社区老年H型高血压患者认知障碍发生情况及其影响因素分析OA

Objective To explore the incidence of cognition disorders in community elderly patients with H-type hypertension and its influencing factors based on the health ecology model(HEM).Methods A cluster random sampling method was used to select elderly patients with H-type hypertension who registered in Beihunanmian Community Health Service Center,Maoqiao Community Health Service Center,Mingxiudong Community Health Service Center and Binzhou Community Health Service Center of Nanning city in 2025 as the study subjects.Variables were selected based on the HEM framework,which included the individual innate characteristics layer,psychological and behavioral layer,family and social network layer,living and working environment layer,and policy environment layer.The patients were divided into the cognition disorders group and the non-cognition disorders group according to the occurrence of cognition disorders.Multivariate Logistic regression analysis was employed to investigate the influencing factors of cognition disorders in community elderly patients with H-type hypertension.Results A total of 503 questionnaires were distributed,and 486 valid questionnaires were recovered,with an effective recovery rate of 96.6％.Among the 486 patients,213(43.8％)developed cognition disorders.There were statistically significant differences in gender,age,ethnicity,anxiety level,loneliness degree,exercise frequency,smoking/drinking,marital status,living arrangement,family function,proportion of patients who undergo regular health check-up,per capita monthly income,educational level,and proportion of patients who had signed family doctor contract between the two groups(P<0.05).The results of multivariate Logistic regression analysis showed that female,Zhuang and other ethnic minorities,severe/extreme loneliness,current smoking/drinking,divorce,severe family dysfunction,no regular health check-ups,and no family doctor contract were risk factors for cognition disorders in community elderly patients with H-type hypertension,per capita monthly income of 5 000-8 000 yuan,per capita monthly income>8 000 yuan,primary school education,and junior college education or above were its protective factors(P<0.05).Conclusion The incidence of cognition disorders in community elderly patients with H-type hypertension is 43.8％.Based on HEM analysis,female,Zhuang and other ethnic minorities,severe/extreme loneliness,current smoking/drinking,divorce,severe family dysfunction,no regular health check-ups,and no family doctor contract are risk factors for cognition disorders in community elderly patients with H-type hypertension,per capita monthly income of 5 000-8 000 yuan,per capita monthly income>8 000 yuan,primary school education,and junior college education or above are its protective factors.