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    Effects of cognitive emotion regulation strategies on frailty in elderly patients with comorbidities
    MIAO Yu-fei, QIAN Xiang-yun
    Practical Geriatrics    2023, 37 (8): 839-842.   DOI: 10.3969/j.issn.1003-9198.2023.08.020
    Abstract133)      PDF (1063KB)(4487)      
    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.
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    Practical Geriatrics    2023, 37 (10): 1076-1080.   DOI: 10.3969/j.issn.1003-9198.2023.10.026
    Abstract141)      PDF (999KB)(3968)      
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    Practical Geriatrics    2023, 37 (9): 878-881.   DOI: 10.3969/j.issn.1003-9198.2023.09.004
    Abstract110)      PDF (1042KB)(3337)      
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    Practical Geriatrics    2023, 37 (10): 978-983.   DOI: 10.3969/j.issn.1003-9198.2023.10.002
    Abstract117)      PDF (1157KB)(3184)      
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    Practical Geriatrics    2024, 38 (2): 109-113.   DOI: 10.3969/j.issn.1003-9198.2024.02.001
    Abstract172)      PDF (1278KB)(2792)      
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    Effects of transcranial direct current stimulation combined with motor imagery training on upper limb motor function and cognitive function in patients with hemiplegia after stroke
    REN Sha-sha, CHENG Kai, XU Liang, ZHOU Mo, GAO Ming-xia
    Practical Geriatrics    2023, 37 (5): 449-453.   DOI: 10.3969/j.issn.1003-9198.2023.05.005
    Abstract152)      PDF (1041KB)(2669)      
    Objective To observe the effect of transcranial direct current stimulation(tDCS) combined with motor imagery training(MIT) on upper limb motor function and cognitive function in the patients with hemiplegia after stroke. Methods A total of 84 patients with hemiplegia after stroke were randomly divided into tDCS group, MIT group and combination group, with 28 cases in each group. Before and 4 weeks after treatment, Fugl Meyer assessment for the upper extremity(FMA-UE), Wolf motor function test(WMFT), Mini-Mental State Examination(MMSE), Montreal Cognitive Assessment Scale(MoCA) and modified Barthel Index(MBI) were used to evaluate the effect in the three groups. Results After 4 weeks of treatment, the scores of FMA-UE, WMFT, MMSE, MoCA and MBI in the three groups were significantly improved compared with those before treatment(all P<0.05), especially in the combination group(P<0.05). Conclusions tDCS combined with MIT can significantly improve the motor function of upper limb and cognitive function in the patients with hemiplegia after stroke, and improve the ability of the activities of daily living.
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    Effects of social isolation, sleep quality and their interaction on cognitive function in the elderly
    WU Gen-li, ZHANG Li, ZHAO Ya-xuan
    Practical Geriatrics    2023, 37 (5): 495-499.   DOI: 10.3969/j.issn.1003-9198.2023.05.015
    Abstract129)      PDF (1039KB)(2635)      
    Objective To explore the effect of social isolation, sleep quality and their interaction on cognitive function in the elderly. Methods From October to December 2021, stratified sampling method was used to select 520 elderly people from Bengbu City. Lubben Social Network Scale, Pittsburgh Sleep Quality Index and Montreal Cognitive Assessment-Basic were used to evaluate the social isolation, sleep quality and cognitive function of the elderly, and Logistic regression analysis and interaction analysis were used to analyze the association among them. Results A total of 506 elderly were enrolled in the study finally. Among the 506 elderly, 166(32.8%) presented with social isolation, 138(27.3%) with sleep disorders, and 116(22.9%) with cognitive dysfunction. After adjusting age, education level, living status, marital status, and combined chronic diseases, the results of binary Logistic regression analysis showed that social isolation(OR=3.637, 95%CI:2.174-6.205) and sleep disorder(OR= 3.308, 95%CI:1.970-5.556) were the influencing factors of cognitive dysfunction in the elderly. The results of interaction analysis showed that the risk of cognitive impairment in the elderly with social isolation and sleep disorder was 11.811(95%CI:5.923-23.552) times higher than that in the elderly without social isolation and sleep disorder, with a relative excess risk due to interaction(RERI) of 8.167(95%CI:0.199-16.134), with an attributable proportion of interaction(AP)of 0.640(95%CI:0.379-0.902), with the synergy index(S) of 3.276(95%CI:1.374-7.814). Conclusions Social isolation and sleep quality are the risk factors of cognitive function in the elderly, and their effects on cognitive function have additive interaction.
