社区老年人轻度认知障碍患病率及其生活质量的调查  

Study on Prevalence Rate and Quality of Life of Eldly Patients with Mild Cognitive Impairment in Community

作　　者：潘惠英[1] 王君俏[1] 吴美玲[2] 陈江赟[2] 

机构地区：[1]复旦大学护理学院,上海200032 [2]金华职业技术学院医学院,浙江金华321017

出　　处：《解放军护理杂志》2012年第2期6-9,27,共5页Nursing Journal of Chinese People's Liberation Army

基　　金：浙江省医药卫生科技计划项目(2011KYA161)

摘　　要：目的了解金华市社区老年人轻度认知障碍患病情况及其生活质量,以期为社区干预提供依据。方法 2011年1-6月采用蒙特利尔认知功能量表(montreal cognitive assessment scale,MoCA)、日常生活能力量表(activities of daily living scale,ADL)和一般资料问卷对随机抽取的金华市916名社区老年人进行轻度认知障碍筛查,对筛查得到的154例患者采用老年性痴呆生活质量量表(quality of life in Alzheimer's disease,QOL-AD)进行生活质量调查。结果金华市社区老年轻度认知障碍患病率为17.2%。Logistic回归显示:较高文化程度、参加社交活动、喝茶、良好睡眠以及学习是老年轻度认知障碍的预防因素,而高龄是危险因素。多元线性回归显示,经济状况、认知功能和日常活动能力是影响患者生活质量的重要因素。结论金华市社区老年人轻度认知障碍的患病率较高,影响老年人的身心健康和生活质量,应采取积极措施帮助患者提高生活质量。Objective To investigate the prevalence rate and quality of life（QOL） in patients with mild cognitive impairment （MCI） in Jinhua community,so as to provide evidence for community intervention. Methods A total of 916 elderly patients in community were screened by montreal cognitive assessment scale（MoCA）, activities of daily living scale（ADL） and the general information questionnaire on their MCI. After the screening, 154 MCI patients were further investigated on OOL using quality of life in Alzheimer＇s disease（QOL-AD）. Results The prevalence rate of MCI was 17.2% in the community-dwelling elderly in Jinhua. Multivariate Logistic showed that good education, social activities, tea, good sleep and learning were protective factors of MCI and old age was a risk factor. Multiple linear regressions（MLR） showed that the financial situation, cognitive functions and the ability of daily activity were significant factors of QOL of MCI patients. Conclusion The prevalence rate of MCI is higher in Jinhua communities,and it has a negative affect on the QOL of patients . Measures should be taken to improve quality of life of MCI patients.

关 键 词：轻度认知功能障碍 患病率 生活质量 社区老年人 

分 类 号：R473.2[医药卫生—护理学] R749.16[医药卫生—临床医学]