Practical Geriatrics

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Epidemiological characteristics of chronic respiratory diseases in the elderly

LI Xiang, LI Xuan, TIAN Yingxuan

Practical Geriatrics 2025, 39 (3): 217-222. DOI: 10.3969/j.issn.1003-9198.2025.03.001

Abstract （60）

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Chronic respiratory diseases impose a heavy burden on the elderly, which significantly influence their quality of life. This article reviews the epidemiological characteristics and risk factors of some common chronic respiratory diseases, including chronic airway inflammation, lung cancer, idiopathic pulmonary fibrosis and tuberculosis, aiming to provide insights for clinical prevention and treatment of chronic respiratory diseases in the elderly.

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Clinical effect and influencing factors of intravenous thrombolysis with ateplase in patients with acute cerebral infarction aged 80 years and over

LI Yin-zhen, ZHANG Jing-wen, ZHENG Yong-qiang

Practical Geriatrics 2021, 35 (5): 463-466. DOI: 10.3969/j.issn.1003-9198.2021.05.008

Abstract （267）

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Objective To investigate the clinical efficacy, safety and influencing factors of intravenous thrombolysis with ateplase (rt-PA) in the elderly patients with acute cerebral infarction. Methods A total of 117 patients with acute cerebral infarction with onset time less than 4.5 hours admitted to our hospital from January 2017 to October 2020 were retrospectively analyzed, including 81 males and 36 females. According to age, 83 patients were assigned in control group (＜80 years old) and 34 patients in observation group(≥80 years old). All patients of the two groups were given intravenous thrombolysis with 0.9 mg/kg rt-PA. The acute efficacy [improvement of National Institute of Health stroke scale (NIHSS) score within 14 days], short-term efficacy (Modified Rankin Scale score within 90 days) and safety of rt-PA in the two groups were compared. The influencing factors for the prognosis of intravenous thrombolysis were analyzed by multiple Logistic regression. Results There were no significant differences in curative effect, the incidence rate of complications induced by thrombolysis and mortality after thrombolytic therapy between the two groups (P>0.05). The incidence rate of complications not induced by thrombolysis in observation group was higher than that in control group (20.59% vs 6.02%, P=0.018). Based on multiple Logistic regression analysis, NIHSS score before thrombolysis and complications not inducecd by thrombolysis were independent risk factors for the clinical outcome of intravenous thrombolysis after 90 days. Conclusions Using rt-PA in the thrombolytic time window of the elderly patients with acute cerebral infarction is safe and effective. The score of NIHSS before thrombolysis and complications not induced by thrombolysis shows effects on the prognosis of the patients with acute cerebral infarction aged 80 years old and over.

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Practical Geriatrics 2024, 38 (1): 72-76. DOI: 10.3969/j.issn.1003-9198.2024.01.017

Abstract （121）

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Practical Geriatrics 2024, 38 (2): 109-113. DOI: 10.3969/j.issn.1003-9198.2024.02.001

Abstract （172）

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Practical Geriatrics 2024, 38 (4): 325-329. DOI: 10.3969/j.issn.1003-9198.2024.04.001

Abstract （111）

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Cognitive frailty and its influencing factors in hospitalized elderly patients with hypertension

YAN Jing, CHEN Xin-tao, MO Dong-ni, WU Zhu-jie, MA Li, HUANG Li-ting, LIU Ying

Practical Geriatrics 2021, 35 (7): 727-730. DOI: 10.3969/j.issn.1003-9198.2021.07.016

Abstract （462）

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Objective To investigate the prevalence of cognitive frailty and its influencing factors and to provide evidence for early evaluation and intervention of cognitive frailty in the elderly patients with hypertension. Methods The clinical data of 106 elderly patients with hypertension hospitalized in our hospital from January to October 2019 were enrolled. Fried standard was used to evaluate the state of frailty, and Mini-Mental State Examination scale (MMSE) was used to evaluate the cognitive status of patients. The patients with frailty and cognitive impairment were defined as cognitive frailty. A total of 106 hospitalized elderly patients with hypertension were divided into cognitive frailty group (n=26) and non-cognitive frailty group (n=80).The general demographic data, geriatric syndrome and chronic disease history of the two groups were observed and analyzed. Multivariate Logistic regression was used to analyze the independent related factors of cognitive frailty. Results The incidence of hypertension complicated with cognitive frailty in the elderly was 24.5%. The age in the cognitive frailty group was older and the third grade of hypertension was more common than that in the non-cognitive frailty group (P<0.01). The ratio of malnutrition or the risk of malnutrition, falls, chronic pain, multiple drugs, coronary heart disease, type 2 diabetes and chronic kidney disease in the cognitive frailty group were significantly higher than those in the non-cognitive frailty group (P<0.05). Multivariate Logistic regression analysis showed that the age(OR=7.828,95%CI:1.558-39.321), malnutrition or the risk of malnutrition (OR=20.364,95%CI:3.724-111.346)and chronic kidney disease (OR=5.699,95%CI:1.172-27.716)were the independent risk factors of cognitive frailty in the elderly patients with hypertension (all P<0.05). Conclusions The incidence of cognitive frailty in the elderly patients with hypertension is higher. Age, malnutrition or the risk of malnutrition and chronic kidney disease are the independent related factors of cognitive frailty in the elderly patients with hypertension.

