痴呆病人感染新型冠状病毒后的老年综合评估现状和应对策略

doi:10.3969/j.issn.1003-9198.2023.12.001

Abstract

Abstract: Objective To analyze the results of comprehensive geriatric assessment (CGA) of the patients with dementia complicated with COVID-19, and to provide reference for the nursing strategies for the patients with dementia combined with COVID-19. Methods A total of 249 patients with dementia (aged≥60 years) who were admitted to the Center for Diagnosis of Cognitive Disorders of Beijing Geriatric Hospital from December 2022 to February 2023 were enrolled in this retrospective study. The patients diagnosed with COVID-19 at admission or during hospitalization were enrolled as the study group (n=124), and the others were enrolled as the control group (n=125). The results of CGA and relevant data of the patients were statistically analyzed. Results There were statistically significant differences in the scores of cognitive function, activity of daily living, falls and pressure sore between the study group and the control group during the COVID-19 pandemic (all P<0.05). At discharge, the status of cognitive function, activity of daily living, falls, pressure sore and urinary incontinence in both groups were all improved significantly (all P<0.05). Conclusions The cognitive function and activity of daily living are declining, and the risk of falls and pressure sores is increasing in the patients with dementia due to COVID-19. Based on this finding, it is recommended to develop the strategies of nutritional intervention, caregiver education and “long COVID-19” management, and to improve the quality of life of patients with dementia combined with COVID-19.

Key words: aged, dementia, COVID-19, nursing strategy

CLC Number:

R 473.74

MA Zong-juan, LUO Chang-chun, DENG Bao-feng, WANG Hui-min, HU Yue-qing. Comprehensive geriatric assessment status and coping strategies for patients with dementia complicated with COVID-19[J]. Practical Geriatrics, 2023, 37(12): 1189-1192.

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Comprehensive geriatric assessment status and coping strategies for patients with dementia complicated with COVID-19

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