巴马县壮族长寿老人认知功能及日常生活能力调查  

Cognitive Function and Activity of Daily Living of the Old Elderly of Zhuang Nationality in Bama County

作　　者：吕泽平[1] 郑陈光[1] 杨泽[2] 梁积英[1] 胡才友[1] 李旭[1] 韩布新[3] 杨秀塔[1] 陈进超 庞国防[1] 

机构地区：[1]广西壮族自治区江滨医院,530021 [2]北京医院卫生部老年医学研究所遗传学研究室,100730 [3]中国医学科学院心理学研究所,100725 [4]广西巴马长寿研究所,547000

出　　处：《中国心理卫生杂志》2003年第2期98-100,共3页Chinese Mental Health Journal

基　　金：广西自然科学基金项目 (桂科自 991 2 0 32 );广西医药卫生科研立项科研课题 (G2 0 0 0 33)

摘　　要：目的 :了解广西巴马县壮族长寿老人认知功能及日常生活自理能力。方法 :采用简易智力状态检查 (MMSE)、日常生活能力量表 (ADL)入户调查。结果 :85～ 89、 90～ 94、 95～ 10 4岁组MMSE总分分别为 2 4 39± 2 36;2 3 5± 2 7;2 2 3± 3 1,符合认知下降诊断者分别占 3% ;9 3%和 13 7%。长寿老人随增龄主要表现为短时记忆、注意力和计算力下降明显 (P <0 0 5 )。ADL方面 ,各组自理能力功能丧失率分别为6% ;12 5 %和 31% ,其中 85～ 89岁与 95～ 10 4岁组比较差异显著 (P <0 0 5 ) ,而在ADL所有项目中 ,仅 85～ 89岁与 95～ 10 4岁组在处理自已钱财功能丧失有显著差异 (P <0 0 5 )。结论 :巴马长寿老人总体认知功能、自理能力较其他老年人群保持好 ;增龄仍然是长寿老人认知及日常活动能力下降的重要因素 ;Objective: To assess the cognitive function and activities of daily living of the old elderly of Zhuang nationality in Bama county, south-west China Method: Among 190 old elderly aged 85 or above in Bama county, 94 were assessed with MMSE and ADL (activity of daily living), the other 96 could not fulfill the assessment for blindness or deafness Result: The MMSE scores of 85-89, 90-94, and 95-104 year-old groups were 24±2, 24±3 and 22±3 respectively Along with aging, the capacity of short-term memory, attention and calculation of the old elderly decreased significantly Among the three age groups, the rates of cognitive deficit were 3%, 9 3% and 13 7% respectively, the rates of deterioration in ADL were 6%, 12 5% and 31% respectively The difference of ADL between those aged 85-89 and those aged 95-104 was statistically significant If considering items of ADL separately, only the difference of dealing with property between the above two age groups was significant Conclusion: Most of the old elderly of Bama county remain good cognitive function Their activities of daily living are closely associated with their cognitive function

关 键 词：巴马县 壮族 长寿老人 认知功能 日常生活能力 调查 广西 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]