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Practical Geriatrics 2023, 37 (10): 978-983. DOI: 10.3969/j.issn.1003-9198.2023.10.002

Abstract （117）

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Practical Geriatrics 2024, 38 (3): 232-235. DOI: 10.3969/j.issn.1003-9198.2024.03.005

Abstract （112）

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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

Abstract （129）

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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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Practical Geriatrics 2024, 38 (3): 299-303. DOI: 10.3969/j.issn.1003-9198.2024.03.021

Abstract （88）

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Practical Geriatrics 2024, 38 (2): 119-122. DOI: 10.3969/j.issn.1003-9198.2024.02.003

Abstract （153）

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Analysis of current situation and influencing factors of activities of daily living in the elderly with decreased subjective cognition in community

YANG Cunmei, HU Yixin, LIU Cuie, MA Hongying, YAN Jin, XU Qiuli, XING Dan, ZHANG Tianyi

Practical Geriatrics 2024, 38 (11): 1110-1115. DOI: 10.3969/j.issn.1003-9198.2024.11.007

Abstract （51）

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Objective To investigate the activities of daily living (ADL) of the community elderly with subjective cognitive decline (SCD) and to analyze the influencing factors. Methods Convenient sampling method was used to enroll a total of 459 elderly people in a community in Beijing from January 2019 to January 2022 in this study. The patients’ demographic data, anxiety and depression status, lifestyle, exercise style, nutrition, disease history and medication history were collected by self-designed questionnaire; And barthel index rating scale was used to evaluate the level of basic activities of daily living (BADL), Lawton instrumental activities of daily living (IADL) scale was used to evaluate the level of IADL. Univariate analysis and multivariate Logistic regression analysis were used to explore the influencing factors of ADL. Results A total of 209 cases (45.5%) presented with dependence on BADL, with a higher frequency of functional decline in ascending and descending stairs and urination; 256 cases (55.8%) presented with dependence on IADL; The frequency of functional decline is higher when going out, shopping and taking medication. Logistic regression analysis showed that age, decreased vision, BMI and physical activity time were the independent influencing factors of BADL dependence; Gender, hearing loss, anxiety, alcohol consumption, and nutrition were independent influencing factors of IADL dependence (P<0.05). Conclusions The incidence of ADL dependence in the elderly with SCD in community is high, but the degree is light; Community healthcare workers should focus on the elderly people being elderly, male, obesity, anxious, having decreased vision and hearing, having low physical activity, drinking alcohol, and having a risk of malnutrition, and should assist the elderly in establishing a healthy lifestyle to improve or delay their cognitive impairment.

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Practical Geriatrics 2023, 37 (9): 873-877. DOI: 10.3969/j.issn.1003-9198.2023.09.003

Abstract （146）

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Practical Geriatrics 2023, 37 (10): 1076-1080. DOI: 10.3969/j.issn.1003-9198.2023.10.026

Abstract （141）

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Practical Geriatrics 2010, 24 (1): 13-.

Abstract （873）

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Practical Geriatrics 2023, 37 (10): 1041-1043. DOI: 10.3969/j.issn.1003-9198.2023.10.016

Abstract （92）

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Practical Geriatrics 2024, 38 (8): 851-856. DOI: 10.3969/j.issn.1003-9198.2024.08.022

Abstract （86）

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Analysis of the current situation and influencing factors of demoralization syndrome in elderly patients with chronic heart failure

GAO Wenjun, SUN Qing, LIU Mengtan, ZHOU Dan

Practical Geriatrics 2024, 38 (11): 1105-1109. DOI: 10.3969/j.issn.1003-9198.2024.11.006

Abstract （68）

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Objective To investigate the current situation of demoralization syndrome in the elderly patients with chronic heart failure (CHF) and to analyze the influencing factors. Methods Convenience sampling method was used to enroll the elderly patients with CHF admitted to Changhai Hospital from June 2022 to June 2023 in this study. The patients were surveyed using a general information questionnaire, Chinese version of the Demoralization Scale-Ⅱ, Heart Failure Somatic Perception Scale (HFSPS), Fear of Progression Questionnaire-Short Form (FoP-Q-SF), International Physical Activity Questionnaire (IPAQ) and Perceived Social Support Scale (PSSS). Multiple linear regression was used to analyze the influencing factors of demoralization syndrome. Results The score of Demoralization Scale-Ⅱ in 245 elderly patients with CHF was 16.55±4.76, which was at a medium level. Pearson correlation analysis showed that demoralization syndrome was positively correlated with body perception, fear of disease progression and sedentary behavior (r=0.475, 0.440, 0.499, respectively), and negatively correlated with social support (r=-0.491). Multiple linear regression analysis showed that per capita monthly household income, disease duration, physical perception, fear of disease progression, sedentary behavior, and social support were independent influencing factors (P<0.05) for demoralization syndrome in the elderly patients with CHF, and could jointly explain 45.9% of the variation in demoralization syndrome. Conclusions The level of demoralization syndrome in the elderly patients with CHF is at a medium level. Low income, long course of disease, strong physical perception, high fear of disease progression and sedentary lifestyle were risk factors for the demoralization syndrome of patients with CHF, while social support is a protective factor.

