摘要
目的通过多种客观测评工具和主观测评工具评估北京市社区老年人的认知功能特点，为今后在社区中为老年人制订多领域的认知功能干预提供一定的依据。方法采取方便取样的方法，对北京市74例社区老年人的总体认知功能和记忆力、执行功能、注意力3个分维度和主观记忆满意度进行测评。结果共纳入74例社区老年人。总体认知功能得分为（27．28±1．30）分，其中抽象力、语言表达、视空间与执行功能方面的满分率均不足80％，延迟记忆力仅为9．8％。记忆满意度问卷得分为（38．28±9．40）分。另外，老年人的记忆满意度问卷得分与认知功能量表测评得分问无相关关系（r=0．038，P〉0．05）。总体认知功能正常的社区老年人也会出现各个认知领域的相对下降，尤其是延迟记忆力下降明显。另外，老年人自身的主观记忆感受与认知功能量表测评得分间无相关关系（r=-0．116～0．157，均P〉0．05）。结论总体认知功能得分正常的社区老年人在某些认知功能领域存在认知功能下降的趋势，需要进行多领域的认知功能训练。认知功能主观测评工具的得分在本次研究中和客观测评工具的得分之间不具有相关性，其评判认知功能变化的作用有待于在未来研究中进一步验证。
Objective To assess the characteristics of the community-dwelling elderly through a variety of objective evaluation and subjective evaluation tools and provide basis for cognitive function intervention in the community-dwelling elderly. Methods This study evaluated the global cognitive function, memory, executive function and attention and subjective memory feeling of 74 community-dwelling healthy elderly in Beijing. Results The study included 74 community-dwelling healthy elderly. The score of overall cognitive function was （27.28 ± 1.30） points. Less than 80% of participator did not acquire the total score in abstract, language, visual space and executive function. And only 9.8% acquired the total score in the delayed memory .The average score of the memory satisfaction questionnaire was （38.28 ± 9.40） points.In addition, there was no significant correlation between the scores of memory satisfaction of the elderly and the scores of cognitive function scale（r =0.038, P〉0.05）. The community elderly with normal general cognitive function also showed a relative decline in various cognitive areas, especially in delayed memory. In addition, there was no significant correlation between subjective memory perception and cognitive function scale （r = - 0.116 - 0.157, P 〉 0.05）. Conclusions The community-dwelling elderly with normal global cognitive function have cognitive decline in some cognitive function domains. And the cognitive function training needs to be carried out in community. There is no relationship between subjective memory assessment and objective cognitive function. More researches about the relationship between subjective memory assessment and objective cognitive function should be carried out in the future.
作者
公冶慧娟
刘宇
李湘萍
陆悦
李利
张欣
郭桂芳
Gongye Huijuan;Liu Yu;Li Xiangping;Lu Yue;Li Li;Zhang Xin;Guo Guifang(School of Nursing,Peking University,Beijing 100191,China)
出处
《中国实用护理杂志》
2018年第28期2176-2181,共6页
Chinese Journal of Practical Nursing
关键词
社区老年人
认知功能
记忆主诉
Community-dwelling elderly
Cognitive function
Memory complaint
