中国上海养老院老年人心肺功能、健康相关生活质量与认知障碍的相关性。
Association between cardiopulmonary function, health-related quality of life and cognitive impairment among the older nursing home residents in Shanghai, China.
机构信息
Clinical Center for Intelligent Rehabilitation Research, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Tongji University School of Medicine, Tongji University, Shanghai201613, China.
Institute of Clinical Epidemiology and Evidence-based medicine, Tongji University School of Medicine, Shanghai200092, China.
出版信息
Prim Health Care Res Dev. 2023 Mar 15;24:e18. doi: 10.1017/S1463423623000075.
BACKGROUND
This study aimed to examine the association between cardiopulmonary function, health-related quality of life (HRQOL) and cognitive function among nursing home residents aged 80 years and over.
METHODS
A nursing home-based, cross-sectional study was implemented among 677 aged over 80 years in Shanghai, China. A total of 197 participants underwent effective cardiopulmonary function examinations. Mini-Mental Status Examination (MMSE) and Short Form-36 scales (SF-36) were used to assess cognitive function and HRQOL, respectively.
RESULTS
Decline in left ventricular ejection fractions (LVEF) [adjusted odds ratio (AOR), 1.98; 95% confidential interval (CI), 1.03-3.81)] and vital capacity (VC) (AOR, 2.08; 95%CI, 1.07-4.04) was associated with cognitive impairment. After adjusting confounding factors, relationships between cognitive function and physical functioning (PF) (AOR, 0.98; 95%CI, 0.97-0.99) still existed.
CONCLUSIONS
Healthcare professionals should pay more attention to cardiopulmonary health and HRQOL in the nursing home residents. Actions of public health strategies focus on the improvement of cardiopulmonary function, and PF among older nursing home residents with cognitive impairment is required.
背景
本研究旨在探讨 80 岁及以上养老院居民的心肺功能、健康相关生活质量（HRQOL）和认知功能之间的关系。
方法
在中国上海的一家养老院进行了一项基于养老院的横断面研究，共纳入 677 名 80 岁以上的老年人。共有 197 名参与者接受了有效的心肺功能检查。使用简易精神状态检查（MMSE）和 36 项简短健康调查问卷（SF-36）分别评估认知功能和 HRQOL。
结果
左心室射血分数（LVEF）下降（调整后的优势比（AOR），1.98；95%置信区间（CI），1.03-3.81）和肺活量（VC）下降（AOR，2.08；95%CI，1.07-4.04）与认知障碍有关。在调整混杂因素后，认知功能与生理功能（PF）之间仍然存在关系（AOR，0.98；95%CI，0.97-0.99）。
结论
医疗保健专业人员应更加关注养老院居民的心肺健康和 HRQOL。公共卫生策略应关注改善心肺功能，提高认知障碍老年养老院居民的 PF。
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