生活习惯及社会心理因素对广州市社区老人认知功能的影响  

The Effect of Lifestyle and Socio-psychological Factors on Cognitive Function for Elder People in Guangzhou Community

作　　者：佘生林 唐牟尼[1] 骆雄[1] 苏婵 任建娟[1] 

机构地区：[1]广州医科大学附属脑科医院,广东广州510370

出　　处：《昆明医科大学学报》2014年第6期108-111,共4页Journal of Kunming Medical University

基　　金：广州市医药卫生科技项目(20121A010007)

摘　　要：目的探讨生活习惯及社会心理因素对广州市社区老人认知功能的影响.方法采用蒙特利尔量表(MoCA)对广州市某社区≥60岁老年人进行认知功能评定,收集一般人口学及躯体疾病资料,完成生活习惯调查表、生活事件量表、社会支持评定量表等,并行相关统计分析.结果以MoCA总分为因变量,以生活习惯、生活事件为自变量,单因素分析显示坚持运动与否与MoCA得分差异有统计学意义[(20.75±4.88),(17.37±6.63),P<0.01],余组间差异无统计学意义(P>0.05),MoCA总分与客观社会支持、主观社会支持、支持利用度、社会支持总分均相关(r分别为0.201,0.280,0.092,0.266,均P<0.01);考虑性别、年龄、受教育年限、躯体疾病等因素,采用多元回归分析,进入回归方程的因素有性别、年龄、受教育年限、社会支持总分、支持利用度评分(偏回归系数分别为:-0.220,-1.530,0.313,1.654,0.503).结论社会支持及对社会支持的利用是老年人认知功能的保护因素,而生活习惯、生活事件对认知功能影响不大.Objective To explore the effect of lifestyle and socio-psychological factors on cognitive function for elder people in Guangzhou community.Methods The Chinese Version of the Montreal Cognitive Assessment （MoCA-China） was applied to evaluate the cognitive function of elder people （60 years and older）.the demographic information and physical diseases as well as Lifestyle questionnaire,Life Event Sale （LES）,Social Support Scale （SSS） were collected.The relationships between these variables were analysed.Results Lifestyle and life events were taken as covariates and MoCA-China scores was taken as dependent in the Univariate analyzed.Which showed that there were no significant difference between the variables except for exercise （20.75 ± 4.88,17.37 ± 6.63,P=0.000）.The factors of social support including objective social support,subjective social support,utilization of support,and scores of SSS were signi canly associated with the scores of MoCA-China （r=0.201,r=0.280,r=0.092,r=0.266,P=0.000）.Secondly,the factors including gender,age,education,etc were added to the multivariate regression analysis,in which gender,age,education and utilization of support entered the model ultimately （β =-0.220,β =-1.530,β =0.313,β =1.654,β =0.503）.Conclusions Social support is a protective factor.Lifestyle and life events are not significantly associated with cognitive function.

关 键 词：老年人 认知功能 蒙特利尔量表 

分 类 号：R749.1[医药卫生—神经病学与精神病学]