《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (12): 1179-1183.

• 社区康复 • 上一篇    下一篇

泸州市社区老年人认知障碍及其相关因素调查

张品华，贾红，潘庆，向仁强，李娅凌，刘金玉   

  1. 泸州医学院循证医学中心，四川泸州市646000。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-12-25 发布日期:2014-12-25

Prevalence and Relative Factors of Cognitive Disfunction in Old Adults in Conmmunity of Luzhou, Sichuan, China

ZHANG Pin-hua, JIA Hong, PAN Qing, XIANG Ren-qiang, LI Ya-ling, LIU Jin-yu.
  

  1. Centre for Evidence-based Medicine, Luzhou Medical College, Luzhou, Sichuan 646000, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-12-25 Online:2014-12-25

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被引次数

4

摘要： 目的研究社区老年人认知障碍及其相关因素。方法采用多阶段分层抽样对泸州市市区居住的766 名60 岁以上老年人以面访形式进行问卷调查，收集被调查者人口学、社会学、生活方式、健康状况、营养状况等信息并运用简易精神状态检查(MMSE)测评被访者认知状况。结果泸州市社区老年人认知障碍患病率为19.7%。单因素分析显示，性别(男vs.女，OR=0.577)，年龄(90 岁以上vs. 60~64 岁，OR=29.857)，职业为行政管理人员(行政管理人员vs.非行政管理人员，OR=0.360)、农民(农民vs.非农民，OR=2.121)，营养状况(营养不良vs.营养良好，OR=2.460)，体重(体重过轻vs.体重正常，OR=3.222)，居住状况(偶居vs.非偶居，OR=0.658)，婚姻状况(丧偶vs.非丧偶，OR=2.208)，文化程度(大专文化vs.文盲，OR=0.328)，经济收入(1000 元以上vs.无经济收入，OR=0.596)与认知状况有关联(P<0.05)；多因素Logistic 回归分析显示，高龄、职业为农民、营养不良与认知障碍发生独立相关。结论认知障碍相关因素较多且混杂，应采取有效可及的方式加以干预。

关键词: 认知障碍, 患病率, 相关因素, 泸州市, 社区人群

Abstract: Objective To investigate the prevalence and relative factors of cognitive disfunction among the community- dwelling old adults. Methods 766 participants over 60 years old dwelling in Luzhou, Sichuan, China were enrolled with Multi-stage stratified sampling. Information about sociodemographic characteristics, lifestyle, health condition, nutrition were interviewed, and their cognitive function was evaluated with Mini-Mental State Examination (MMSE). Results The prevalence of cognitive disfunction was 19.7% among them. Gender (male vs. female, OR=0.577), age (over 90 years vs. 60- 64 years, OR=29.857), administrator (administrator vs. not administrator, OR= 0.360), farmer (farmer vs. not farmer, OR=2.121), nutrition (malnutrition vs. eutrophia, OR=2.460), body weight (underweight vs. normal weight, OR=3.222), living status (UN-Habitat vs. living alone, OR=0.658), marital status (widowed vs. not widowed, OR=2.208), education attainment (junior college vs. illiteracy, OR=0.328), income (over 1000 yuan vs. no income, OR=0.596) significantly related with cognitive disfunction (P<0.05). Multiple Logistic regression analysis showed that old age, occupation (farmer) and malnutrition were independent risk factors for cognitive disfunction. Conclusion The cognitive disfunction related with multi-factors, and need more effective and available intervention in the old adults.

Key words: cognitive disfunction, prevalence, relative factors, Luzhou, community population