Cognitive function and self-care management in older patients with heart failure
Cognitive function and self-care management in older patients with heart failure
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DOI：
10.1177/1474515113492603
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发表时间：
2014-06-01
影响因子：
2.9
通讯作者：
McKelvie, Robert S.
中科院分区：
文献类型：
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作者：
Harkness, Karen;Heckman, George A.;McKelvie, Robert S.
目的：心力衰竭患者在自我护理管理方面有困难。我们不知道心力衰竭患者是否由于潜在的轻度认知障碍(MCI)而在自我护理管理方面存在困难。这项研究的目的是确定一个简单的筛查工具确定的MCI是否与社区居住的老年心力衰竭患者的自我护理管理显著相关。方法和结果：采用横断面设计，在心力衰竭门诊就诊的心力衰竭患者(n=100，平均年龄72 SD 10岁)完成蒙特利尔认知评估工具(MoCA)、心力衰竭自我护理指数(SCHFI)和老年抑郁量表。在SCHFI的自我护理管理子量表上，存在轻度认知障碍的患者在自我护理管理方面得分显著降低(分别为48.1SD24和59.3SD22，p=0.035)。经回归分析，在控制年龄和性别的情况下，最终模型适用于自我护理管理，且具有显著意义(F=7.04 dF(3，96)，p
Aims: People with heart failure have difficulty with self-care management. We do not know if patients with heart failure have difficulty with self-care management due to underlying, mild cognitive impairment (MCI). The purpose of this study was to determine whether MCI, as identified on a simple screening tool, is significantly associated with self-care management in a sample of community dwelling older patients with heart failure. Methods and results: Using a cross-sectional design, heart failure patients (n=100, mean age 72 SD 10 years) attending an outpatient heart failure clinic completed the Montreal Cognitive Assessment tool (MoCA), Self-Care in Heart Failure Index (SCHFI) and Geriatric Depression Scale. The presence of MCI, as defined by a MoCA score = 26 scored significantly lower on the self-care management subscale of the SCHFI (48.1 SD 24 vs. 59.3 SD 22 respectively, p=0.035). Using backward regression, the final model was fitted to self-care management while controlling for age and sex and was significant, with (F= 7.04 df (3, 96), and p