天津市养老院老人认知功能障碍现况调查及影响因素分析

Cross-sectional Survey on Cognitive Impairment of the Elderly in Tianjin Nursing Home and Influence Factor Analysis

中文关键词: 养老院老年人  认知功能障碍  现况调查  影响因素

英文关键词: the elderly in nursing home  cognitive impairment (CI)  cross-sectional survey  influence factor

中文摘要:

      目的 开展天津市养老院老人认知功能障碍(cognitive impairment,CI)现况调查并分析其影响因素,为防治老年CI提供科学依据.方法 采取整群随机抽样法,根据知情同意原则,对229例天津市养老院60岁及以上老年人的一般情况、健康状况、生活方式及认知功能进行问卷调查;采用Logistic回归分析老年人群CI检出率的影响因素.结果 调查对象的平均年龄为(78.6±7.8)岁,CI检出率为35.84％.Logistic回归结果显示学历、婚姻状况和参加社交活动情况是影响研究对象CI检出率的主要因素(P＜0.05),其中高学历、已婚、经常参与社交活动可以降低研究对象CI的患病风险;CI检出率还与高同型半胱氨酸血症相关(P＜0.05).结论 学历、婚姻状况、参加社交活动情况和高同型半胱氨酸血症均与老年人CI的发生关系密切.

英文摘要:

      Objective To perform a cross-sectional survey on cognitive impairment (CI) of the elderly in Tianjin Nursing Home and to analyze the influence factors.Methods Questionnaire survey was made,based on the principle of informed consent,to 229 elderly 60,randomly selected from Tianjin Nursing Home,including the general information,health status,life style and cognitive function;logistic regression analysis was applied in analyzing the influence factors on CI detecting rate in the elderly.Results The average age was (78.6±7.8) years and the CI detecting rate was 35.84％;logistic regression analysis revealed that education degree,marital status and participation of social activities were the main factors influencing the CI detecting rate (P＜ 0.05),higher degree of education,married status and frequent participation of social activities reduced the risk of CI occurrence;CI detecting rate was correlated to hyperhomocysteinemia (P＜ 0.05).Conclusions Education degree,marital status,participation of social activities and hyperhomocysteinemia are closely related to CI occur-rence in the elderly.