老年患者认知功能与老年综合评估各组分间关系的研究  

Relationship between cognitive function impairment and comprehensive geriatric assessment components in the elderly patients

作　　者：王洁[1] 莫永珍[1] 何一然[2] 李咏阳[1] 沈晓星[3] 褚静[3] 

机构地区：[1]江苏省老年医院护理部,江苏省南京市210024 [2]江苏省老年医院干部保健科,江苏省南京市210024 [3]江苏省老年医院干部保健一病区,江苏省南京市210024

出　　处：《实用老年医学》2015年第8期639-642,共4页Practical Geriatrics

基　　金：江苏省干部保健专项资金科研课题(BJ13017)

摘　　要：目的探讨老年患者认知功能与老年综合评估各组分之间的关系。方法选取2013年7-8月住院的98例老年患者为研究对象,根据简易智能评估量表（mini mental state examination,MMSE）评分将研究对象分为认知功能障碍（CI）组与非认知功能障碍（NCI）组,入院48 h内完成老年综合评估（comprehensive geriatric assessment,CGA）,包括认知、抑郁、压疮、跌倒、日常生活能力、营养及疼痛7个方面,并进行组间比较分析和相关分析。结果 CI组的压疮评分、日常生活能力评分较NCI组低,跌倒危险因素评分较NCI组高,差异均有统计学意义（P〈0.05）。MMSE评分与压疮评分、日常活动能力评分呈正相关,与跌倒危险因素评分呈负相关。在校正性别与年龄后发现,CI是压疮及跌倒发生风险增高、日常活动能力水平下降的危险因素。结论对存在CI的老年患者,医疗工作者应在压疮、跌倒及日常生活能力方面给与更多的关注,预防压疮及跌倒的发生,在日常生活上给与患者适当帮助。Objective To explore the relationship between cognitive function and comprehensive geriatric assessment（CGA） components among the elderly patients.Methods Ninety-eight elderly patients were cross-sectionally studied.According to the mini mental state examination（MMSE） score,the patients were divided into cognitive impairment（CI）group and non-cognitive impairment（NCI） group.Data of cognitive function,depression,fall,activities of daily living（ADL）,nutrition and pain was collected and analysed between two groups.Results The differences in pressure ulcer score,fall risk assessment score and ADL score were found between CI group and NCI group.MMSE sore showed a significant correlation with pressure ulcer score,fall risk assessment score and ADL score.Adjusted for age and sex,the association between CI and pressure ulcer,fall and activities of daily living among the elderly inpatients was found.Conclusions For elderly patients with CI,medical staffs should pay more attention to fall risk,pressure ulcer risk,and activities of daily living,prevent fall and pressure ulcer,and help them in daily life.

关 键 词：认知功能障碍 老年综合评估 老年人 

分 类 号：R749.1[医药卫生—神经病学与精神病学]