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

doi:10.3969/j.issn.1006-9771.2017.03.002·专题·

《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (3): 253-256.doi: 10.3969/j.issn.1006-9771.2017.03.002·专题·

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

王婷婷¹, 曹诚¹, 刘亚兰¹, 练婧曦¹, 严可¹, 杨珉², 蒋祎¹

1.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,重庆市 400016;
2.四川大学西部农村卫生发展研究中心,四川成都市 610041。

收稿日期:2016-10-19 出版日期:2017-03-05 发布日期:2017-03-31
通讯作者: 蒋祎,女,博士,副教授,主要研究方向：社会医学与卫生事业管理。E-mail: jiangyilaoshi@163.com。
作者简介:王婷婷(1990-),女,汉族,四川西昌市人,硕士研究生,主要研究方向：社会医学与卫生事业管理。
基金资助:
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)

Prevalence and Risk Factors of Mild Cognitive Impairment in Old People in Pension Facilities in Chongqing, China

WANG Ting-ting¹, CAO Cheng¹, LIU Ya-lan¹, LIAN Jing-xi¹, YAN Ke¹, YANG Min², JIANG Yi¹

1. School of Public Health and Management, Chongqing Medical University, Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, Chongqing 400016, China;
2. West China Research Center for Rural Health Development, Sichuan University, Chengdu, Sichuan 610041, China

Received:2016-10-19 Published:2017-03-05 Online:2017-03-31
Contact: Correspondence to JIANG Yi. E-mail: jiangyilaoshi@163.com

摘要/Abstract

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(χ²>4.271, P<0.05)。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。

关键词: 老年人, 养老机构, 轻度认知障碍, 患病率, 影响因素

Abstract: ObjectiveTo investigate the prevalence status and risk factors of mild cognitive impairment (MCI) in old people in pension facilities in Chongqing, China. MethodsFrom October to November, 2015, the people above 60 years old in four pension facilities in Chongqing were cluster sampled. They were interviewed with Mini-Mental State Examination, Instrumental Activity of Daily Living Scale, self-made general situation questionnaire for the elderly and the Geriatric Depression Scale. ResultsThere were 25 MCI patients identified in 84 old people selected, with the prevalence of 29.76%. MCI prevalence was different with the factors such as genders, educational levels, economical status, smoking, eating freshwater fish frequently, participating in outdoor activities frequently, playing Mahjong/chess/cards frequently, watching TV/listening to broadcast/reading newspaper frequently, participating in social activities frequently, having religious beliefs, suffering high blood pressure (χ²>4.271, P<0.05). Based on multivariate Logistic regression analysis, male was the protective factor (OR=0.055, 95%CI: 0.005~0.618), while high blood pressure was the risk factor (OR=8.281, 95%CI: 1.278~53.646) to the MCI. ConclusionMCI is prevalent in old people in pension facilities in Chongqing, which needs intervention targeted to the risk foctors.

Key words: old people, pension facilities, mild cognitive impairment, prevalence, risk factors

中图分类号:

R749.1

王婷婷, 曹诚, 刘亚兰, 练婧曦, 严可, 杨珉, 蒋祎. 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[J]. 《中国康复理论与实践》, 2017, 23(3): 253-256.

WANG Ting-ting, CAO Cheng, LIU Ya-lan, LIAN Jing-xi, YAN Ke, YANG Min, JIANG Yi. Prevalence and Risk Factors of Mild Cognitive Impairment in Old People in Pension Facilities in Chongqing, China[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(3): 253-256.

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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

Prevalence and Risk Factors of Mild Cognitive Impairment in Old People in Pension Facilities in Chongqing, China

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