考虑到蒙特利尔认知评估对患有喘的老年人的截止分数不同
Gali Moritz1, Jacqueline H Becker2, Jyoti V Ankam2
1From the Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, New York.
Allergy and asthma proceedings
|November 9, 2024
概括
患有喘的老年人认知障碍影响喘控制和坚持. 认知障碍所选择的截止分数显著影响这些关联,特别是在少数群体中.
科学领域:
- 老年学是一门学科.
- 肺部病理学 肺部病理学
- 神经科学是一个神经科学.
背景情况:
- 认知障碍在少数民族中更为常见,并且阻碍了老年人的喘自我管理.
- 了解认知功能与喘结果之间的联系对于这一群体至关重要.
研究的目的:
- 研究蒙特利尔认知评估 (MoCA) 测量认知障碍与喘自我管理行为和结果之间的关系.
- 评估不同MoCA截止分数如何影响黑人和拉丁裔人口中观察到的关联.
主要方法:
- 对来自165名患有喘的老年人 (≥60岁) 的基线数据进行横截面分析.
- 通过MoCA评估认知能力;自我报告的喘控制,生活质量 (AQOL) 和吸入性皮质类固醇 (ICS) 坚持.
- 通过图表审查和观察吸入器技术,还评估了ICS坚持.
主要成果:
- 认知障碍率为45% (MoCA截止值23) 和74% (MoCA截止值26).
- 使用MoCA截止值23,损伤与更糟糕的喘控制 (p=0.04) 和ICS坚持 (p=0.01) 相关.
- 使用MoCA截止值26,损伤与更糟糕的AQOL相关 (p=0.03). 种族/种族调节了这些关系.
结论:
- 患有喘的老年人认知障碍与显著的临床结果有关.
- 认知障碍的定义,特别是MoCA截止分数,对观察到的喘控制,坚持和生活质量的关联产生了重大影响.
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