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严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染对养老院中住院患者认知功能的影响。

Impact of SARS-CoV-2 infection on the cognitive functioning of patients institutionalized in nursing homes.

作者信息

Trevissón-Redondo Bibiana, Pérez-Boal Eduardo, Liébana-Presa Cristina, Martínez-Fernández María Cristina, Losa-Iglesias Marta Elena, Becerro-de-Bengoa-Vallejo Ricardo, Martínez-Jiménez Eva María

机构信息

Salbis Research Group, Faculty of Health Sciences, University of León, León, Spain.

Faculty of Health Sciences, University of León, León, Spain.

出版信息

BMC Geriatr. 2024 Jul 17;24(1):612. doi: 10.1186/s12877-024-05210-y.

Abstract

BACKGROUND

COVID-19 disease affected the cognitive level of institutionalized patients in nursing homes, especially in the older subjects regardless of gender. This study aims to assess cognitive impairment using the Mini-Mental State Examination (MMSE) before and after COVID-19 infection, and to determine whether these changes varied based on gender.

METHODS

A pre- and post-COVID-19 study was conducted, involving 68 geriatric patients (34 men and 34 women) from two nursing homes. Cognitive impairment was assessed using the MMSE.

RESULTS

COVID-19 infection had a notable impact on the cognitive health of older adults residing in nursing homes, primarily attributed to the social isolation they experienced. This effect was more pronounced in older individuals. A comparison of the MMSE results by gender before and after contracting COVID-19 revealed significant differences in attention and calculation, with women obtaining the worst score before the virus. However, following their recovery from the virus, men demonstrated significantly lower scores in time and space orientation and evocation.

CONCLUSION

COVID-19 has led to a decline in cognitive functioning, significantly worsening the mental state of older individuals, even after recovery from the virus. Consequently, it is crucial to implement proactive measures to prevent isolation and safeguard the cognitive well-being of this vulnerable population.

摘要

背景

新冠病毒疾病影响了养老院中机构化患者的认知水平,尤其是老年患者,无论性别如何。本研究旨在使用简易精神状态检查表(MMSE)评估新冠病毒感染前后的认知障碍,并确定这些变化是否因性别而异。

方法

开展了一项新冠病毒感染前后的研究,涉及来自两家养老院的68名老年患者(34名男性和34名女性)。使用MMSE评估认知障碍。

结果

新冠病毒感染对居住在养老院的老年人的认知健康产生了显著影响,主要归因于他们所经历的社会隔离。这种影响在老年人中更为明显。对感染新冠病毒前后按性别划分的MMSE结果进行比较发现,注意力和计算方面存在显著差异,女性在感染病毒前得分最差。然而,在从病毒感染中康复后,男性在时间和空间定向以及回忆方面的得分显著较低。

结论

新冠病毒导致了认知功能下降,即使在从病毒感染中康复后,也显著恶化了老年人的精神状态。因此,实施积极措施以防止隔离并保障这一脆弱人群的认知健康至关重要。

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