摘要
目的探讨社区居家老年人认知功能障碍现状并分析其影响因素。方法采用目的抽样的方法,由经过培训并合格的评估员采用interRAI-HC量表对北京市海淀区羊坊店街道3个社区的153例61~95岁的社区居家老年人进行入户调查,之后通过ChinaRAI软件系统建立数据库,分析社区居家老年人认知功能障碍的发生率以及影响因素。结果社区居家老年人认知功能障碍的发生率高达63.4%(97/153),其中28例存在中重度的认知功能障碍,占18.3%。二元Logistic回归分析结果显示,认知功能障碍的独立影响因素包括日常生活能力(ADL)受损(OR=3.310,P=0.001)、沟通交流能力受损(OR=33.066,P<0.001)、牙齿缺损(OR=3.193,P=0.014)。结论相当一部分社区居家老年人存在不同程度的认知功能障碍,以ADL受损、沟通交流能力受损、牙齿缺损者尤著,应开展有针对性的综合干预措施。
Objective To evaluate the prevalence of cognitive impairment and its influencing factors in home-dwelling elders in Beijing based on interRAI-HC data.Methods A total of 153 home-dwelling elderly aged 61-95 years old in 3 communities in Haidian District of Beijing were selected and interviewed of cognitive imparment trained and qualified assessors.The database was established by China RIA.The incidence rate of cognitive impairment and the influencing factors were analyzed.Results The prevalence rate of cognitive impairment was 63.4%(97/153),and the incidence rate of moderate and severe impairment was 18.3%(28/153).Binary Logistic regression revealed that poor ADL(OR=3.310,P=0.001),impaired communication skills(OR=33.066,P<0.001)and teeth loss(OR=3.193,P=0.014)were significantly associated with cognitive impairment.Conclusions It is suggested that cognitive impairment is common in home-dwelling elderly,especially in those with poor ADL,impaired communication skills and teeth loss.
作者
支梦佳
刘智
胡琳琳
ZHI Meng-jia;LIU Zhi;HU Lin-lin(School of Public Health, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China)
出处
《实用老年医学》
CAS
2020年第9期899-902,共4页
Practical Geriatrics
基金
中央高校基本科研业务费专项资金/北京协和医学院协和青年基金(3332020068)。
关键词
居家老年人
认知功能障碍
影响因素
home-dwelling elderly
cognitive impairment
influencing factors
