夜间睡眠时间与社会隔离对老年慢性心力衰竭患者认知衰弱的影响研究

doi:10.3969/j.issn.1003-9198.2026.04.010

摘要/Abstract

摘要： 目的探讨夜间睡眠时间与社会隔离对老年CHF患者认知衰弱的影响。方法采用一般资料调查表、夜间睡眠时间评估、Lubben社会网络量表-6、衰弱量表、MoCA量表、临床痴呆评定量表对2024年1月至2025年1月南京市第一医院收住的302例老年CHF患者进行调查。使用LASSO回归筛选变量,采用logistic 回归分析夜间睡眠时间、社会隔离与认知衰弱的关系。结果本研究中145例(48.0%)老年CHF患者存在认知衰弱。多因素logistic回归分析显示,调整混杂因素后,睡眠时间＞8 h的患者认知衰弱发生风险是6～8 h患者的3.606倍(P＜0.05);存在社会隔离情况的患者认知衰弱发生风险是无社会隔离患者的3.360倍(P＜0.05)。结论睡眠时间延长(＞8 h)与社会隔离均会增加老年CHF患者认知衰弱的发生风险。

关键词: 心力衰竭, 老年人, 认知衰弱, 睡眠时间, 社会隔离

Abstract: Objective To explore the influence of sleep duration and social isolation on cognitive frailty in elderly patients with chronic heart failure(CHF). Methods From January 2024 to January 2025, a total of 302 elderly patients with CHF in Nanjing First Hospital were investigated by the general information questionnaire, sleep duration assessment, Lubben Social Network Scale-6, Frailty scale, Montreal Cognitive Assessment scale, and Clinical Dementia Rating scale. LASSO regression was used to screen variables and logistic regression was used to analyze the relationship of sleep duration,social isolation with cognitive frailty. Results There were 145(48.0%) elderly CHF patients presenting with cognitive impairment. Multivariable logistic regression analysis showed that after adjusting for confounding factors, the risk of cognitive frailty in patients with sleep duration >8 hours was 3.606 times higher than that in patients with sleep time of 6 to 8 hours (P<0.05). The risk of cognitive frailty in patients with social isolation was 3.360 times higher than that in patients without social isolation (P<0.05). Conclusions Prolonged sleep duration (>8 hours) and social isolation both increase the risk of cognitive frailty in elderly patients with CHF.

Key words: heart failure, aged, cognitive frailty, sleep duration, social isolation

中图分类号:

徐忠梅, 刘芳, 常芸, 郑雪梅, 商淑华. 夜间睡眠时间与社会隔离对老年慢性心力衰竭患者认知衰弱的影响研究[J]. 实用老年医学, 2026, 40(4): 377-381.

XU Zhongmei, LIU Fang, CHANG Yun, ZHENG Xuemei, SHANG Shuhua. Influence of sleep duration and social isolation on cognitive frailty in elderly patients with chronic heart failure[J]. Practical Geriatrics, 2026, 40(4): 377-381.

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