天津市养老机构老年轻度认知障碍及认知功能调查  

The prevalence of mild cognitive impairment and risk factors of cognitive function of aged people in elderly care institutions of Tianjin

作　　者：孙寿丹[1] 傅经明[2] 乔雪梅[3] 回金凯 李海强[2] 庞伟[2] 蒋与刚[2] 

机构地区：[1]广西医科大学公共卫生学院,广西南宁530021 [2]军事医学科学院卫生学环境医学研究所 [3]天津市养老院

出　　处：《现代预防医学》2013年第10期1808-1810,1816,共4页Modern Preventive Medicine

基　　金：天津市应用基础及前沿技术研究计划(09JCYBJC12900)

摘　　要：目的调查天津市公办养老院老年人轻度认知功能障碍(MCI)患病率及危险因素,并对其认知功能影响因素进行研究。方法采用整群抽样方法,以天津市3所公办养老院60岁及以上老年人为调查对象,应用基本情况调查表、中文版简易精神状态量表(MMSE)、日常生活功能量表(ADL)和临床痴呆量表(CDR)对老年人MCI患病率及其危险因素和老年人认知功能影响因素进行调查。结果完成所有调查者427人,MCI患病率17.33%。Logistic回归分析表明:年龄、体力工作、月收入是老年人MCI危险因素,脑力工作是其保护因素。卡方检验结果显示:年龄、文化程度、婚姻状况、工作性质等因素对老年人认知功能影响有统计学差异。多元线性回归分析得到方程Y=24.318+2.234X1-0.130X2,X1为文化程度,X2为ADL分数。结论天津市公办养老院老年人MCI患病率较高,应尽早针对MCI危险因素及认知功能影响因素采取有效措施,防止MCI的发生发展。OBJECTIVE To survey the prevalence and risk factors of mild cognitive impairment among the elderly in the elderly care institutions of Tianjin, and the influencing factors for the cognitive function. METHODS A cluster sampling study was conducted. The basic information questionnaire, MMSE, ADL and CDR were used to investigate the prevalence and risk factors of MCI of the elderly aged above 60 years among three state-owned elderly care institutions of Tianjin. The influencing factors of cognitive function were also investigated. RESULTS A total of 427 old people were investigated, and the prevalence of MCI was 17.33%. The results of Logistic Regression showed that the risk factors of MCI were age, physical work and income of every month, while the protective factor was intellectual work. The results of chi square test indicated that the influence factors of the cognitive function of the elderly were age, degree of education, marital status and so on. The results had significant difference. The equation of multiple linear regressions was Y = 24.318＋2.234X1-0.130X2, X1 was the degree of education, X2 was the grade of ADL. CONCLUSION The prevalence of MCI among the elderly in elderly care institutions is higher. The measures of preventing the happening and progressing of MCI should be conducted.

关 键 词：养老院 老年人 轻度认知障碍 危险因素 认知功能 

分 类 号：R749.16[医药卫生—神经病学与精神病学]