重庆市老年人群中社会支持与认知功能的相关性研究

发布时间：2018-03-12 14:29

本文选题：社会支持　切入点：认知功能　出处：《重庆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：背景:人口老龄化是人类社会发展进步的标志,按照世界卫生组织(World Health Organization,WHO)的定义,我国于1999年便已步入老龄化社会。截止2012年,我国老龄人口已达1.9亿,占总人口的14.3%,而且这一数字还在不断增长中。随着世界经济社会的发展,全球人口老龄化步伐不可逆转,作为发展中国家,我国已未富先老,而我市第六次人口普查数据显示,我市大于65岁人口为333.41万,占总人口的11.56%,已远远超出老龄化社会大于7%的国际标准。在面对每3秒钟就有一个新增老年性痴呆患者的当下,老年人认知功能减退已严重威胁着我市老年人口的个人健康,家庭幸福和社会稳定。然而影响老年人认知功能的因素有很多,着手研究及解决这些因素变得尤为迫切。目的:通过对重庆地区老年人进行老年健康综合评估(Comprehensive geriatric assessment,CGA),收集与老年人认知功能相关的医学心理学、社会学、生存与生活状态等资料,以了解我市老年人群痴呆发生率是否与社会支持相关因素关联,明确两者之间的关系,为老年痴呆的预防和干预、降低老年痴呆的发病率。方法:本研究于开展于2011.09-2016.05期间,资料来源于重庆医科大学附属第一医院住院病人。收集老年人的性别、年龄、婚姻状况、文化程度、月收入、居住情况、是否喜欢结交朋友、对生活的主观感受等基本资料,并探讨其与MMSE评分的相关性。分析一下两个方面的内容:1、观察性别、年龄、文化程度、月收入、居住情况、是否喜欢结交朋友、对生活的主观感受对MMSE评分是否有预测作用。2、MMSE评分对在婚同居组和丧偶组差异是否有统计学意义。所有数据均以均值±标准差(X±S)表示,统计分析采用IBM SPSS Statistics20软件完成,检验水平为α=0.05。分析方法的选择:问题1采用多元线性回归;问题2采用独立样本t检验。主要结果:1000名在婚同居老年人的MMSE评分较丧偶老年人高。同时再一次证实了受教育程度越高MMSE评分越高,而MMSE评分与年龄成负相关。而月收入、交友情况、居住情况、对生活的主观感受等社会支持方面得出的老年人认知功能方面的差异并没有统计学意义。结论:社会支持对重庆市老年人群的认知功能有积极影响,尤其来自于配偶和家庭的支持显得尤为重要。因此,我们提出对老年人生活方式和精神状态的关注将有可能改善老年人的认知功能,提高老年人的生活质量。
[Abstract]:Background: population aging is the symbol of the development and progress of human society. According to the definition of World Health Organization (WHO), China has stepped into an aging society in 1999. As of 2012, China's aging population has reached 190 million. With the development of the world economy and society, the pace of global population aging is irreversible. As a developing country, China has become old before becoming rich, and the data of our city's 6th population census show that, The population of our city over 65 years old is three million three hundred and thirty-four thousand and one hundred , accounting for 11.56% of the total population, which has far exceeded the international standard of the aging society greater than 7%. In the face of the fact that there is a new type of Alzheimer's disease every three seconds, The decline of the cognitive function of the elderly has seriously threatened the personal health, family happiness and social stability of the elderly population in our city. However, there are many factors that affect the cognitive function of the elderly. It is particularly urgent to study and solve these factors. Objective: to collect the medical psychology and sociology related to the cognitive function of the elderly by comprehensive geriatric assessment of the elderly in Chongqing. In order to find out whether the incidence of dementia is related to social support factors, and to clarify the relationship between the two factors, the prevention and intervention of senile dementia can be made clear in order to find out whether the incidence of dementia is related to the social support factors, and to clarify the relationship between them. Methods: from 2011.09-2016.05, the data were collected from the inpatients in the first affiliated Hospital of Chongqing Medical University. The gender, age, marital status, education level, monthly income of the elderly were collected. Living conditions, whether you like to make friends, your subjective feelings about life, and so on, and explore the correlation between them and the MMSE score. Analyze the two aspects of content: 1, observe gender, age, education, monthly income, living condition, etc. Whether you like to make friends, whether your subjective feelings of life predict the MMSE score. 2MMSE scores are statistically significant in the cohabitation group and the widowed group. All the data are expressed as mean 卤standard deviation X 卤S. The statistical analysis was carried out by IBM SPSS Statistics20 software, and the test level was 伪 -0.05.The choice of analytical method: question 1 was multivariate linear regression; Question 2 adopts independent sample t test. The main result is that the MMSE score of 1 000 married and cohabiting elderly people is higher than that of widowed elderly people. At the same time, it is proved once again that the higher the education level, the higher the MMSE score, while the MMSE score is negatively correlated with age, while the monthly income is negative. There is no significant difference in the cognitive function of the elderly from the aspects of social support, such as making friends, living conditions, subjective feelings of life, etc. Conclusion: social support has a positive effect on the cognitive function of the elderly in Chongqing. Especially from spouse and family support is particularly important. Therefore, we propose that the attention to the way of life and mental state of the elderly will improve the cognitive function of the elderly, improve the quality of life of the elderly.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：D669.6;R749

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