摘要
目的调查社区老年居民认知功能现状,并对其影响因素进行探讨。方法以郑州市盛和社区≥60岁常住居民为研究对象进行认知障碍相关因素调查、认知功能评估、睡眠障碍和营养状态评估。采用描述流行病学方法进行分析,并采用单、多因素分析方法对老年居民认知障碍发生影响因素进行分析。结果本研究共对1050名郑州市盛和社区≥60岁居民进行调查,调查对象年龄60~87岁,男女性别比1.27∶1,婚姻状态以在婚为主,占54.5%,文化程度以中专及以下为主,占62.4%。认知障碍老年居民共138例,发生率为13.1%。多因素Logistic回归分析,结果显示:独居(OR=1.726)、睡眠障碍(OR=1.937,)、患病≥4种(OR=1.946)是盛和社区≥60岁居民发生认知障碍的危险因素,而经常体育锻炼(OR=0.599)和参与社会活动(OR=0.434)是其保护性因素。结论盛和社区老年人认知功能障碍发病率较高,其中独居、睡眠障碍、患病≥4种是老年发生认知障碍的独立危险因素。社区医护人员应予以重视,加强认知功能的早期筛查,尽早识别并针对性制定个性化的护理干预方案。
Objective To investigate the status of cognitive function of elderly residents in Shenghe Community,and to discuss its influencing factors.Methods Investigation of factors related to cognitive disorder,assessment of cognitive function,assessment of sleep disturbance and nutritional status were conducted with permanent residents aged over 60 years in Shenghe Community of Zhengzhou City.Descriptive epidemiological analysis method was used to analyze,and single and multiple factor analysis methods were used to analyze the factors affecting the occurrence of cognitive disorder in elderly residents.Results A total of 1050 residents aged over 60 years in Shenghe Community of Zhengzhou City were surveyed.The survey subjects were 60-87 years old,and the ratio of male to female was 1.27∶1.The marital status was mainly married,accounting for 54.5%,and the education level was mainly technical secondary school or below,accounting for62.4%.A total of 138 elderly residents with cognitive disorder,the incidence rate was 13.1%.Multivariate Logistic regression analysis showed that living alone(OR=1.726),sleep disturbance(OR=1.937),and more than 4 kinds of comorbidities(OR=1.946)were risk factors for cognitive disorder in residents aged over 60 years of Shenghe Community.Regular physical exercise(OR=0.599)and participation in social activities(OR=0.434)were its protective factors.Conclusion The incidence of cognitive disorder in the elderly in Shenghe Community is relatively high,living alone,sleep disturbance,and more than 4 kinds of comorbidities are independent risk factors.Community medical staff should pay attention to strengthen the early screening of cognitive function,identify as early as possible and develop personalized nursing intervention programs.
作者
孙环
乔永涛
夏昱
李丽
陈艳梅
SUN Huan;QIAO Yong-tao;XIA Yu;LI Li;CHEN Yan-mei(The Seventh People's Hospital of Zhengzhou,Zhengzhou 450000,China)
出处
《华南预防医学》
2021年第2期166-169,共4页
South China Journal of Preventive Medicine
基金
河南省医学科技攻关联合共建项目(2018020862)。
关键词
老年人
认知功能
影响因素
Elderly
Cognitive function
Influencing factor
