中华护理杂志 ›› 2021, Vol. 56 ›› Issue (1): 109-115.DOI: 10.3761/j.issn.0254-1769.202 1.01.018
收稿日期:
2020-01-20
出版日期:
2021-01-15
发布日期:
2021-01-15
作者简介:
潘晶雪:女,本科(硕士在读), E-mail: 基金资助:
PAN Jingxue(),CHEN Liqun,WANG Jingli,XU Huiqin,XIE Boqin
Received:
2020-01-20
Online:
2021-01-15
Published:
2021-01-15
摘要:
目的 调查社区老年慢性病患者认知功能现状并分析其影响因素。 方法 2019年9月—12月在上海市某社区卫生服务中心采用方便抽样方法选取60岁及以上患有慢性病的老年人734例,采用一般资料调查表、蒙特利尔认知评估基础量表(Montreal Cognitive Assessment-Basic,MoCA-B)进行调查。 结果 734例社区老年慢性病患者中,认知功能障碍患者373例(50.8%),其中轻度认知功能障碍患者326例(44.4%)、阿尔茨海默病患者47例(6.4%)。Kruskal-Wallis分析结果显示,患慢性病种数不同的社区老年人的MOCA-B秩平均得分差异有统计学意义(P<0.05)。多元Logistic回归分析结果显示:年龄≥80岁、轻体力家务、锻炼身体、使用微信或电脑频率、兴趣爱好狭窄、听力下降、患糖尿病是轻度认知功能障碍患者和阿尔茨海默病患者共同的影响因素,而轻度认知功能障碍患者特异的危险因素是文化程度低和有痴呆家族史(P<0.05)。结论 患有4种慢性病的社区老年人比患有1种慢性病的社区老年人认知功能障碍患病率更高,医护人员应该及早筛查,并针对影响因素进行防控。
潘晶雪,陈利群,王敬丽,徐惠琴,谢博钦. 社区老年慢性病患者认知功能的现状调查[J]. 中华护理杂志, 2021, 56(1): 109-115.
PAN Jingxue,CHEN Liqun,WANG Jingli,XU Huiqin,XIE Boqin. Study on the status of cognitive function in community elderly adults with chronic diseases[J]. Chinese Journal of Nursing, 2021, 56(1): 109-115.
表1 社区老年慢性病患者认知功能单因素分析[n=734,例(百分比,%)]
Tab.1 Univariate analysis of cognitive status among elderly community patients with chronic diseases[ n=734 , cases( percentages , %) ]
表2 社区老年慢性病患者认知状况影响因素的多元Logistic回归分析结果
Results of multivariate Logistic regression analysis on influencing factors of cognitive status of elderly patients with chronic diseases in the community
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