透析的终末期肾病患者认知障碍的发生率及其与其他因素的关系。
尽管有相关建议,但很少对终末期肾病(ESKD)患者进行认知筛查,导致认知障碍(CI)患病率被低估,错过了干预机会。我们的目的是描述 100 名 50 岁及以上接受中心血液透析患者的认知障碍发生率和相关因素。认知功能采用蒙特利尔认知评估(MoCA)进行测量。描述性分析技术描述了样本的特征并估算了平均得分。非参数和参数测试探讨了 MoCA 分数与其他患者因素之间的关系。在 100 名患者中,32% 认知功能正常,56% 轻度 CI,12% 中度 CI。在我们的样本中,年龄、收入和教育水平与认知功能有明显的核心关系。识别临床因素和对异常筛查进行适当的随访是管理接受中心内血液透析的 ESKD 患者认知功能障碍的关键步骤。
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来源期刊
Nephrology Nursing Journal
Nephrology Nursing Journal Medicine-General Medicine
CiteScore
0.70
自引率
22.20%
发文量
67
期刊介绍: The Nephrology Nursing Journal is a refereed clinical and scientific resource that provides current information on wide variety of subjects to facilitate the practice of professional nephrology nursing. Its purpose is to disseminate information on the latest advances in research, practice, and education to nephrology nurses to positively influence the quality of care they provide. The Nephrology Nursing Journal is designed to meet the educational and information needs of nephrology nurses in a variety of roles at all levels of practice. It also serves as a source for nonnephrology nurses. Its content expands the knowledge base for nephrology nurses, stimulates professional growth, guides research-based practice, presents new technological developments, and provides a forum for review of critical issues promoting the advancement of nephrology nursing practice.
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