太仓市农村老年人轻度认知功能障碍流行病学调查及早期干预研究
发布时间：2019-06-19 20:49
【摘要】：研究背景 随着我国社会老年人口的逐步增多，老年痴呆的患病率也逐渐增高。而轻度认知功能障碍（MCI）是指介于正常老年人与痴呆之间的一种过渡阶段的认知障碍，是老年性痴呆发病的早期信号。早期诊断和干预轻度认知功能障碍对预防和延缓老年痴呆的发生有着重要的意义。 研究目的 1．通过流行病学调查，了解太仓市农村60岁以上老年人认知能力损害的患病率及人群分布特征；建立太仓农村的蒙特利尔量表常模，为不同地区、不同人口特征的老年人认知功能水平的研究提供参考。 2．在评估与诊断老年认知能力损害的基础上，采用认知训练、体育锻炼、社会交往等方式进行干预，寻找和评估社区老年认知能力损害群体干预的有效方法与措施。 研究对象和研究方法 1．流行病学现况调查：按照随机、整群的抽样原则，对太仓市农村60周岁以上的老年人共2063人进行了流行病学调查和MoCAVesion量表测试，，得到有效调查问卷1954份。调查内容包括基本情况、生活方式、疾病等调查和蒙特利尔量表测试。 2．蒙特利尔量表常模研究：根据现况调查结果，建立了太仓市农村老年人蒙特利尔量表总体常模、性别常模、年龄常模和文化程度常模。 3．轻度认知功能损伤干预研究：对通过流行病学调查中筛选出来的的老年人分成干预组和对照组，其中干预组299人，对照组280人，采取体育锻炼、记忆力训练、执行力训练、计算训练、语言能力训练等方式进行干预研究。在干预一年后用蒙特利尔量表评定认知情况的变化。 研究结果 1．流行病学现况调查：太仓市农村社区60岁以上的老年人MoCA量表平均得分为16.16±6.53分，分数普通偏低。老年人MCI患病率在不同性别、年龄组、居住情况、收入情况及文化程度等方面存在显著差异。而高龄、女性、独居、低收入、低文化程度均与MCI的高发有关。 2．蒙特利尔量表常模研究：太仓市农村社区60岁以上老年人在不同性别、年龄、文化程度的调查对象MoCA量表的7个方面及总分中存在明显差异。在性别常模中男性在MoCA量表7个方面及总分上，得分均显著高于女性；在年龄常模中随着年龄的增加，MoCA量表7个方面以及总分都出现了下降趋势；在文化程度常模中，随着学历的降低，MoCA量表的7个方面以及总分都出现了下降趋势。 3．轻度认知功能损伤干预研究：通过体育锻炼、记忆力训练、执行力训练、计算训练、语言训练等对轻度认知功能损伤的老年人进行综合干预，改善了老年人的认知状况。但由于干预时间较短等原因，未取得预期效果。 结论 1．太仓市农村社区60岁以上老年人MCI患病率与高龄、女性、独居、低收入、低文化程度有关。 2．老年人MoCA量表测试得分在性别、年龄和文化程度上存在明显差异。并由此建立了MoCA量表的总体常模、性别常模、年龄常模和学历常模，供进一步研究参考。 3．通过体育锻炼、记忆力训练、执行力训练、计算训练、语言训练等对轻度认知功能损伤的老年人进行综合干预，改善了老年人的认知状况。但未取得预期效果。
[Abstract]:Study Background The prevalence of senile dementia is also increasing with the increase of the population of the elderly in our country. High. And mild cognitive impairment (MCI) is a cognitive disorder in a transitional phase between normal and senile dementia, which is an early letter to the onset of Alzheimer's disease. The early diagnosis and the intervention of mild cognitive impairment have important implications for preventing and delaying the occurrence of senile dementia Righteousness. Objective 1. To study the prevalence of cognitive impairment and the distribution of the population in the elderly in the rural areas of Taicang, through an epidemiological survey, and to establish the norm of the Montreal scale in the rural area of Taicang. A study on the cognitive function of the elderly in different regions and with different population characteristics 2. On the basis of the assessment and diagnosis of the impairment of the cognitive ability of the aged, the cognitive training, physical training and social interaction are used to intervene, to find and evaluate the community intervention in the community's old cognitive ability. Effective methods and measures. The research object and the research method 1. The epidemiological status survey: According to the sampling principle of the random and the cluster, the epidemiological investigation and the MoCAVisiion scale test of 2063 people in the rural area of Taicang city were carried out, and the results were obtained. An effective questionnaire of 1954. The contents of the survey included basic conditions, lifestyle, disease, etc. Survey and Montreal scale test.2. The Montreal scale norm study: based on the findings of the current situation, the general norm of the Montreal Inventory of the Rural Elderly in Taicang City was established, with a gender constant 3. The model, the norm of age and the norm of the cultural degree.3. The intervention of the mild cognitive function: the intervention group and the control group were divided into the intervention group and the control group. the training of the memory, the training of the execution force, the calculation and the training, Intervention study in language ability training, etc. After one year of intervention, Montreal The change of the cognitive situation of the scale assessment. Results 1. Epidemiological survey: the average score of the MoCA scale of the aged over 60 years old in the rural community in Taicang City At 16.16-6.53 points, the scores were generally low. The prevalence of MCI in the elderly was in different sex, age groups, and residential conditions. There are significant differences in terms of income and culture, while older, female, solitary, Low-income and low-cultural levels are related to the high incidence of MCI. There was a significant difference in the 7 aspects of the MoCA scale and the total score. In the gender norm, the scores of the male in 7 aspects and the total score of the MoCA scale were significantly higher than that of the female; in the age norm, with the increase of the age,7 aspects of the MoCA scale and the total score appeared. The trend of decline; in the norm of cultural degree, with the decrease of the degree of education, Mo There was a downward trend in the 7 aspects of the CA scale and the total score.3. The study of mild cognitive impairment: through physical exercise, memory training, execution training, calculation training, language training, etc. The elderly's cognition is improved by the comprehensive intervention of the aged people. condition However, due to the short intervention time and other reasons, the expected effect is not achieved. Conclusion 1. The elderly in the rural community in Taicang city are over 60 years old. The prevalence of MCI is related to the aged, female, solitary, low-income, and low-educated. The test scores of the human MoCA scale were significantly different in terms of sex, age and culture, and the MoCA scale was established. 3. Through physical exercise, memory training, execution training, calculation training, language training, etc. damage to mild cognitive function
