摘要
目的探讨1064名山西农村老年人轻度认知障碍患病状况及其影响因素。方法于2021年1—6月,在山西农村地区抽取1064名60岁及其以上的老年人为研究对象,采取老年人基本资料、简易精神状况量表进行调查。应用二分类Logistic回归统计学方法确定轻度认知障碍的影响因素。结果1064名山西农村老年人的轻度认知障碍患病率为17.6%。单因素分析结果:年龄、职业、退休后是否有第二职业、文化程度、居住情况、婚姻状况、每月收入、社会交往活动、读书看报、体育锻炼、健康自评、睡眠情况、听力、视力、高血压、糖尿病等因素在老年人轻度认知障碍患病率上差异具有统计学意义(P<0.05)。二分类Logistic回归分析结果:读书看报和参加社会交往活动以及与配偶居住为轻度认知障碍保护因素;文化程度低、高龄、听力差以及糖尿病为老年人发生轻度认知障碍危险因素。结论1064名山西农村老年人轻度认知障碍发病情况属中等水平,高龄、患有糖尿病、文化程度低以及听力差是发生轻度认知障碍高危人群,尽早开展认知功能的筛查工作,采取有效措施,改善认知功能。
Objective To explore the prevalence and influencing factors of mild cognitive impairment(MCI)in 1064 elderly people in rural Shanxi.Methods From January to June 2021,1064 elderly people aged 60 and above were selected in rural areas of Shanxi Province as research subjects,and the General information questionnaire and Minimum Mental State Examination(MMSE)were used for the investigation,and binary logistic regression to determine the influencing factors of mild cognitive impairment.Results The prevalence of MCI in 1064 rural elderly people in Shanxi Province was 17.6%.Univariate analysis showed that age,occupation,working after retirement,education background,living with spouses or not,marital status,monthly income,social activities,reading books and newspapers,physical exercise,health self-assessment,sleep status,hearing,vision,hypertension,and diabetes were influencing factors of the prevalence of MCI in the elderly(P<0.05).Binary logistic regression showed reading books and newspapers,participating in social activities,and living with spouses were protective factors for MCI.Low education level,advanced age,poor hearing,and diabetes were risk factors for MCI in elderly people.Conclusion There is moderate incidence of MCI in 1064 rural elderly people in Shanxi Province.The elderly with advanced age,diabetes mellitus,low education level and poor hearing are the high-risk groups for MCI,so It is recommended that cognitive function screening be promptly conducted and appropriate interventions be implemented to enhance cognitive function of the elderly.
作者
曹晓霞
杨支兰
崔丽萍
耿慧
句卫芳
CAO Xiao-xia;YANG Zhi-lan;CUI Li-ping;GENG Hui;JU Wei-fang(School of Nursing,Shanxi University of Chinese Medicine,Jinzhong 030619,China;Dept.of Nursing Administration,Shanxi Bethune Hospital,Taiyuan 030032,China;Dept.of Comprehensive Medicine,Shanxi Bethune Hospital,Taiyuan 030032,China)
出处
《护理学报》
北大核心
2023年第22期7-12,共6页
Journal of Nursing（China）
基金
山西中医药大学护理学科建设资助项目(研学科函[2022]3号)。
关键词
山西
农村地区
轻度认知障碍
老年人
影响因素
Shanxi
rural areas
mild cognitive impairment
elderly people
influencing factor
作者简介
曹晓霞(1995-),女,山西朔州人,本科学历,硕士研究生在读;通信作者:杨支兰(1976-),女,山西吕梁人,硕士,副教授,硕士研究生导师。E-mail:yrlrose@163.com。
