陕西省老年人认知状态及其影响因素
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(1. 解放军医学院,北京 100853;2.中国人民解放军总医院 第一医学中心疼痛科,北京 100853;3.中国人民解放军总医院 卫勤训练中心,北京 100853)

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R741

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国家重点研发计划(2018YFC2001400)


Cognitive status of community elderly residents in Shaanxi Province and its influencing factors
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(1. Medical School of Chinese PLA, Beijing 100853, China;2. Department of Pain Treatment, First Medical Center,Beijing 100853, China ;3. Medical Service Training Center, Chinese PLA General Hospital, Beijing 100853, China)

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    摘要:

    目的 调查社区老年人认知状态,探讨社区老年人认知功能的影响因素。方法 2019年9月至2020年3月,应用一般资料调查表与简易精神状态检查量表(MMSE)对陕西省4个社区的城镇居民进行面对面调查,评估社区老年人的认知状况,并分析认知障碍的影响因素。共发放问卷367份,有效回收342份。采用SPSS 25.0软件进行数据分析。根据数据类型,分别采用t检验或χ2检验进行组间比较。采用多因素logistic回归分析轻度认知障碍(MCI)的影响因素。结果 342名老年人中,118例(34.50%)老年人存在 MCI,MMSE得分为(21.44±5.04)分。单因素分析结果显示,性别、年龄、婚姻、吸烟史及饮酒史影响社区老年人认知障碍的发生。多因素logistic回归分析结果显示,性别(OR=2.319,95%CI 1.257~4.277; P=0.007)、年龄(OR=1.044,95%CI 1.010~1.079;P=0.011)是老年人轻度认知功能障碍的影响因素。结论 社区老年人认知功能处于较低水平,应重点关注高龄、女性群体。吸烟、饮酒与老年人MCI的关系仍需探究。

    Abstract:

    Objective To investigate the current status of cognitive function of the elderly in the community and explore its influencing factors. Methods A face-to-face survey was conducted among urban residents of 4 community in Shaanxi Province using the general information questionnaire and mini-mental state examination (MMSE) scale from September 2019 to March 2020, assessing the cognitive status and analyzing influencing factors of cognitive impairment in the elderly. A total of 367 questionnaires were distributed and 342 valid ones were recovered. SPSS statistics 25.0 was used for data analysis. Depending on the data type, t-test orχ2 test were used for inter-group comparison. The influencing factors of mild cognitive impairment (MCI) were determined by multivariate logistic regression analysis. Results Among 342 elderly patients, 118 (34.50%) had MCI with a MMSE score of (21.44±5.041) points. Univariate analysis showed that gender, age, marriage, smoking and alcohol drinking history affected the occurrence of cognitive impairment. Multivariate logistic regression analysis showed that gender (OR=2.319,95%CI 1.257-4.277; P=0.007) and age (OR=1.044,95%CI 1.010-1.079;P=0.011) were the influencing factors of cognitive dysfunction in the elderly. Conclusion The cognitive function of the elderly in the community is at a relatively low level, the aged and women should be given more attention. Association of smoking and drinking with MCI in the elderly needs further exploration.

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宋咪,李业,苏清清,何宇迪,谷思琪,刘庭,陈园园,皮红英.陕西省老年人认知状态及其影响因素[J].中华老年多器官疾病杂志,2022,21(7):486~489

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  • 收稿日期:2021-12-06
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  • 在线发布日期: 2022-07-31
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