首页|医养结合养老机构失能老人认知功能现状及影响因素研究

医养结合养老机构失能老人认知功能现状及影响因素研究

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目的 探讨养老机构失能老人认知功能现状及相关因素,为加强失能老人认知评估和建立认知障碍风险防范机制提供理论依据.方法 通过便利抽样法,选取2023年1月至4月入住广州市某医养结合养老机构的134例失能老人作为研究对象,对失能老人进行一般资料问卷和认知功能、抑郁状况调查.采用多元线性回归分析失能老人认知功能的影响因素.结果 养老机构失能老人认知功能障碍占比29.85%(40/134),认知功能评分为(22.87±6.52)分.多元线性回归分析显示,年龄、失能程度、抑郁评分是失能老人认知功能评分的危险因素,教育程度、能否自行上厕所的失能状况是失能老人认知功能评分的保护因素(P<0.05).结论 养老机构失能老人认知功能偏低,建议机构加强对高龄、低教育程度、重度失能、抑郁的失能老人认知功能的评估和干预.
Study on cognitive function status and influencing factors of disabled el-derly in pension institutions of combination of medical and nursing care
Objective To explore the cognitive function status and related factors of disabled elderly in pension institutions,and provide theoretical basis for strengthening cognitive assessment of disabled elderly and establishing risk prevention mechanism of cognitive impairment.Methods By convenient sampling method,134 disabled elderly people who were ad-mitted to a pension institutions in Guangzhou from January to April 2023 were selected as the research objects.The general data questionnaire,cognitive function and depression status of disabled elderly people were investigated.Multiple linear regression was used to analyze the influencing factors of cognitive function in disabled elderly.Results 29.85%(40/134)of disabled elderly with cognitive dysfunction in pension institutions,and the cognitive function score was(22.87±6.52).Mul-tiple linear regression analysis showed that age,disability degree and depression score were risk factors for cognitive function score of disabled elderly,and education level and disability status were protective factors for cognitive function score of dis-abled elderly(P<0.05).Conclusion The cognitive function of disabled elderly people in pension institutions is low.It is suggested that institutions strengthen the assessment and intervention of cognitive function of elderly people with disability,low education level,severe disability and depression.

Pension institutionDisabled elderly peopleCognitive functionRelevant factorsCombination of medical and nursing care

柳家贤、陈婉婷、孙宏博、温敏

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广州医科大学护理学院,广东广州 510180

养老机构 失能老人 认知功能 相关因素 医养结合

广东省中医药局中医药科研项目

20211238

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(22)
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