Influencing factors of cognitive dysfunction of the elderly in rural public pension institutions in Hunan province
Objective:To analyze influencing factors of cognitive dysfunction of the elderly in rural public pension institutions in Hunan province.Methods:5 prefectures and cities in Hunan province were selected randomly and 20 rural public pension institutions were randomly selected from each prefecture and city.A total of 3327 elderly people living in 100 pension institutions were included.3302 elderly people were effectively assessed.The status of cognitive function in the elderly people was statistically analyzed.According to whether the cognitive function is normal,they were divided into cognitive dysfunction group and normal cognitive function group.Logistic regression was used to analyze the influencing factors of cognitive dysfunction in the elderly people.Results:Among the 3302 elderly people,600(18.17%)had normal cognitive function,2702(81.83%)had abnormal cognitive function,including 1538 with cognitive impairment(suspected dementia)and 1164 with dementia.The proportions of female,age≥80 years old,unmarried/divorced/widowed,education level of primary school and below,never smoking,no combined chronic disease,no chronic pain,falling in the past 30 days,impaired self-care ability,impaired perception and communication ability,impaired social participation ability in the cognitive dysfunction group were higher than those in the normal cognitive function group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that age≥80 years old,education level of primary school and below,no combined chronic disease,no chronic pain,impaired self-care ability,impaired perception and communication ability,and impaired social participation ability were all risk factors affecting the cognitive dysfunction in the elderly people(OR>1,P<0.05).Conclusions:Age≥80 years old,education level of primary school and below,no combined chronic disease,no chronic pain,impaired self-care ability,impaired perception and communication ability,and impaired social participation ability are the risk factors affecting the cognitive dysfunction in the elderly people.