关键词: 老年人, 养老机构, 认知功能, 影响因素分析, 横断面研究, 社区护理

Abstract:

Objective To investigate the status and analyze the influencing factors of cognitive function for older people in 30 nursing homes nationally，so as to provide references for the formulation of interventions to improve the cognitive function. Methods The cross-sectional study design was conducted in our study. The convenience sampling method was used to choose older people in 30 nursing homes from east，central，south，north，northwest and southwest for investigation from January to September in 2022 by a general information questionnaire，Mini-Mental State Examination and Short Physical Performance Battery. Logistic regression analysis was used to explore the influencing factors of cognitive function. Results A total of 2 242 older people were investigated. There were 1 006（44.9%） older people with impaired cognitive function. Multivariate logistic regression analysis showed that age，children，long-term medication，regular exercise，self-reported social support as well as hearing impairment and physical performance were the influencing factors（P<0.05）. Conclusion The cognitive function of older people in nursing homes needs to be improved. The older people with advanced age，childless，long-term medication，irregular exercise，lack of social support，hearing impairment and impaired physical performance should be paid more attention. The early interventions should be conducted to improve cognitive function.

Key words: Aged, Nursing Home, Cognitive Function, Root Cause Analysis, Cross-sectional Study, Community Care