65岁以上患者的认知功能障碍和糖尿病之间的关联:使用倾向性得分匹配的横截面研究
Liwen Zhai1, Yao Yang1, Jun Zhang2
1The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, Henan, China; Academy of Medical Sciences, Zhengzhou University, Zhengzhou, Henan, China.
糖尿病与老年人的认知功能障碍有关. 这种认知障碍也会对糖尿病患者的日常生活活动产生负面影响,强调需要主动护理.
科学领域:
- 老年学是一门学科.
- 内分泌学 在内分泌学.
- 神经学 神经学
背景情况:
- 糖尿病是全世界老龄化人口中普遍存在的慢性疾病.
- 认知功能障碍是老年人日益关注的问题,影响生活质量.
- 了解糖尿病和认知健康之间的相互作用对于老年护理至关重要.
研究的目的:
- 研究糖尿病与老年人认知功能障碍之间的关联.
- 检查认知功能障碍对糖尿病患者日常生活活动 (ADL) 的影响.
主要方法:
- 来自中国纵向健康长寿调查的2951名老年人的分析.
- 使用倾向得分匹配来减少选择偏差.
- 使用多变量二进制逻辑回归和威尔科克森等级和和测试进行统计分析.
主要成果:
- 在老年人中发现糖尿病和认知功能障碍之间存在显著的关联 (p=0.017).
- 患有认知功能障碍的糖尿病患者的ADL依赖性明显恶化 (p<0.001).
结论:
- 糖尿病与老年人的认知功能障碍有显著的关联.
- 认知障碍与糖尿病患者的ADL水平降低有关.
- 医疗保健提供者应监测糖尿病患者的认知功能障碍和ADL下降,实施预防策略.
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