陈玉明, 丁晓沧, 庄晓伟, 吴国柱, 刘寒, 史曜维, 俞祺桑. 上海市静安区部分社区老年人认知功能现况[J]. 上海预防医学, 2018, 30(4): 262-267. DOI: 10.19428/j.cnki.sjpm.2018.18636
引用本文: 陈玉明, 丁晓沧, 庄晓伟, 吴国柱, 刘寒, 史曜维, 俞祺桑. 上海市静安区部分社区老年人认知功能现况[J]. 上海预防医学, 2018, 30(4): 262-267. DOI: 10.19428/j.cnki.sjpm.2018.18636
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Yu-ming CHEN, Xiao-cang DING, Xiao-wei ZHUANG, Guo-zhu WU, Han LIU, Yao-wei SHI, Qi-sang YU. A cross-sectional study on cognitive function of the elderly in a community of Jing′an District, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2018, 30(4): 262-267. DOI: 10.19428/j.cnki.sjpm.2018.18636
Citation: Yu-ming CHEN, Xiao-cang DING, Xiao-wei ZHUANG, Guo-zhu WU, Han LIU, Yao-wei SHI, Qi-sang YU. A cross-sectional study on cognitive function of the elderly in a community of Jing′an District, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2018, 30(4): 262-267. DOI: 10.19428/j.cnki.sjpm.2018.18636
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上海市静安区部分社区老年人认知功能现况

A cross-sectional study on cognitive function of the elderly in a community of Jing′an District, Shanghai

    摘要
  • 摘要:
    目的调查上海市社区老年人认知功能现状，分析认知功能的相关影响因素，为开展老年人认知功能干预提供参考。
    方法采用问卷调查方法对上海市静安区江宁路街道16个居委会60岁以上老年人进行认知功能筛查，收集7 608名老年人人口学资料和认知功能数据，分析认知功能的影响因素。
    结果7 608名调查对象的平均年龄(70.12±8.56)岁(60~99)，社区老年人8条目痴呆筛查问卷(AD8)平均得分为(0.79±1.71)，蒙特利尔认知功能评估(MoCA)平均得分为(25.29±5.16)分，简易智能状态检查(MMSE)平均得分为(26.79±4.20)，上述三种量表测评认知功能障碍检出率分别为16.7%、39.6%、32.1%。女性、高龄、文化水平低是认知功能下降的相关影响因素(P＜0.01)。AD8、MoCA、MMSE三种评估量表具有关联性(P＜0.01)。
    结论上海江宁路街道老年人认知功能障碍检出率较高，痴呆将对老年人群造成巨大威胁，应积极采取措施应对痴呆带来的老龄化危机。

     

    Abstract:
    ObjectiveTo investigate the cognitive function of the elderly in a community of Shanghai, and to analyze the influencing factors of cognitive function, so as to provide references for cognitive function intervention of the elderly.
    MethodsQuestionnaires and investigation were used to collect demographic data and cognitive function data on a group of 7 608 elderly people over the age of 60 in 16 residents′ units in Jiangning of Jing′an District of Shanghai, and to analyze the influencing factors of cognitive function in the elderly.
    ResultsThe average age of the 7 608 elderly people was 70.12±8.56(60~99) years.The average score of AD8 scale for the elderly in the community was 0.79±1.71, and the average score of MoCA scale was 25.29±5.16.The average score of MMSE scale was 26.79±4.20, and the detection rate of mild cognitive function impairment was 16.7%, 39.6% and 32.1% respectively.Female, older age and low education level were risk factors for cognitive dysfunction (P < 0.01).Three assessment scales AD8, MoCA and MMSE had significant correlation each other (P < 0.01).
    ConclusionThe detection rate of cognitive impairment is high for elderly in Jiangning of Jing′an District, Shanghai.senile dementia would be a great threat to the elderly.We should take corresponding measures to deal with the aging crisis brought by senile dementia.

     

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