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XU Qian, LI Qian-Qian, DAN An-Xia, LIU Cun-Zhi

Practical Geriatrics 2015, 29 (6): 511-.

Abstract （162）

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Practical Geriatrics 2019, 33 (10): 946-.

Abstract （235）

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Practical Geriatrics 2024, 38 (3): 223-227. DOI: 10.3969/j.issn.1003-9198.2024.03.003

Abstract （121）

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LV Li-Wei

Practical Geriatrics 2010, 24 (3): 181-.

Abstract （1062）

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XIE Xiang-Ming

Practical Geriatrics 2015, 29 (6): 452-.

Abstract （231）

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Practical Geriatrics 2023, 37 (9): 878-881. DOI: 10.3969/j.issn.1003-9198.2023.09.004

Abstract （110）

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Practical Geriatrics 2022, 36 (12): 1311-1312. DOI: 10.3969/j.issn.1003-9198.2022.12.031

Abstract （115）

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Practical Geriatrics 2024, 38 (4): 334-337. DOI: 10.3969/j.issn.1003-9198.2024.04.003

Abstract （103）

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Practical Geriatrics 2023, 37 (10): 973-977. DOI: 10.3969/j.issn.1003-9198.2023.10.001

Abstract （204）

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Practical Geriatrics 2023, 37 (9): 956-959. DOI: 10.3969/j.issn.1003-9198.2023.09.022

Abstract （69）

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Correlation between triglyceride-glucose index and chronic kidney disease in the elderly population in Nanjing

ZHENG Hui, WANG Ying, WANG Hui, YIN Hong-li,CHENG Yang, YIN Dong-hua

Practical Geriatrics 2023, 37 (6): 581-585. DOI: 10.3969/j.issn.1003-9198.2023.06.011

Abstract （93）

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Objective To investigate the relationship between triglyceride-glucose index (TyG index) and the risk of evalucated glomerular filtration rate (eGFR) in the elderly population, and to explore its value as a simple indicator of insulin resistance(IR) in predicting the risk of chronic kidney disease (CKD). Methods A total of 5946 elderly patients (mean age: 70.54 years old, male account for 63.2%) who participated in physical examination from January to December 2019 were enrolled in this study. Through cross-sectional study, multi-factor Logistic regression and stratified analysis were used to explore the correlation between TyG index and CKD, and the receiver operating characteristic (ROC) curve predicting CKD was drawn. Results In 5946 subjects aged≥ 60 years, the incidence rate of CKD was 4.6%. Multi-factor Logistic regression model showed that TyG index was a risk factor for CKD. After adjusting sex, age, hypertension and body mass index (BMI), there was still a significant correlation between elevated TyG index and the risk of CKD. ROC curve analysis showed that TyG index and the clinical factors including age, sex, obesity and hypertension had a certain value in evaluating the occurrence of CKD, and the area under the curve (AUC) was 0.579 and 0.774, respectively. Further study showed that the predictive effect of TyG index combined with clinical factors was significantly better, and the AUC was 0.791. Conclusions As a simple index, TyG index has certain value in predicting the risk of CKD in the elderly population in Nanjing.

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Investigation and construction of nursing service demands in elderly specialized outpatient based on Kano model

XIAO Tian, JIN Huan, SONG Wen-jun, WANG Qiong, WANG Qin

Practical Geriatrics 2023, 37 (1): 87-91. DOI: 10.3969/j.issn.1003-9198.2023.01.022

Abstract （133）

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Objective To explore the nursing service demands in the elderly specialized outpatients, and to study how to improve the satisfaction of elderly outpatients, and to provide a basis for building outpatient nursing service quality and service content for the elderly patients. Methods Kano model was used to design a questionnaire on the demands for the quality and content of nursing service in the specialized outpatients. The nursing service demands of 343 elderly specialized outpatients were investigated and analyzed, and the demand attributes of the elderly specialized outpatients were analyzed. Results Among the 33 items of the nursing service demands, 18.18% was must-be requirement, 39.39% was one-diamensional requirement, 36.36% was attractive requirement, and 6.06% was indifferent requirement. In the summary of importance and satisfaction quadrants, health education and medical environment were the main attractive requirement, and service attitudes and operating techniques were the main one-diamensional requirement. Conclusions While essential demands are met, we should vigorously promote the improvement of one-diamensional requirement, pay attention to the improvement of attractive requirement, which will help to improve nursing services, and further increasing the efficiency of outpatient clinic and the satisfaction of elderly outpatients.

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