高龄老人认知功能障碍现状及影响因素分析——基于2018年CLHLS数据分析  

Current status of cognitive impairment in the elderly and analysis of its influencing factors-analysis based on CLHLS data in 2018

作　　者：赵晶 张妍彤 范盛然 石晓峰[1] 代爱英[1] Zhao Jing;Zhang Yantong;Fan Shengran;Shi Xiaofeng;Dai Aiying(Heze Medical College,Heze,Shandong 274000,China.)

机构地区：[1]菏泽医学专科学校,山东菏泽274000

出　　处：《齐齐哈尔医学院学报》2024年第8期755-760,共6页Journal of Qiqihar Medical University

基　　金：山东省医药卫生项目(202215020726)。

摘　　要：目的了解高龄老人的认知功能障碍现状及影响因素,为相关部门制定干预措施提供科学依据。方法基于2018年中国老年健康影响因素跟踪调查(CLHLS)实证数据,了解高龄老人认知功能障碍现状。运用Logistic回归分析研究方法,探求高龄老人认知功能障碍影响因素。结果根据CLHLS数据分析显示,我国高龄老人认知功能障碍患病率为24.00%。Logistic回归分析结果显示,年龄[OR=1.11,95%CI(1.09,1.12)]、性别[OR=1.35,95%CI(1.14,1.61)]、户口类型[OR=1.57,95%CI(1.25,1.96)]、体力活动[OR=1.19,95%CI(1.02,1.40)]、活动受限[OR=1.97,95%CI(1.80,2.17)]、感到难过压抑[OR=1.14,95%CI(1.02,1.27)]、感到不中用[OR=1.09,95%CI(1.01,1.18)]、感到紧张害怕[OR=1.13,95%CI(1.02,1.26)]为危险因素[OR=1.09,95%CI(1.01,1.18)]。文化水平[OR=0.65,95%CI(0.55,1.26)]、经常食用新鲜蔬菜[OR=0.80,95%CI(0.73,0.86)]、生活富裕[OR=0.79,95%CI(0.70,0.88)]为保护因素。结论认知功能障碍受多个因素影响,年龄、文化程度、性别、户口类别、心理状态、活动能力为高龄老人认知功能障碍的主要影响因素。Objective To understand the current situation and influencing factors of cognitive dysfunction in the elderly at advanced age,so as to provide a scientific basis for relevant departments to formulate intervention measures.Methods To understand the current situation of cognitive dysfunction among the elderly in their senior years based on empirical data from the 2018 Chinese Longitudinal Healthy Longevity Survey(CLHLS).Logistic regression analysis was used to investigate the factors influencing cognitive dysfunction in the elderly.Results The results of the CLHLS data analysis showed that the prevalence of cognitive dysfunction among the elderly in China was 24.00%.The results of the logistic regression analysis showed that age[OR=1.11,95%CI(1.09,1.12)],gender[OR=1.35,95%CI(1.14,1.61)],registered permanent residence type[OR=1.57,95%CI(1.25,1.96)],physical activity[OR=1.19,95%CI(1.02,1.40)],restricted activity[OR=1.97,95%CI(1.80,2.17)],feeling sad and depressed[OR=1.14,95%CI(1.02,1.27)],feeling unhelpful[OR=1.09,95%CI(1.01,1.18)],and feeling nervous and scared[OR=1.13,95%CI(1.02,1.26)]were risk factors.Literacy level[OR=0.65,95%CI(0.55,1.26)],regular consumption of fresh vegetables[OR=0.80,95%CI(0.73,0.86)]and affluence[OR=0.79,95%CI(0.70,0.88)]were reported as protective factors.Conclusions Cognitive dysfunction is influenced by several factors,with age,literacy,gender,household type,mental status and mobility being the main influencing factors for cognitive dysfunction in the elderly.

关 键 词：高龄老人 认知功能障碍 现状 影响因素 

分 类 号：R743[医药卫生—神经病学与精神病学]