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
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