上海某社区老人轻度认知功能障碍的调查分析及相关干预方法与效果研究  

Investigation analysis of mild cognitive impairment of the elderly in the community of some District in Shanghai and study of the intervention methods and effects

作　　者：刘寒[1] 曾庆枝[2] 庄晓伟[1] 陈玉明[1] LIU Han;ZENG Qingzhi;ZHUANG Xiaowei(Mental Health Center of Shanghai Jingan District, Shanghai 200040, Chin)

机构地区：[1]上海市静安区精神卫生中心,上海200040 [2]上海市精神卫生中心

出　　处：《国际精神病学杂志》2018年第2期288-291,301,共5页Journal Of International Psychiatry

基　　金：2014年上海市卫生和计划生育委员会青年课题:上海市残联系统康复人才培养(编号:20144Y0188)

摘　　要：目的考察上海静安区社区老人轻度认知功能障碍(MCI)的患病现状,并研究干预方法及效果。方法纳入≥60岁老人1796人,进行社会人口学信息与认知功能水平调查,诊断MCI患病情况。将确诊的MCI病例随机分为干预组(159例)与对照组(158例),连续实施3个月干预,其中对照组仅接受常规健康教育,干预组在对照组基础上实施社区MCI综合干预。结果上海静安区社区年龄≥60岁老人的MCI患病率为17.65%;年龄、文化程度、原职业、居住情况以及近半年躯体疾病为MCI患病的高危因素(P<0.05);干预3个月后,两组Mo CA评分均升高,其中干预组与本组干预前及对照组干预后比较均具显著性(P<0.001),两组ADL评分均较干预前显著降低(P<0.001),干预组降低程度明显较对照组更大(P<0.001)。结论上海静安区老人的MCI患病主要受年龄、文化程度、原职业、居住情况以及近半年躯体疾病等因素影响;MCI综合干预方案可有效改善社区MCI老年患者的认知水平与日常生活能力。Objective To investigate the prevalence of mild cognitive impairment （ MCI ） among the elderly in Jingan District, Shanghai, and to study the intervention methods and effects. Methods Collect 60 years old or a total of 1796 people, social demographic information and cognitive function level investigation, diagnosis of MCI prevalence. Diagnosis of MCI cases were randomly divided into intervention group （ 159 cases） and control group （ 158 cases）, the implementation of 3 consecutive months of intervention, the control group only accepted conventional health education, intervention group in the control group on the basis of the implementation of community elderly MCI comprehensive in- tervention plan. Results The Shanghai community of Jingan District, aged 60 years old the prevalence rate of MCI was 17.65 %; age, education, occupation, the original living conditions and nearly half of the body disease risk factors of MCI disease （P 〈 0.05 ）; 3 months after the intervention, the two groups of patients with MoCA score were higher in the intervention group increased significantly with the control group and the intervention were statistically significant before the intervention （P 〈 0.001 ）, the two groups of patients with ADL score was significantly lower than before intervention （ P 〈 0.001 ）, but the reduction degree of the intervention group was significantly higher than that of the control group （P〈0.001） . Conclusion The risk is mainly affected by age, education, occupation, the original living conditions and nearly half of diseases in a community elderly in Shanghai city MCI; MCI comprehensive intervention program can effectively improve the cognitive level of community elderly patients with MCI and the ability of daily life.

关 键 词：轻度认知功能障碍 社区老人 上海 

分 类 号：R749.1[医药卫生—神经病学与精神病学]