Cognitive Frailty in Older Adult Patients with Coronary Heart Disease During Hospitalization
https://doi.org/10.70228/YJHER2024004
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ABSTRACT
Cognitive frailty, characterized by physical weakness and impaired cognitive function, has garnered increasing attention with the global aging population. The study aimed to identify independent risk factors and their implications for developing personalized intervention strategies. A quantitative descriptive design among 564 participants utilizing a survey instrument was conducted among the elderly with congestive heart disease during hospitalization. This study focused on elderly patients with coronary heart disease (CHD), investigating the interplay between age, duration of disease, and C-reactive protein as potential independent risk factors for cognitive frailty. Results showed that age emerged as a significant independent risk factor for cognitive frailty in elderly patients with coronary heart disease, with a direct correlation between age and cognitive frailty. The duration of the disease and elevated C-reactive protein levels were identified as independent risk factors, highlighting the cumulative effects of chronic conditions on cognitive function. The findings emphasized the need for a comprehensive approach to intervention. The cumulative defect model was invoked to explain how chronic conditions and associated complications contribute to cognitive frailty. Age, duration of disease, and C-reactive protein levels independently contribute to cognitive frailty. The study advocates for a holistic approach to intervention, encompassing physical, psychological, and social aspects. A cognitive frailty management model is recommended for hospitalized older adult patients with coronary heart disease to provide multidisciplinary key areas interventions, activities, assessment, and evaluation.
Keywords: cognitive frailty, coronary heart disease, older adult patients, disease duration, C-reactive protein
Volume 10, 2022 EDITION
Published 2022
Editor's Note
Dear Readers, Welcome to Volume 10 of the Journal of Higher Education Research, where we proudly present a collection of scholarly works that explore the complex intersections of nursing education, professional development, and healthcare practice. This edition is a testament to the dedication of educators, researchers, and practitioners who continue to address the challenges and opportunities shaping healthcare today. In this volume, Yao and Lachica investigated on some factors that affect self-efficacy and medication adherence in patients with type-2 diabetes. Their study sheds light on how both demographic and psychological factors play significant role in type-2 diabetes and how nursing inventions can address these challenges. Meanwhile, Wang and Cadena explore the dynamic interplay of self-efficacy, resilience, and professional identity among nursing students, a foundation for their success in clinical environments. The study of Zhou and Trajera focuses on the lived experiences of people with heart failure throughout the different phases of life’s transition. Their work emphasizes the importance of moving from hospital to homes as an important stage affecting the quality of life, adherence to medication and readmission rates of heart failure patients. Similarly, Shan and Trajera highlight the lived experiences of postgraduate nursing students in clinical settings, enlightening the complexities and nuances that impact their educational experiences. In the realm of aging and chronic illness, Min and Diva investigate cognitive frailty in older adults with coronary heart disease during hospitalization. Their study offers holistic approach into improving both cognitive and physical outcomes for this vulnerable population. This theme of resilience and coping extends into the workplace, where Wu and Cadena explore burnout levels among nurses during the COVID-19 pandemic, identifying key stressors and strategies for addressing them. Jiang and Garcia contribute an insightful examination of occupational identity and humanistic care among nursing interns and clinical nurses. Their findings highlight the factors influencing the levels occupational character and humanistic services for interns and clinical nurses. Similarly, Xin and Espinosa investigate professional identity, occupational self-efficacy, and adaptability among nursing students, shedding light on the attributes necessary to thrive in today’s dynamic healthcare environments. Finally, Flores and Trajera offer a poignant exploration of the lived experiences of COVID-19-infected nurses on the frontlines. Their study is a powerful reminder of the resilience and sacrifices made by healthcare workers during one of the most challenging times in modern history. Together, these works provide a rich tapestry of insights that reflect the evolving challenges in nursing education and healthcare practice. They invite us to rethink strategies for teaching, learning, and delivering care in ways that prioritize adaptability, resilience, and humanistic values. We extend our gratitude to the authors for their invaluable contributions and to our reviewers for their diligent efforts in shaping this volume. Special thanks to the dedicated staff and Dr. Lota Largavista, Director of our Publication and Engagement Office, for their unwavering support in making this issue possible. We look forward to fruitful engagement with you through this publication and hope these studies inspire you to innovate, collaborate, and contribute to the advancement of education and healthcare research. Sincerely, JOVAL N. MARTINEZ Editor-in-Chief