| Objective: To investigate the risk factors and characteristics of cognitive function in patients after stroke. Methods: Stroke patients were enrolled from July 2021 to July 2022 in West China Hospital. The Mini-Mental State Examination (MMSE) was used to screen the cognitive function of the patients, and the self-made general questionnaire, Modified Barthel Index (MBI), Chinese Lawton IADL scale (IADL), Zung Self-rating Anxiety/Depression Scale (SAS/SDS) were used to evaluate the patients’ personal conditions, activities of daily living and other factors. Then multiple linear regression analysis was performed with cognitive function scores, MBI and IADL scores, anxiety and depression scores as dependent variables. Results: A total of 287 patients were included in this study, and 38.0% of patients had varying degrees of cognitive impairment. Multiple linear stepwise regression showed that higher education level was a protective factor for cognitive dysfunction in stroke patients (P<0.05). Advanced age, speech dysfunction, unilateral neglect, and damage to the right side of the brain were risk factors for cognitive dysfunction in stroke patients (P<0.05). There was no correlation between cognitive function and depression and anxiety (P>0.05), but delayed recall and language function were associated with depression (P<0.05). Cognitive function was positively correlated with activities of daily living (ADL) ability (P<0.05), among which orientation ability was a protective factor for ADL (P<0.05).Conclusion: The related factors for cognitive dysfunction in stroke patients included age, education level, disease factors and other factors, cognitive function affects the patients’ depression and ADL ability, and the orientation ability of each sub-type of cognitive function is closely related to the ADL of patients. |
