使用客观和主观指标探索血液透析患者的认知概况:一个横截面的观察性研究
Frederick H F Chan1, Pearl Sim1, Phoebe X H Lim1
1Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
International journal of behavioral medicine
|June 25, 2024
概括
大多数血液透析患者经历认知障碍,无论是客观还是主观. 评估客观和主观认知对于理解这些患者的全部认知负担至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 神经心理学 神经心理学
- 老年学是指老年学的学科.
背景情况:
- 血液透析患者中常见的认知障碍与健康状况不佳有关.
- 传统的神经心理测试在最佳条件下评估认知能力,而不是日常功能.
- 这项研究评估了血液透析患者的客观和主观认知功能.
研究的目的:
- 用蒙特利尔认知评估来评估客观认知障碍.
- 评估主观认知投诉,情绪和疲劳.
- 探索认知状态和患者特征之间的关联.
主要方法:
- 成年血液透析患者完成了认知评估和问卷.
- 收集了社会人口统计数据和临床信息 (例如,并发症).
- 使用蒙特利尔认知评估 (MoCA) 测量了客观认知.
主要成果:
- 268名患者参与了这项研究;只有25%的认知能力正常.
- 75%的患者存在客观障碍或主观投诉,或两者兼而有之.
- 低教育与客观障碍相关;抑郁症与主观投诉相关. 糖尿病和更高的透析剂量 (Kt/V) 与客观和主观问题有关.
结论:
- 血液透析患者的认知负担呈现为客观障碍和/或主观投诉.
- 结合客观和主观措施,可以更好地了解认知健康.
- 在透析环境中,建议对认知困难进行查,并实施康复策略.
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