杭州市社区老年人认知功能状况及其影响因素  

A Survey on Cognitive Function in Hangzhou Community-dwelling Elderly: Prevalence and Associated Factors

作　　者：何晓燕[1] 曹日芳[1] 赵国秋[1] 蒋琼萍 骆雅 汪永光[1] 王维丹[1] 严敏[1] 

机构地区：[1]杭州市疾病预防控制中心,浙江杭州310021 [2]杭州市下城区卫生局 [3]杭州市江干区卫生局

出　　处：《浙江预防医学》2013年第4期8-10,13,共4页Zhejiang Journal of Preventive Medicine

基　　金：杭州市医药卫生科技项目(2010A027);杭州市科技发展计划项目(20092134W25)

摘　　要：目的探讨杭州市社区60岁及以上老年人的认知功能状况及其影响因素。方法按多阶段分层整群抽样的方法在杭州市城市社区进行抽样,对符合条件的老年人进行一般情况、简易智力状态和日常生活能力调查。结果有效样本1393人,MMSE得分范围0～30分,平均得分(23.41±6.59)分。按照认知功能障碍的划分标准,15.94%的老年人可能存在认知功能障碍。多因素Logistic回归分析显示丧偶(OR=1.904)、日常生活能力受损(OR=3.068)是认知功能障碍的危险因素,而受教育程度高(OR=0.695)、每周参加体育锻炼(OR=0.689)和子女孝顺(OR=0.910)对认知功能起保护作用。结论杭州市社区老年人认知功能障碍情况较严重,应根据影响因素开展针对性的干预。Objective To assess the cognitive function of ltangzhou community - dwelling elderly and to find out associated factors. Methods A randomized sample of 1393 subjects aged 60 years or older was selected from six communities. Social - demographic characteristics, Mini -Mental State Examination （MMSE）, Activities of Daily Living Scale （ADL） were administered by face -to -face interview. Results The total score of MMSE ranged from 0 to 30 with the mean score 23.41± 6.59. Using the cutoff differentiated by education level, 222 （15.94%） participants had suggestive cognitive impairment. Logistic regression analysis revealed that widowhood （ OR = 1. 904）, impairment of activities of daily living （ OR = 3. 068 ） were risk factors of cognitive impairment, while high education level （0R=0.695）, physical exercises （OR=0.689） and filial piety （OR=0.910） were protective factors. Conclusion Cognitive impairment in Hangzhou community - dwelling elderly was quite severe. Targeted intervention should be taken.

关 键 词：认知功能 老年人 影响因素 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]