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| Mediating effect of cognitive function on anxiety and activities of daily living in patients after acute carbon monoxide poisoning#br# |
| WANG Liping1 HUANG Min2 DU Lijuan1 WANG Mei3▲ |
1.Department of Emergency, NO. 2 People’s Hospital of Fuyang City, Anhui Province, Fuyang 236000, China;
2.Department of Nursing, NO. 2 People’s Hospital of Fuyang City, Anhui Province, Fuyang 236000, China;
3.the First Department of Liver, NO. 2 People’s Hospital of Fuyang City, Anhui Province, Fuyang 236000, China |
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Abstract Objective To observe the mediating effect of cognitive function between anxiety and daily living ability in patients with acute carbon monoxide (CO) poisoning. Methods The convenience sampling method was used to select 100 patients with CO poisoning admitted to NO. 2 People’s Hospital of Fuyang City from January 2018 to January 2021 as the research objects. After the patient was out of life-threatening, the Montreal cognitive assessment scale (MoCA) was used to assess the patient’s cognitive function, the self-rating anxiety scale (SAS) was used to assess the patient’s anxiety, and the daily life ability scale (ADL) was used to assess the daily life ability of the patient. After preliminary Pearson correlation analysis was used to test the relationship between cognitive function, anxiety, and daily life ability, the mediation effect test procedure was used to test the mediating effect of cognitive function between anxiety and daily life ability. Results The SAS score of patients with CO poisoning was (64.75±5.61) points, the ADL score was (36.38±5.19) points, and the MoCA score was (24.57±3.32) points. Pearson linear correlation analysis showed that SAS scores of patients with CO poisoning were negatively correlated with ADL scores and MoCA scores (r = -0.321, -0.440, P ＜ 0.001); ADL scores were positively correlated with MoCA scores (r = 0.459, P ＜ 0.001). Using the equation Y=cX+e1 to investigate the influence of anxiety on the ability of daily living, it was concluded that the regression effect was significant; using the equation M=AX+e2 to investigate the impact of anxiety on cognitive function, it was concluded that the regression effect was significant; the equation Y=c’X+bM+e3 was used to investigate the mediating effect of cognitive function between anxiety and daily living ability, and it was concluded that the regression effect was significant, which was a complete mediating effect model. Conclusion Cognitive function plays a completely mediating effect between anxiety and daily living ability in patients with CO poisoning.
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