首页|老年病科住院患者轻度认知功能障碍的影响因素分析

老年病科住院患者轻度认知功能障碍的影响因素分析

Influencing factors for mild cognitive impairment among geriatric inpatients

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目的 了解老年病科住院患者轻度认知功能障碍(MCI)的影响因素,为老年人群MCI早期筛查和预防提供依据.方法 选择新疆医科大学第一附属医院老年病科住院治疗的≥60岁患者为研究对象,通过问卷调查收集患者的人口学信息、既往病史、日常生活活动能力(ADL)和抑郁症状等资料;采用蒙特利尔认知评估量表评估,结合病史、体格检查诊断MCI;采用多因素logistic回归模型分析MCI的影响因素.结果 收集1 019例老年患者资料,其中男性472例,占46.32%;女性547例,占53.68%,年龄M(QR)为73.00(14.00)岁.初中及以上文化程度746例,占73.21%.有脑血管病446例,占43.77%.MCI检出220例,检出率为21.59%.多因素logistic回归分析结果显示,年龄(OR=1.354,95%CI:1.285~1.426)、文化程度(小学,OR=0.345,95%CI:0.163~0.731;初中及以上,OR=0.196,95%CI:0.096~0.402)、ADL(中重度依赖,OR=4.744,95%CI:2.044~11.012)和脑血管病(OR=2.335,95%CI:1.482~3.679)是老年病科住院患者MCI的影响因素.结论 老年病科住院患者MCI与年龄、文化程度、ADL和脑血管病有关,应有针对性地对老年患者进行健康教育和认知功能训练,预防MCI.
Objective To investigate the influencing factors for mild cognitive impairment(MCI)among the elderly inpa-tients of the department of geriatrics,so as to provide the reference for early screening and prevention of MCI in the el-derly population.Methods Inpatients aged 60 years and older and admitted to the Department of Geriatrics at the First Affiliated Hospital of Xinjiang Medical University were selected as the study subjects.Demographic information,past medical history,activities of daily living(ADL),depressive symptoms were collected through questionnaire surveys.MCI was diagnosed with Montreal Cognitive Assessment in combination with medical history and physical examination.Factors affecting MCI were identified using a multivariable logistic regression model.Results A total of 1 019 elderly patients were collected,including 472 males(46.32%)and 547 females(53.68%),and had a median age of 73.00(inter-quartile range,14.00)years.Among them,746 patients had an educational level of junior high school or above,account-ing for 73.21%,446 patients had cerebrovascular disease,accounting for 43.77%,and 220 patients were diagnosed with MCI,with a detection rate of 21.59%.Multivariable logistic regression analysis showed that age(OR=1.354,95%CI:1.285-1.426),educational level(primary school,OR=0.345,95%CI:0.163-0.731;junior high school or above,OR= 0.196,95%CI:0.096-0.402),ADL(moderate/severe dependence,OR=4.744,95%CI:2.044-11.012)and cerebrovascular disease(OR=2.335,95%CI:1.482-3.679)were the influencing factors for MCI among geriatric inpatients.Conclusions The MCI of the elderly inpatients of the department of geriatrics is related to age,educational level,ADL and cerebro-vascular disease.Therefore,targeted health education and cognitive function training should be provided for elderly pa-tients to prevent MCI.

mild cognitive impairmentthe elderlyinpatientinfluencing factor

张媛、史凌云、吴瑞凯、黄思莹、韩正风

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新疆医科大学第一附属医院老年病科,新疆 乌鲁木齐 830054

新疆医科大学第一附属医院,新疆 乌鲁木齐 830054

新疆医科大学,新疆 乌鲁木齐 830011

轻度认知功能障碍 老年人 住院患者 影响因素

新疆维吾尔自治区卫生健康青年医学科技人才专项科研项目新疆护理学会年度科研项目新疆护理学会年度科研项目新疆医科大学第一附属医院"青年科研起航"专项

WJWY-2021482022XH162023XH0402022YFY-QNRC-07

2024

预防医学
浙江省预防医学会

预防医学

CSTPCD
影响因子:1.002
ISSN:2096-5087
年,卷(期):2024.36(4)
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