首页|湖南省县乡村公办养老机构老年人认知功能异常的影响因素

湖南省县乡村公办养老机构老年人认知功能异常的影响因素

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目的:分析湖南省县乡村公办养老机构老年人认知功能异常的影响因素.方法:随机抽取湖南省 5 个地州市,每个地州市随机抽取 20 个县乡村公办养老机构,将 100 个养老机构内入住的 3327 名老年人整群纳入,有效评估老年人 3302 名,统计老年人认知功能现状,依据认知功能是否正常将其分为认知功能异常组和认知功能正常组,采用Logistic回归分析老年人认知功能异常的影响因素.结果:3302 名老年人认知功能正常 600 名(18.17%),认知功能异常 2702 名(81.83%),其中认知功能缺损(可疑失智)1538 名,失智 1164 名;认知功能异常组女性、年龄≥80 岁、未婚/离异/丧偶、文化程度小学及以下、从不吸烟、无慢性疾病、无慢性疼痛、近30 d内跌倒、生活自理能力受损、感知觉与沟通能力受损、社会参与能力受损占比均高于认知功能正常组,差异有统计学意义(P<0.05);Logistic回归分析结果显示,年龄≥80岁、文化程度小学及以下、无慢性疾病、无慢性疼痛、生活自理能力受损、感知觉与沟通能力受损、社会参与能力受损均为影响老年人认知功能异常的危险因素(OR>1,P<0.05).结论:年龄≥80岁、文化程度小学及以下、无慢性疾病、无慢性疼痛、生活自理能力受损、感知觉与沟通能力受损、社会参与能力受损均为影响老年人认知功能异常的危险因素.
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.

Hunan provincePublic pension institutionElderlyCognitive dysfunctionInfluencing factor

尹淙禹、黄伶智、李九红、李灵、张梅

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中南大学湘雅护理学院,湖南 长沙 410011

中南大学湘雅二医院临床护理学教研室,湖南 长沙 410011

湖南省 公办养老机构 老年人 认知功能异常 影响因素

湖南省社会科学成果评审委员会课题湖南省财政厅项目

XSP2023GLC110湘财社指[2022]49号

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(3)
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