老年糖尿病住院患者认知衰弱现状及影响因素分析OA

Objective To investigate the current cognitive frailty and its influencing factors in elderly inpatients with diabetes mellitus,aiming to provide a reference for preventing cognitive frailty and developing effective clinical interventions.Methods A total of 564 elderly diabetes mellitus patients hospitalized at Zhejiang Provincial People's Hospital from December 2023 to November 2024 were selected by convenience sampling.Fried's Frailty Phenotype(FP),Mini-Mental State Examination(MMSE)and Clinical Dementia Rating(CDR)were used to investigate the incidence of cognitive frailty and its influencing factors.Results Cognitive frailty was present in 92 patients,with an incidence of 16.3%.Multivariate logistic regression analysis revealed that sex,age,body mass index(BMI),nutritional status and diverse intellectual activities were influencing factors for the occurrence of cognitive frailty in elderly inpatients with diabetes mellitus(P<0.05 for all).Conclusion Elderly inpatients with diabetes mellitus are prone to cognitive frailty.Sex(female),advanced age(≥70 years),high BMI(24.0-27.9 kg/m²)and malnutrition are high-risk factors,while diverse intellectual activities are protective factors.Nurses should strengthen early interventions for high-risk populations to improve their quality of life and reduce the incidence of cognitive frailty.