中风老年人的认知功能:潜在特征分析

IF 2.5 3区 医学 Q3 GERIATRICS & GERONTOLOGY Geriatric Nursing Pub Date : 2024-11-11 DOI:10.1016/j.gerinurse.2024.10.053
Yuxia Ma, Xiang He, Tingting Yang, Jiangxia Qin, Jinhan Nan, Xuedan Wang, Jianxun Cao, Chenxia Wang, Lin Han
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引用次数: 0

摘要

背景:脑卒中后认知功能障碍(PSCI)是脑卒中后的主要并发症之一。因此,有必要确定脑卒中老年人认知功能的不同类别,并探讨与脑卒中后老年人认知功能不同水平相关的因素:方法:采用方便抽样法进行横断面调查,收集 2022 年 6 月至 2023 年 8 月期间中国甘肃省兰州市 5 家医院 1076 名脑卒中老年人的数据。采用潜伏特征分析(LPA)确定脑卒中老年人的认知功能亚组,并采用多项式逻辑回归分析相关因素:结果:共识别出 1076 名脑卒中老年人,并将其分为 1 类:认知功能障碍;2 类:轻度认知功能障碍;3 类:认知功能正常。年龄、性别、教育程度、出血性卒中、脑血管疾病与老年人卒中后不同程度的认知功能相关:结论:这些发现凸显了脑卒中老年人认知功能的异质性。我们的研究可以帮助中国的医护人员识别认知功能障碍高风险的老年人,并根据他们的特点制定个体化的干预措施。
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Cognitive function in older adults with stroke: A latent profile analysis.

Background: Post-stroke cognitive impairment (PSCI) is one of the major complications after a stroke. Therefore, it is necessary to identify different categories of cognitive function in older adults with stroke and to explore factors associated with different levels of cognitive function in older adults after stroke.

Methods: A cross-sectional survey was conducted using convenience sampling to collect data from 1076 older adults with stroke from 5 hospitals in Lanzhou City, Gansu Province, China, from June 2022 to August 2023. Latent Profile Analysis (LPA) was used to identify cognitive function subgroups among older adults with stroke, and multinomial logistic regression was used to analyze the related factors.

Results: 1076 older adults with stroke were identified and classified as class-1: cognitive impairment, class-2: mild cognitive impairment, class-3: normal cognitive function. Age, gender, education level, hemorrhagic stroke, cerebrovascular disease are associated with different levels of cognitive function in older adults after stroke.

Conclusions: These findings highlight the heterogeneity of cognitive function in older adults with stroke. Our research could assist healthcare professionals in China to identify older adults with a high risk of cognitive impairment and to develop individualized interventions based on their characteristics.

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来源期刊
Geriatric Nursing
Geriatric Nursing 医学-护理
CiteScore
3.80
自引率
7.40%
发文量
257
审稿时长
>12 weeks
期刊介绍: Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.
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