目的 调查郸城县乡镇敬老院老年人轻度认知功能障碍(MCI)的患病率,分析影响因素。方法 2017年9~12月,抽取郸城县乡镇敬老院60岁及以上老年人336人,采用基本情况调查表和简易精神状态评价量表对抽取的调查对象进行调查,分析乡镇敬老院MCI的患病率及相关影响因素。结果 336名60岁以上的乡镇敬老院老年人,MCI患病率89.00%。不同性别、年龄、文化程度及婚姻状况的MCI患病率比较,差异均有统计学意义(χ2性别=4.725,χ2年龄=9.989,χ2文化程度=47.029,χ2婚姻=8.387,P＜0.05)。非条件logistic回归分析显示,未婚是MCI的保护因素、小学文化程度是MCI的危险因素。结论 郸城县乡镇敬老院的老年人轻度认知功能障碍较为突出,应积极开展健康教育指导,改变其日常生活方式,提高老年人的认知功能。全社会都应关注老年人的健康。
Abstract
Objective To investigate the prevalence and influencing factors of mild cognitive impairment (MCI) in the elderly in township nursing homes of Dancheng County. Methods From September to December 2017,336 elderly people aged 60 and above were selected from the township nursing homes in Dancheng county.The basic information questionnaire and the simple mental state evaluation scale were used to investigate the selected respondents and analyze the prevalence rate and related influencing factors of MCI in the township nursing homes. Results The prevalence of MCI in 336 elderly people was 89.00%.There were statistically significant differences in the prevalence of MCI among different genders,ages,education levels and marital status (χ2 gender= 4.725,χ2age= 9.989,χ2education level = 47.029,χ2marital status= 8.387,P< 0.05).Unconditional logistic regression analysis showed that unmarried was the protective factor of MCI and primary school education was the risk factor of MCI. Conclusion The MCI problem of the elderly in the township nursing homes of Dancheng county was prominent.Health education and guidance should be actively carried out to change the daily life style of the elderly and improve their cognitive function.The whole society should pay attention to the health of the elderly.
关键词
老年人 /
轻度认知功能障碍 /
老年健康 /
老年医学
Key words
The Elderly /
Mild cognitive impairment /
Elderly health /
Geriatric medicine
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基金
全国基层名老中医药专家传承工作室建设项目[囯中药人教函(2015)174号]
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