不同调查方式下社区老年人认知功能自我评价的差异比较  

Comparison the cognitive function self-evaluation in community dwelling elderly through different interview manner

作　　者：费慧 姜雯雯 房圆 白丽 祁雯雯 李玲[1] 艾迪娜·艾斯克尔 钱时兴 李霞[1] FEI Hui;JIANG Wenwen;FANG Yuan(Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 20030,China)

机构地区：[1]上海交通大学医学院附属精神卫生中心,上海200030

出　　处：《中风与神经疾病杂志》2023年第7期612-616,共5页Journal of Apoplexy and Nervous Diseases

基　　金：国家科技部重点研发计划(2017YFC1310500);教育部上海市生物医药临床研究与转化协同创新中心重点科研项目(CCTS-202203)。

摘　　要：目的调查上海社区老年人对自己认知功能的评价,比较电话与面谈方式差异,为社区初步筛查认知功能障碍提供参考。方法采用多阶段整群抽样方法抽取上海市的5084名老人为调查对象,用自评工具AD8、PHQ-9、GAD-7,进行现场式、电话式和混合式问卷调查。结果收回有效问卷4253份,现场调查组、混合调查组及电话调查组的问卷有效率分别为91.50%、83.33%、81.90%,自我评价认知功能低的检出率分别为36.34%、19.08%、9.53%,3组AD8均分存在显著差异(P<0.05);Logistic回归分析显示,3组老年人在认知功能自我评价的影响因素方面相同的为抑郁。结论社区老年人的自评认知功能受到抑郁情绪的影响,筛查时现场与电话调查得到的结果存在差异。Objective To investigate the evaluation of cognitive function among elderly people in Shanghai community,compare the differences between telephone and spot interview methods,and provide reference for preliminary screening of cognitive dysfunction in the community.Methods A multi-stage cluster sampling method was used to select 5084 elderly people in Shanghai.Self evaluation tools AD8,PHQ-9,and GAD-7 were used to conduct spot,telephone,and mixed questionnaire surveys.Result Total 4253 valid questionnaires were collected,and the effective rates of the spot survey group,mixed survey group,and telephone survey group were 91.50%,83.33%,and 81.90%,respectively.The detection rates of low self-evaluation cognitive function were 36.34%,19.08%,and 9.53%,respectively.There was a significant difference in the average AD8 scores among the three groups(P<0.05);Logistic regression analysis shows that depression is the same influencing factor for cognitive function self-evaluation among the three groups of elderly people.Conclusion The self-evaluation cognitive function of elderly people in the community is affected by depression,and there are differences in the results obtained during spot interviews and phone surveys.

关 键 词：老年人 认知功能 自我评价 面谈 电话调查 

分 类 号：R749.1[医药卫生—神经病学与精神病学]