认知情绪调节策略对老年共病病人衰弱的影响

doi:10.3969/j.issn.1003-9198.2023.08.020

Abstract

Abstract: Objective To explore the cognitive emotion regulation strategies adopted by the elderly patients with comorbidities in response to events and its relationship with frailty. Methods From May to December 2021, the convenience sampling method was used to select 300 elderly patients with comorbidities in Nantong Third People's Hospital as the research subjects. Questionnaires conducted using the patient general information questionnaire,Chinese version of Tilburg Frailty Assessment Scale, and Chinese version of Cognitive Emotion Regulation Questionnaire(CERQ-C). The incidence rate of frailty and the relationship of cognitive emotion regulation strategy with frailty were analyzed. Results The incidence rate of frailty in the elderly patients with comorbidities was 57.0%(171/300). There were significant differences in age, residence status, marital status, recent memory, smoking, drinking and cognitive emotional regulation between the frailty group and the non-frailty group. Binary Logistic regression analysis showed that aged, recent memory decline and non-adaptive cognitive emotional regulation were risk factors for frailty, while adaptive cognitive emotion regulation, refocus planning and drinking were protective factors. Conclusions The prevelence of frailty in elderly patients with comorbidities is high. Elderly patients with comorbidities tend to adopt non-adaptive cognitive emotion regulation strategies in response to negative life events. Cognitive emotional regulation strategies, age, recent memory and drinking can affect frailty.

Key words: aged, comorbidity, cognitive emotion regulation strategy, frailty

CLC Number:

R 592

MIAO Yu-fei, QIAN Xiang-yun. Effects of cognitive emotion regulation strategies on frailty in elderly patients with comorbidities[J]. Practical Geriatrics, 2023, 37(8): 839-842.

References

[1] PIVETTA N, MARINCOLO J, NERI A L, et al. Multimorbidity, frailty and functional disability in octogenarians: A structural equation analysis of relationship[J]. Arch Gerontol Geriatr, 2020, 86:103931.
[2] 杨月波, 王瑜, 张玉芳, 等. 认知情绪调节方式在听神经瘤切除术后患者心理灵活性和创伤后成长之间的中介效应[J]. 解放军护理杂志, 2022, 39(4):18-21.
[3] 黄大庆. 大学生认知情绪调节策略特征及其教育启示[J]. 中华流行病学杂志, 2020, 41(7):1151-1154.
[4] KANE N S, HOOGENDOORN C J, TANENBAUM M L, et al. Physical symptom complaints, cognitive emotion regulation strategies, self-compassion and diabetes distress among adults with type 2 diabetes[J]. Diabet Med, 2018, 35(12):1671-1677.
[5] RODAS J A, JARA-RIZZO M F, GREENE C M, et al. Cognitive emotion regulation strategies and psychological distress during lockdown due to COVID-19[J]. Int J Psychol, 2022, 57(3):315-324.
[6] LIU J, SUBRAMANIAM M, CHONG S A, et al. Maladaptive cognitive emotion regulation strategies and positive symptoms in schizophrenia spectrum disorders: the mediating role of global emotion dysregulation[J]. Clin Psychol Psychother, 2020, 27(6):826-836.
[7] 中国老年保健医学研究会老龄健康服务与标准化分会, 杂志编辑委员会中国老年保健医学. 居家(养护)老年人共病综合评估和防控专家共识[J]. 中国老年保健医学, 2018, 16(3):28-31.
[8] 李菲, 刘慧松, 查龙肖, 等. 中文版老年人衰弱评估量表的修订和信效度评价[J]. 护理学杂志, 2017, 32(7):18-20.
[9] 朱熊兆, 罗伏生, 姚树桥, 等. 认知情绪调节问卷中文版(CERQ-C)的信效度研究[J]. 中国临床心理学杂志, 2007, 15(2):121-124, 131.
[10] 许丽娟, 张丽虹, 叶丽娜, 等. 社区老年衰弱危险因素及风险预测模型构建[J]. 中国老年学杂志, 2021, 41(1):170-173.
[11] SIRIWARDHANA D D, HARDOON S, RAIT G, et al. Prevalence of frailty and prefrailty among community-dwelling older adults in low-income and middle-income countries: a systematic review and meta-analysis[J]. BMJ Open, 2018, 8(3):e18195.
[12] DÜZGÜN G, ÜSTUNDAĞ S, KARADAKOVAN A. Assessment of frailty in the elderly[J]. Florence Nightingale J Nurs, 2021, 29(1):2-8.
[13] BAMONTI P M, SMITH A, SMITH H M. Cognitive emotion regulation strategies predict burnout in geriatric nursing staff[J]. Clin Gerontol, 2022, 45(5):1236-1244.
[14] 王荣娜, 高骥, 郑晓燕, 等. 消极认知情绪调节在头颈癌患者疾病不确定感与吞咽困难间的中介作用[J]. 护理学杂志, 2022, 37(2):78-80.
[15] 程梦吟, 张瑞星, 常明钰, 等. 冠心病患者的认知性情绪调节策略和D型人格行为[J]. 中国心理卫生杂志, 2020, 34(7):584-588.
[16] GOMEZ-GOMEZ M E, ZAPICO S C. Frailty, cognitive decline, neurodegenerative diseases and nutrition interventions[J]. Int J Mol Sci, 2019, 20(11):2842.
[17] GUIMOND A J, IVERS H, SAVARD J. Is emotion regulation associated with cancer-related psychological symptoms?[J]. Psychol Health, 2019, 34(1):44-63.
[18] NEVALAINEN T, AUTIO A, KUMMOLA L, et al. CD27- igd- B cell memory subset associates with inflammation and frailty in elderly individuals but only in males[J]. Immun Ageing, 2019,16:19.
[19] SHAH M, PAULSON D, NGUYEN V. Alcohol use and frailty risk among older adults over 12 years: the health and retirement study[J]. Clin Gerontol, 2018, 41(4):315-325.
[20] KOJIMA G, JIVRAJ S, ILIFFE S, et al. Alcohol consumption and risk of incident frailty: The English Longitudinal Study of Aging[J]. J Am Med Dir Assoc, 2019, 20(6):725-729.

Effects of cognitive emotion regulation strategies on frailty in elderly patients with comorbidities

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