认知功能及心理因素对老年心力衰竭预后的影响

The Influence of Cognitive Function and Psychological Factors on the Prognosis of Heart Failure in the Elderly

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2022, 49(4)
作者
作者单位

平煤神马集团总医院CCU ;

摘要
摘要 目的:探讨认知功能及心理因素对老年慢性心衰预后的影响。方法:选择2018年1月-2020年1月于我院就诊的144例老年慢性心衰患者为研究对象,评估出院时认知功能、焦虑、抑郁障碍,记录美国纽约心脏病学会(NYHA)心功能分级、左心室射血分数(LVEF)、年龄等一般资料,平均随访(25.23±3.54)个月,根据是否出现不良心血管事件设为预后良好组以及预后不良组。根据单因素及多因素分析调查上述资料对老年慢性心衰预后的影响。结果:随访期间144例患者中42例发生不良心血管事件,预后良好组以及预后不良组合并认知功能障碍、合并焦虑障碍、合并抑郁障碍、年龄、LVEF、NYHA分级差异具有统计学意义(P<0.05),两组疾病种类、性别差异无统计学意义(P>0.05);多因素Logistic回归分析显示,合并认知功能障碍、合并焦虑障碍、合并抑郁障碍、年龄>80岁、LVEF<30%、NYHA分级Ⅳ级是老年慢性心衰预后的影响因素。结论:老年慢性心衰易发生不良心血管事件,合并认知功能障碍、焦虑、抑郁以及心脏功能、年龄等是影响患者预后的重要因素。
Abstract
[Abstract] Objective To explore the impact of cognitive function and psychological factors on the prognosis of chronic heart failure in the elderly. Methods A total of 144 elderly patients with chronic heart failure who were treated in our hospital from January 2018 to January 2020 were selected as the research objects. Cognitive function, anxiety, and depression at discharge were assessed. The New York College of Cardiology (NYHA) heart function classification, left ventricular ejection fraction (LVEF), age and other general information were recorded, and the average follow-up was (25.23±3.54) months. According to whether there are adverse cardiovascular events, it is set as a good prognosis group and a poor prognosis group. According to single-factor and multi-factor analysis to investigate the influence of the above data on the prognosis of chronic heart failure in the elderly. Results During the follow-up period, 42 of the 144 patients had adverse cardiovascular events. There were statistically significant differences in the good prognosis group and the combination of poor prognosis with cognitive dysfunction, anxiety disorder, depression, age, LVEF, and NYHA (P<0.05). There was no statistically significant difference in disease type and gender between the two groups (P>0.05). Multivariate logistic regression analysis showed that combined cognitive dysfunction, combined anxiety disorder, combined depressive disorder, age>80 years old, LVEF<30%, NYHA grade IV are the influencing factors for the prognosis of elderly chronic heart failure. Conclusion Elderly chronic heart failure is prone to adverse cardiovascular events, combined with cognitive dysfunction, anxiety, depression, heart function, age and other important factors affecting the prognosis of patients.
关键词
关键词:认知功能;焦虑;抑郁;老年慢性心衰;预后
KeyWord
Key words Cognitive Function; Anxiety; Depression; Chronic Heart Failure in the Elderly; Prognosis
基金项目
页码 656-658
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李媛妮*. 认知功能及心理因素对老年心力衰竭预后的影响 [J]. 国际精神病学杂志. 2022; 49; (4). 656 - 658.

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