广东省农村老年人认知功能现状及影响因素分析  

Prevalence and risk factors of cognitive function in elderly inrural areas of Guangdong Province

作　　者：郭金花 申铁梅 陈凌 崔虹 王小霞 黄巧 黄芳[2] 李芸[5] 杨满青 GUO Jinhua;SHEN Tiemei;CHEN Ling;CUI Hong;WANG Xiaoxia;HUANG Qiao;HUANG Fang;LI Yun;YANG Manqing(Institute of Cardiovascular Diseases,Guangdong Provincial People’s Hospital(Guangdong Academy of Medical Sciences)of Southern Medical University,Guangzhou 510080,China;Department of Nursing,Guangdong Provincial People’s Hospital(Guangdong Academy of Medical Sciences)of Southern Medical University,Guangzhou 510080,China;Service Supervision Center,Guangdong Provincial People’s Hospital(Guangdong Academy of Medical Sciences)of Southern Medical University,Guangzhou 510080,China;Institute of Geriatrics,Guangdong Provincial People’s Hospital(Guangdong Academy of Medical Sciences)of Southern Medical University,Guangzhou 510080,China;Department of Nursing,Zhuhai Hospital of Guangdong Provincial People’s Hospital,Zhuhai 519041,China)

机构地区：[1]南方医科大学附属广东省人民医院(广东省医学科学院)心血管病研究所,广东省广州市510080 [2]南方医科大学附属广东省人民医院(广东省医学科学院)护理部,广东省广州市510080 [3]南方医科大学附属广东省人民医院(广东省医学科学院)服务监管中心,广东省广州市510080 [4]南方医科大学附属广东省人民医院(广东省医学科学院)老年病研究所,广东省广州市510080 [5]广东省人民医院珠海医院护理部,广东省珠海市519041

出　　处：《实用老年医学》2024年第5期456-460,共5页Practical Geriatrics

基　　金：国家重点研发计划资助项目(2020YFC2008500);广东省人民医院登峰计划专项课题(DFJH2021006)。

摘　　要：目的探讨广东省农村地区老年人认知障碍的发生情况及其影响因素。方法采用便利抽样的方法,选择2021年6月至2022年12月广东省农村地区2819例≥60岁的老年人为研究对象,采用一般资料调查表、MMSE量表进行问卷调查,采用二元Logistic回归分析农村老年人发生认知障碍的影响因素。结果2819例调查对象中,有440例(15.6%)发生认知障碍。Logistic回归分析显示,年龄、用药种类多是认知障碍发生的危险因素,BMI>23.9、与配偶子女居住、劳动收入、定期体检、每周定期参加社交活动、每周定期锻炼身体则是认知障碍发生的保护性因素。结论广东省农村地区老年人认知障碍的发生率较高,应制定适宜农村老年人认知障碍的早期筛查的工具并制定有效干预措施,以减少或延缓老年痴呆的发生。Objective To investigate the prevalence and influencing factors of cognitive impairment in the elderly in rural areas of Guangdong Province.Methods By using convenience sampling,2819 elderly people aged≥60 years old in rural areas of Guangdong Province from June 2021 to December 2022 were enrolled in this study.General information questionnaire and Mini-Mental State Examination(MMSE)were used for survey,and binary Logistic regression was used to analyze the influencing factors of cognitive impairment in rural elderly.Results Among the 2819 subjects,440 cases(15.6%)presented with cognitive impairment.Logistic regression analysis showed that age and polypharmacy were the risk factors for cognitive impairment,while BMI>23.9,living with spouse and children,labor income,regular physical examination,regular participation in social activities every week and regular physical exercise every week were the protective factors for cognitive impairment.Conclusions The incidence of cognitive impairment in the elderly in rural areas of Guangdong Province is relatively high.Appropriate early screening and effective intervention measures for cognitive impairment in rural elderly should be developed to reduce or delay the occurrence of dementia.

关 键 词：认知功能 农村 老年人 患病率 影响因素 

分 类 号：R749.1[医药卫生—神经病学与精神病学]