Study on risk prediction and intervention coping of mild cognitive impairment in patients with hypertension
Notice bibliographique
Résumé
Background While the ageing population is increasing, diseases such as senile dementia and hypertension have gradually become important health risks for the elderly. The existing research shows that long-term hypertension will affect the structure and function of cerebral vessels, leading to the decline of cerebrovascular compliance, vascular deformation, cerebral blood flow reduction and other problems. The occurrence of these conditions will lead to the decline of the brain’s self-regulation ability, which will lead to cognitive decline and dementia. The study will analyze the risk factors of mild cognitive impairment (MCI) in hypertensive patients, and determine the regulatory role between adaptation and cognitive function in the treatment of hypertensive patients. Subjects and Methods In this study, 180 hypertensive patients were investigated to analyze their cognitive factors and functional status. The investigation was completed by the Montreal Cognitive Assessment (MoCA). After the investigation, SPSS 25.0 software was used to analyze the data and screen the independent risk factors of mild cognitive impairment. The experimental results are shown in Table 1. Table 1. Each dimension score of MoCA scale for hypertensive patients Test items MCI(n=124) Normal cognitive function (n=58) z P Performing 3(1) 5(1) -8.29 <0.001 Naming 2(2) 3(0) -6.57 <0.001 Attention 6(2) 6(0) -5.73 <0.001 Speech 2(1) 3(0) -6.39 <0.001 Abstract 0(1) 1.5(1) -8.25 <0.001 Recall 2(2) 4(2) -9.02 <0.001 Directional 6(0) 6(0) -3.41 0.001 Total score 21(6) 28(2) -10.87 <0.001 Results As shown in Table 1, 124 of 180 hypertensive patients developed MCI, with a prevalence rate of 68.9%. It can be seen from the table that the total score and scores of each dimension in the MCI group were significantly lower than those in the normal cognitive function group ( P < 0.05), with the largest difference being delayed recall and executive function. Conclusions In this study, the research center was placed at risk of mild cognitive impairment in hypertensive patients. Through the MoCA scale investigation experiment, it was found that 124 of 180 hypertensive patients had a lower cognitive function in all dimensions than normal. The experiment shows that the problems such as micro hemorrhage caused by hypertension and the increase of cerebrovascular events affect the cognitive function of the elderly, which is obviously reflected in memory and executive ability. Acknowledgements The research is supported by: The Study of the Effect of Health Education Based on Teach-back and PRECEDE Model on Elderly Hypertensive Patients in the Community, supported by Fundamental Research Funds for Universities of Inner Mongolia Autonomous Region; The Construction of Human Care Training Courses for Nursing Students Based on Health Care of Elderly Patients with Chronic Diseases, supported by Higher Education Teaching Reform Project of National Ethnic Affairs Commission, 2021 (No.21083); An Exploration of the Ideological and Political Construction in Human Care Training Courses of Higher Education for Nursing Students in the New Era, supported by a grant from the Education and Science Project of Inner Mongolia Autonomous Region during the 14th Five-Year Plan Period, 2021 (No.NGJGH2021145).
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».