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R749.1
本文编号：2502629
[Abstract]:Study Background The prevalence of senile dementia is also increasing with the increase of the population of the elderly in our country. High. And mild cognitive impairment (MCI) is a cognitive disorder in a transitional phase between normal and senile dementia, which is an early letter to the onset of Alzheimer's disease. The early diagnosis and the intervention of mild cognitive impairment have important implications for preventing and delaying the occurrence of senile dementia Righteousness. Objective 1. To study the prevalence of cognitive impairment and the distribution of the population in the elderly in the rural areas of Taicang, through an epidemiological survey, and to establish the norm of the Montreal scale in the rural area of Taicang. A study on the cognitive function of the elderly in different regions and with different population characteristics 2. On the basis of the assessment and diagnosis of the impairment of the cognitive ability of the aged, the cognitive training, physical training and social interaction are used to intervene, to find and evaluate the community intervention in the community's old cognitive ability. Effective methods and measures. The research object and the research method 1. The epidemiological status survey: According to the sampling principle of the random and the cluster, the epidemiological investigation and the MoCAVisiion scale test of 2063 people in the rural area of Taicang city were carried out, and the results were obtained. An effective questionnaire of 1954. The contents of the survey included basic conditions, lifestyle, disease, etc. Survey and Montreal scale test.2. The Montreal scale norm study: based on the findings of the current situation, the general norm of the Montreal Inventory of the Rural Elderly in Taicang City was established, with a gender constant 3. The model, the norm of age and the norm of the cultural degree.3. The intervention of the mild cognitive function: the intervention group and the control group were divided into the intervention group and the control group. the training of the memory, the training of the execution force, the calculation and the training, Intervention study in language ability training, etc. After one year of intervention, Montreal The change of the cognitive situation of the scale assessment. Results 1. Epidemiological survey: the average score of the MoCA scale of the aged over 60 years old in the rural community in Taicang City At 16.16-6.53 points, the scores were generally low. The prevalence of MCI in the elderly was in different sex, age groups, and residential conditions. There are significant differences in terms of income and culture, while older, female, solitary, Low-income and low-cultural levels are related to the high incidence of MCI. There was a significant difference in the 7 aspects of the MoCA scale and the total score. In the gender norm, the scores of the male in 7 aspects and the total score of the MoCA scale were significantly higher than that of the female; in the age norm, with the increase of the age,7 aspects of the MoCA scale and the total score appeared. The trend of decline; in the norm of cultural degree, with the decrease of the degree of education, Mo There was a downward trend in the 7 aspects of the CA scale and the total score.3. The study of mild cognitive impairment: through physical exercise, memory training, execution training, calculation training, language training, etc. The elderly's cognition is improved by the comprehensive intervention of the aged people. condition However, due to the short intervention time and other reasons, the expected effect is not achieved. Conclusion 1. The elderly in the rural community in Taicang city are over 60 years old. The prevalence of MCI is related to the aged, female, solitary, low-income, and low-educated. The test scores of the human MoCA scale were significantly different in terms of sex, age and culture, and the MoCA scale was established. 3. Through physical exercise, memory training, execution training, calculation training, language training, etc. damage to mild cognitive function
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R749.1
【参考文献】
相关期刊论文 前2条
1 王琦;毛礼炜;刘娟;赵合庆;刘春风;李文;;蒙特利尔认知评估量表在老年轻度认知损害中的应用[J];苏州大学学报(医学版);2011年04期
2 周玢,洪震,黄茂盛,曾军,金美华;上海市城乡人群痴呆患病率调查[J];中华流行病学杂志;2001年05期
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