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    Study on the predictive value of Padua score for venous thromboembolism in elderly inpatients
    GAO Wei-fei, LI Peng, QIAO Zhen, MA Li-na
    Practical Geriatrics    2023, 37 (8): 803-805.   DOI: 10.3969/j.issn.1003-9198.2023.08.012
    Abstract113)      PDF (1045KB)(2229)      
    Objective To assess the predictive value of Padua score for venous thromboembolism(VTE) in the elderly inpatients. Methods A retrospective analysis was performed and 150 elderly inpatients in Department of General Practice of Hangzhou Third People's Hospital from January 2018 to June 2021 were included. All of them underwent CT pulmonary angiography or venous ultrasound of both upper(lower)limbs, and were divided into VTE group and non-VTE group. The baseline data including age, gender, underlying disease, Padua score, D-dimer, mean platelet volume(MPV), albumin were collected and compared between the two groups. Multivariate Logistic regression was used to analyze the risk factors of VTE. Receiver operating characteristic (ROC) curve analysis was carried out to assess the predictive value of Padua score. Results There were statistically significant differences in Padua score, age, hypertension, acute infection, D-dimer, MPV and albumin between the two groups. Multivariate Logistic regression analysis showed that aged ≥85 years old was the independent risk factor for VTE of elderly inpatients. The area under the curve (AUC) of Padua score to predict the incidence of VTE was 0.631, with a cut-off value of 4.5, and the Youden index was 0.36. Conclusions The predictive value of Padua score for VTE in elderly inpatients is limited.
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    Practical Geriatrics    2023, 37 (6): 626-629.   DOI: 10.3969/j.issn.1003-9198.2023.06.022
    Abstract161)      PDF (1101KB)(2175)      
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    Practical Geriatrics    2023, 37 (9): 873-877.   DOI: 10.3969/j.issn.1003-9198.2023.09.003
    Abstract146)      PDF (1107KB)(2063)      
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    Practical Geriatrics    2024, 38 (2): 119-122.   DOI: 10.3969/j.issn.1003-9198.2024.02.003
    Abstract153)      PDF (1125KB)(1997)      
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    Practical Geriatrics    2024, 38 (3): 232-235.   DOI: 10.3969/j.issn.1003-9198.2024.03.005
    Abstract112)      PDF (1157KB)(1924)      
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    Practical Geriatrics    2023, 37 (10): 1041-1043.   DOI: 10.3969/j.issn.1003-9198.2023.10.016
    Abstract92)      PDF (1199KB)(1841)      
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    Practical Geriatrics    2024, 38 (3): 299-303.   DOI: 10.3969/j.issn.1003-9198.2024.03.021
    Abstract88)      PDF (1073KB)(1728)      
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    Practical Geriatrics    2023, 37 (9): 886-889.   DOI: 10.3969/j.issn.1003-9198.2023.09.006
    Abstract105)      PDF (1076KB)(1653)      
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    Practical Geriatrics    2023, 37 (9): 869-872.   DOI: 10.3969/j.issn.1003-9198.2023.09.002
    Abstract179)      PDF (1159KB)(1629)      
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    Practical Geriatrics    2023, 37 (9): 882-885.   DOI: 10.3969/j.issn.1003-9198.2023.09.005
    Abstract118)      PDF (1059KB)(1578)      
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    Practical Geriatrics    2023, 37 (10): 1056-1058.   DOI: 10.3969/j.issn.1003-9198.2023.10.021
    Abstract84)      PDF (971KB)(1576)      
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    Practical Geriatrics    2024, 38 (2): 193-197.   DOI: 10.3969/j.issn.1003-9198.2024.02.021
    Abstract107)      PDF (1061KB)(1551)      
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    Practical Geriatrics    2023, 37 (9): 956-959.   DOI: 10.3969/j.issn.1003-9198.2023.09.022
