[慢性心力衰竭患者的认知障碍及其对治疗坚持的影响]
Y O Aksenova1, A A Petrukhina1, Y F Osmolovskaya1
1Chazov National Medical Research Center of Cardiology.
Terapevticheskii arkhiv
|August 8, 2025
概括
认知障碍在慢性心力衰竭 (CHF) 中很常见. 具有更好的认知功能和治疗坚持的患者表现出更好的结果,并且更有动力进行后续护理.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 心理学 心理学 心理学
背景情况:
- 慢性心力衰竭 (CHF) 与认知障碍有关.
- 了解这种关系对于有效的患者管理至关重要.
研究的目的:
- 为了评估心血管衰竭患者的认知障碍.
- 评估认知功能对治疗坚持和随访的影响.
主要方法:
- 120名住院的CHF患者 (20-79岁) 接受了神经心理测试.
- 评估包括认知功能,精神情绪状态,治疗坚持和生活质量.
- 6个月后,重新评估了患者,将参加随访的患者与没有参加随访的患者进行比较.
主要成果:
- 只有23.3%的人参加了6个月的随访;2.5%的人死亡.
- 认知分数 (MoCA) 显著改善 (p=0.003),其中53.6%显示改善.
- 在随访组中,更好的治疗坚持与更好的认知功能相关.
结论:
- 慢性心血管疾病的认知障碍是复杂的,需要全面的护理方法.
- 较高的治疗遵从性和认知健康感受激励患者遵守医疗建议并参加后续检查.
- 早期识别和管理认知缺陷对于改善CHF患者的治疗结果至关重要.
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