摘要
目的探讨农村老年轻度认知障碍(mild cognitive impairment,MCI)患者业余生活活动与抑郁情绪二者之间的相关性,为促进MCI患者的心理健康提供依据。方法2018年3月至9月对山东省阳谷县闫楼镇52个村庄60岁及以上的5765名老年人进行调查,由具备专科诊疗经验的神经内科医生参照Peterson诊断标准,筛选出MCI患者;进一步采用简版老年抑郁量表(GDS-15)进行评估,其中,GDS-15≥5分的MCI患者判定为存在抑郁情绪,根据是否存在抑郁情绪,将MCI患者分为对照组和抑郁组。采用自制业余生活活动问卷(包括吸烟、饮酒、散步、跳广场舞、打门球、骑车、遛鸟、打麻将、玩纸牌、听戏、看电视、看报纸、下象棋、宗教聚会共14个调查项目)调查MCI患者业余生活活动情况,并分析抑郁情绪与业余生活活动的相关性。结果共筛选出MCI患者760例,最终722例纳入分析,对照组669例、抑郁组53例。对照组与抑郁组参加打门球、听戏、看报纸、下象棋、吸烟、饮酒等活动的患者比例差异有统计学意义(P<0.05)。MCI患者抑郁情绪患者比例与吸烟(r=0.215,P<0.01)、饮酒(r=0.205,P<0.01)呈显著正相关;与打门球(r=-0.086,P<0.05)、听戏(r=-0.098,P<0.05)、下象棋(r=-0.127,P<0.05)、看报纸(r=-0.217,P<0.05)呈负相关。结论坚持长期规律的业余生活活动可有效预防农村老年MCI患者抑郁情绪的发生,提高其生存质量。
Objective To investigate the correlation between leisure activities and depression in rural elderly patients with mild cognitive impairment(MCI),and to provide evidence for promoting the mental health of MCI patients.Methods A survey was conducted on 5765 elderly people aged 60 or more in 52 villages of Yanlou Town,Yanggu County,Shandong Province from March to September 2018.Neurologists with specialized diagnosis and treatment experience selected MCI patients based on Peterson's diagnostic criteria,and evaluated them using the Simplified Geriatric Depression Scale(GDS-15).Among them,MCI patients with GDS-15≥5 were considered to have depressive emotions.All patients were divided into a control group and a depression group based on whether they had depressive emotions.We used a self-made leisure activity questionnaire(14 survey items including smoking,drinking,walking,square dancing,gateball,cycling,bird walking,mahjong,playing cards,watching theater,watching TV,reading newspapers,playing chess,and religious gatherings)to investigate the leisure activity status of MCI patients,and analyzed the correlation between depression and leisure activity.Results A total of 760 MCI patients were selected,with 722 cases included in the analysis.There were 669 cases in the control group and 53 cases in the depression group.There were significant difference between the proportion of patients and participating in activities such as playing gateball,attending theater,reading newspapers,playing chess,smoking,and drinking was in the depression group and the control group(all P<0.05).The proportion of MCI patients with depression was significantly positively correlated with smoking(r=0.215,P<0.01)and alcohol consumption(r=0.205,P<0.01),and negatively correlated with playing gateball(r=-0.086,P<0.05),attending theater(r=-0.098,P<0.05),playing chess(r=-0.127,P<0.05),and reading newspapers(r=-0.217,P<0.05).Conclusions Adhering to long-term regular leisure activities can effectively prevent the occurrence of depression and improve the
作者
宋振玉
王念芬
刘晓黎
王立云
尹燕雯
杜怡峰
SONG Zhenyu;WANG Nianfen;LIU Xiaoli;WANG Liyun;YIN Yanwen;DU Yifeng(不详;Department of Neurology,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan Shandong 250021,China)
出处
《中国神经免疫学和神经病学杂志》
CAS
北大核心
2023年第6期412-417,共6页
Chinese Journal of Neuroimmunology and Neurology
基金
国家自然科学基金项目(81861138008)。
关键词
轻度认知障碍
老年人
业余生活
抑郁情绪
mild cognitive impairment
the elderly
leisure life
depression
