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To explore the relationships among various influencing factors of cognitive function in elderly patients with chronic musculoskeletal pain of the elderly(CMPE) based on structural equation modeling.
From November 2023 to June 2024, a convenience sampling method was used to select 510 hospitalized CMPE patients at the Sixth Affiliated Hospital of Xinjiang Medical University for a questionnaire survey. Multiple linear stepwise regression and structural equation modeling (SEM) were employed to analyze the influencing factors of cognitive function in CMPE patients.
The average cognitive function score of the 510 CMPE patients was (24.84±3.792). The SEM analysis revealed that chronic disease status, age, depression, and pain scores had negative direct effects on cognitive function, with effect values of -0.422 (95%CI: -0.668 to-0.268), -0.357 (95%CI: -0.449 to -0.226), -0.146 (95%CI: -0.226 to -0.066), and -0.141 (95%CI: -0.239 to -0.084), respectively. Educational level and social support had positive direct effects on cognitive function, with effect values of 0.201(95%CI: 0.179 to 0.313) and 0.148 (95%CI: 0.096 to 0.260). Among these, educational level, social support, and pain scores exhibited both direct and indirect effects on cognitive function, with total effect values of 0.243 (95%CI: 0.179 to 0.313), 0.175(95%CI: 0.096 to 0.260), and -0.160 (95%CI: -0.239 to -0.084), respectively.
Cognitive function in CMPE patients requires improvement. Medical institutions should conduct cognitive screenings and interventions early to reduce the risk of cognitive impairment and delay the onset of dementia.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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