重庆市养老机构老年人轻度认知障碍的患病现状及影响因素

发布时间：2018-11-28 14:53

【摘要】：目的了解重庆市养老机构老年人轻度认知障碍(MCI)的患病现状及影响因素。方法 2015年10至11月,整群抽取重庆市4所养老机构60岁以上老年人,采用面谈方式,应用自制的老年人一般情况调查表、简易精神状态检查、工具性日常生活活动能力量表和老年人抑郁量表进行调查。结果共调查84名老年人,其中MCI 25名(29.76%),不同性别、文化程度、经济状况,以及是否吸烟、常吃河鲜、常参加户外活动、常打麻将或棋牌、常看电视或听广播或读报纸、常参加社会活动、有宗教信仰、患有高血压的老年人,MCI患病率有显著性差异(χ~24.271,P0.05)。多因素Logistic回归分析显示,男性是老年人MCI患病的保护因素(OR=0.055,95%CI:0.005~0.618),高血压是危险因素(OR=8.281,95%CI:1.278~53.646)。结论重庆市养老机构老年人MCI患病率较高,应尽早针对MCI的影响因素采取有效干预措施。
[Abstract]:Objective to investigate the prevalence and influencing factors of mild cognitive impairment (MCI) in the aged in Chongqing. Methods from October to November, 2015, the elderly aged over 60 years old in 4 old-age institutions in Chongqing were selected by cluster, and the self-made questionnaire of general situation of the elderly was used to check their mental state. The instrumental activity of daily living (ADL) scale and the Depression scale for the elderly were investigated. Results A total of 84 elderly people were investigated, including 25 MCI (29.76%), different gender, education, economic status, smoking, eating fresh river, taking part in outdoor activities, often playing mahjong or chess, etc. There were significant differences in the prevalence of MCI among the elderly who often watched TV or radio or read newspapers, participated in social activities, had religious beliefs and suffered from hypertension (蠂 ~ 24.271). Multivariate Logistic regression analysis showed that male was a protective factor (OR=0.055,95%CI:0.005~0.618) and hypertension was a risk factor (OR=8.281,95%CI:1.278~53.646) in elderly patients with MCI. Conclusion the prevalence of MCI is high in the elderly in Chongqing, and effective intervention should be taken against the influencing factors of MCI as soon as possible.
【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;
【基金】：四川大学西部农村卫生发展研究中心CMB合作发展基金项目(No.12-106)
【分类号】：R749.1

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