    Abstract69)      PDF (1030KB)(1542)      
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    Practical Geriatrics    2023, 37 (7): 728-731.   DOI: 10.3969/j.issn.1003-9198.2023.07.019
    Abstract100)      PDF (1022KB)(1482)      
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    Practical Geriatrics    2023, 37 (5): 528-531.   DOI: 10.3969/j.issn.1003-9198.2023.05.023
    Abstract99)      PDF (1008KB)(1470)      
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    Practical Geriatrics    2023, 37 (5): 524-527.   DOI: 10.3969/j.issn.1003-9198.2023.05.022
    Abstract125)      PDF (1001KB)(1446)      
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    Practical Geriatrics    2023, 37 (6): 544-547.   DOI: 10.3969/j.issn.1003-9198.2023.06.002
    Abstract124)      PDF (1145KB)(1439)      
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    Practical Geriatrics    2024, 38 (3): 223-227.   DOI: 10.3969/j.issn.1003-9198.2024.03.003
    Abstract121)      PDF (1187KB)(1420)      
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    Practical Geriatrics    2023, 37 (10): 984-988.   DOI: 10.3969/j.issn.1003-9198.2023.10.003
    Abstract100)      PDF (1204KB)(1414)      
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    Clinical study on the effects of modified Wuqinxi in improving respiratory function in elderly patients with stroke
    BAO Ying-ying, ZHUANG Yong-mei, CHE Pei, JI Ying-ying, CHEN Lan,XIAO Yue, LU Jun, ZHAO Ruo-xin, XU Guang-xu
    Practical Geriatrics    2023, 37 (5): 444-448.   DOI: 10.3969/j.issn.1003-9198.2023.05.004
    Abstract168)      PDF (1043KB)(1380)      
    Objective To investigate the effects of modified Wuqinxi on the respiratory function in the elderly patients with stroke. Methods A total of 40 in-hospital elderly patients with stroke from June 2021 to June 2022 were enrolled in this study. They were divided into the experimental group and the control group randomly.The patients in the control group(n=20) received routine rehabilitation training,and the patients in the experimental group(n=20) received modified Wuqinxi training based on routine rehabilitation training. Before and after the intervention, forced expiratory volume in the first second(FEV1), forced vital capacity(FVC)and peak expiratory flow(PEF) were used to assess the pulmonary ventilation performance.The peak inspiratory flow(PIF) and maximum inspiratory pressure(MIP) were used to assess the inspiratory muscle function.Diaphragmatic excursion(DE) and diaphragmatic thickening fraction(DTF) detected by diaphragmatic ultrasound were used to evaluate the diaphragmatic function. Results No statistical difference was found between the two groups in the levels of FEV1, FVC, PEF, PIF, MIP, DE and DTF before the intervention(P>0.05). After the intervention, the levels of FEV1, FVC, PEF, PIF, MIP, DE and DTF in the experimental group were significantly higher than those before the intervention(P<0.05), which were also significantly higher than those in the control group except DTF(P<0.05). Conclusions The modified Wuqinxi training promotes the respiratory function in the elderly patients with stroke by improving the pulmonary ventilation function, inspiratory muscle function and diaphragm mobility.
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    Practical Geriatrics    2023, 37 (9): 865-868.   DOI: 10.3969/j.issn.1003-9198.2023.09.001
    Abstract142)      PDF (1064KB)(1371)      
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    Practical Geriatrics    2023, 37 (6): 649-652.   DOI: 10.3969/j.issn.1003-9198.2023.06.028
    Abstract200)      PDF (407KB)(1343)      
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    Practical Geriatrics    2023, 37 (10): 973-977.   DOI: 10.3969/j.issn.1003-9198.2023.10.001
    Abstract204)      PDF (1201KB)(1313)      
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