重庆市养老机构老年人老年痴呆患病率及其影响因素研究

发布时间：2018-11-27 13:47

【摘要】：目的了解重庆市养老机构老年人老年痴呆的患病率及影响因素。方法采用整群抽样的方法,以重庆市10所养老机构60岁以上的老年人为调查对象,通过面对面的调查方式,应用简易智力状态量表(MMSE)和工具性日常生活活动能力量表(IADL)评价老年人的认知状况,应用自制的老年人一般情况调查表和老年人抑郁量表(GDS)收集老年人老年痴呆的影响因素。结果符合条件的415名老年人中,119名被诊断为老年痴呆,患病率为28.67%,不同年龄、性别、婚姻状况、文化程度、居住状况,是否吸烟、饮酒、锻炼,不同家务劳动、参加户外活动频率,是否有宗教信仰,是否患有肥胖、高血压、糖尿病、冠心病、脑卒中和抑郁老年人的老年痴呆患病率比较,差异有统计学意义(P0.05)。不同职业、经济状况,是否食用河鲜、海鲜、鱼油类保健品、肝脏或肥肉、禽蛋,不同亲友邻居交往频率、打麻将或棋牌频率、看电视频率、参加社会活动频率老年人的老年痴呆患病率比较,差异无统计学意义(P0.05)。多因素Logistic回归分析显示,年龄大于或等于70岁、女性、吸烟、超重或肥胖、患有高血压是重庆市养老机构老年人老年痴呆的危险因素;在婚、非独居、每天参加户外活动为重庆市养老机构老年人老年痴呆的保护因素。结论重庆市10所养老机构老年人老年痴呆的患病率较高,应重视老年痴呆的预防和控制。
[Abstract]:Objective to investigate the prevalence and influencing factors of senile dementia in the aged in Chongqing. Methods A cluster sampling method was used to investigate the elderly over 60 years old in 10 pension institutions in Chongqing. Simple mental state scale (MMSE) and instrumental activity of daily living (IADL) were used to evaluate the cognitive status of the elderly. The influencing factors of senile dementia were collected by using self-made general situation questionnaire and (GDS). Results among 415 elderly people who met the criteria, 119 were diagnosed with Alzheimer's disease. The prevalence rate was 28.677.An age, sex, marital status, education level, living condition, smoking, drinking, exercising, different household work, or not, There were significant differences in the prevalence of Alzheimer's disease among the elderly with obesity, hypertension, diabetes, coronary heart disease, stroke and depression (P0.05). Different occupations, economic status, whether to eat river fresh, seafood, fish oil type health products, liver or fat meat, poultry eggs, different friends and relatives and neighbors contact frequency, mahjong or chess card frequency, watch TV frequency, There was no significant difference in the prevalence of Alzheimer's disease among the elderly who participated in social activities (P0.05). Multivariate Logistic regression analysis showed that age > 70, female, smoking, overweight or obesity, hypertension were the risk factors of senile dementia in the aged in Chongqing. Taking part in outdoor activities every day is the protective factor of senile dementia in pension institutions in Chongqing. Conclusion the prevalence of senile dementia in 10 old-age care institutions in Chongqing is high, so we should pay attention to the prevention and control of senile dementia.
【作者单位】：重庆医科大学公共卫生与管理学院/医学与社会发展研究中心/健康领域社会风险预测治理协同创新中心;四川大学西部农村卫生发展研究中心;
【分类号】：R749.16

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