乌鲁木齐市养老机构老年人健康素养与认知功能的关系  

Relationship between health accomplishment and cognitive function of the aged in nursing homes of Urumuqi

作　　者：陈艳莉[1] 江月英[1] 李燕飞[1] 刘柳[1] 刘永兵[1] 褚清泉 

机构地区：[1]新疆医科大学护理学院临床护理教研室,新疆乌鲁木齐830000 [2]新疆乌鲁木齐市民政局社会福利和社会事务处

出　　处：《中国慢性病预防与控制》2015年第2期92-95,共4页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：新疆维吾尔自治区科技厅自然科学基金(2013211A059);乌鲁木齐市科技局基金(Y131310008)

摘　　要：目的了解乌鲁木齐市养老机构老年人健康素养与认知功能状况的关系,为进一步提高老年人的认知功能提供科学依据。方法于2014年2-4月,采用分层整群随机抽样法对乌鲁木齐市12所养老机构老年人进行调查,将其中符合纳入标准的300名老年人作为研究对象,发放健康素养量表、简易精神状态量表（MMSE）及一般情况问卷,进行现场横断面调查,收回有效问卷296份。结果单因素分析结果显示,不同年龄、性别、每周运动次数、家庭月收入、家庭人口数、婚姻状况和教育水平的老年人的认知功能得分差异均有统计学意义（P〈0.05,P〈0.01）。年龄85～岁、女性、家庭人口数≥6人、缺乏锻炼、家庭月收入少、丧偶及教育水平低的老年人认知功能状况较差。养老机构老年人健康素养总分为（53.65±20.47）分,认知功能总分为（23.00±3.36）分,均处于较低水平。logistic回归分析表明,养老机构老年人认知功能的独立影响因素为健康知识、健康技能和健康信念（OR值分别为0.967、1.107和0.923,95%CI分别为0.941～0.994、1.017～1.204、0.874～0.974,P〈0.05,P〈0.01）。结论健康素养是影响老年人认知功能状况的重要因素,提高老年人健康素养是延缓老年人认知功能下降的重要途径。Objective To analyze the relationship between health accomplishment and cognitive function in senior citizens of nursing homes in Urumuqi, and to provide the basis for improving cognitive function in senior citizens. Methods From February to April 2014,the stratified cluster random sampling method was used to select 300 senior citizens from 12 nursing homes,the senior citizens,who conformed to the inclusion criteria,served as the investigation subjects. The investigation was performed with the Health Accomplishment Scale, Mini Mental Status Examination（MMSE） and general situation questionnaire. Results The single factor analysis showed that there were significant differences of cognitive function among senior citizens with different age, gender,number of weekly exercise, family income, family population, marital status and education level（P〈0.05 or P〈0.01）. The cognitive function in senior citizens with age（85～）, female, family population≥6, lack of exercise, low family income levels,widowed and lower education level was lower. Total health accomplishment score in senior citizens of nursing homes was 53.65 ±20.47, total cognitive function score was 23.00±3.36. All scores were low levels. Logistic regression analysis showed that the main independent influencing factors of cognitive function in senior citizens of nursing homes were health knowledge,health skills,health attitude（OR =0.967, 1.107 and 0.923,95% CI =0.941-0.994, 1.017-1.204 and 0.874-0.974, P〈0.05, P〈0.01）. Conclusion Health accomplishment is the major influencing factor of cognitive function in senior citizens of nursing homes. The important way for improving cognitive function in senior citizens is to increase the health accomplishment of senior citizens.

关 键 词：养老机构 健康素养 认知功能 

分 类 号：R181.3[医药卫生—流行病学]