在慢性心力衰竭的老年患者中,社会脆弱和轻度认知障碍之间的双向关系:一项两波纵向研究
Jiurui Wang1, Cuicui Xin1, Jian Liu2
1Department of Hepatobiliary Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 Jingshi Road, Jinan 250021, China.
Journal of psychosomatic research
|January 8, 2026
概括
在慢性心力衰竭 (CHF) 的老年患者中,社会虚弱 (SF) 和轻度认知障碍 (MCI) 具有显著的双向关系. 解决SF或MCI可能会对另一个产生积极影响,改善患者的治疗结果.
科学领域:
- 老年学是一门学科.
- 心脏病学 心脏病学
- 神经学 神经学
背景情况:
- 在慢性心力衰竭 (CHF) 的老年人中,社会虚弱 (SF) 和轻度认知障碍 (MCI) 很普遍.
- 在这个人群中,SF和MCI之间的复杂关系仍然不完全理解.
- 了解这种联系对于全面的患者护理至关重要.
研究的目的:
- 研究社会脆弱性和轻度认知障碍之间的双向关系.
- 探索SF对MCI的预测影响,以及老年CHF患者的逆转.
主要方法:
- 招募了288名患有心血管衰竭的老年患者队列,并对其进行了6个月的跟踪.
- 使用了斯皮尔曼相关性和交叉滞后面板分析.
- 统计模型根据潜在的混因素进行了调整.
主要成果:
- 在SF和MCI之间观察到一个显著的双向关系.
- 基线社会脆弱预测了随访时MCI的发展 (影响: -0.578).
- 起初轻度认知障碍预测了随访时SF的发展 (影响: -0.646).
结论:
- 在患有心血管衰竭的老年人中,社会脆弱和轻度认知障碍之间存在显著的相互关系.
- 旨在缓解SF或MCI的干预措施可能产生协同效益.
- 这凸显了在临床实践中同时解决这两种疾病的重要性.
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