杭州市社区925名老年人认知功能损害现状调查及影响因素分析  

The Status Quo of Cognitive Impairment of 925 Elderly People in Hangzhou City and an Analysis of the Influence Factors

作　　者：陈雪萍[1] 方桂珍[2] 倪荣[3] 杨佳琦[3] 章冬瑛[1] 杨立江 

机构地区：[1]杭州师范大学护理学院,浙江杭州310036 [2]浙江省中医院,浙江杭州310018 [3]杭州市拱墅区卫生局,浙江杭州310011 [4]杭州市民政局,浙江杭州310006

出　　处：《护理学报》2009年第5期60-63,共4页Journal of Nursing（China）

基　　金：杭州市科技计划软科学项目(20070534M29)

摘　　要：目的了解社区老年人认知功能损害患病率及影响因素,为社区干预提供依据。方法单纯随机抽样,使用简易精神状态量表、日常生活能力量表及自行设计的问卷,对925名社区老年人进行面对面的访谈调查,数据经SPSS13.0软件进行χ2检验和非条件Logistic回归分析。结果老年人认知功能损害患病率为14.7%,年龄、学历、生活满意度、生活自理能力和锻炼情况是影响老年人认知功能损害患病的因素。结论杭州市老年人认知功能损害的患病率较高;年龄较大、学历较低、缺乏锻炼是老年人认知功能损害的危险因素,生活自理能力好及生活满意度较低是老年人认知功能损害的保护因素。Objective To explore the status quo of elderly people＇s cognitive impairement and the influence factors, and thus to provide some basis for the community nursing interventions. Methods A cross-sectional study was performed in elderly people who were sampled by pure random sampling. Mini-mental State Examination （MMSE） and Activities of Daily Living （ADL） Scale and self-designed questionnaire were used in interviewing the 925 elderly people. The obtained date were then chi-square tested by means of SPSS 13.0 and analyzed through a non-conditional Logistic regression analysis. Results The rate of imparied cognition function was 14.7%. The factors exerting significant influence on the cognition impairment included age, education, life satisfaction, self-caring ability and exercising （P〈0.05）. Conclusion The rate of congnition impairment among senior people is on the high end. The risk factors for cognitive function impairment include aging, poor education and lack of physical exercises. And the protective factors include sound self-caring ability and low life satisfaction.

关 键 词：社区 老年人 认知功能损害 影响因素 

分 类 号：R473.2[医药卫生—护理学]