[Abstract] Objective To understand the status quo of cognitive function of the elderly living in urban nursing institutions, and analyze its influencing factors, in order to provide a theoretical basis for urban elderly institutions to develop targeted cognitive function prevention measures and interventions. Methods A cross-sectional survey was conducted on 172 elderly people who met the inclusion criteria in five elderly care institutions in Shenyang from February to September 2022 by stratified random sampling method,and the General Information Questionnaire, Barthel Index Rating Scale and Simple Intelligence Mental Status Scale were used to analyze and explore the current status of cognitive function and the factors influencing it in the elderly. Results The mean age of the survey respondents was (78.62±8.26) years and the mean cognitive function score was (23.12±2.92); age, education level, the frequency of children visiting,The frequency of participation in group activities and the ability to perform activities of daily living were the main factors affecting the cognitive function level of the elderly in urban nursing institutions (P<0.05). Conclusions Older adults admitted to urban nursing institutions have lower levels of cognitive function, Pension institutions can actively carry out early cognitive intervention to reduce or delay the occurrence of cognitive dysfunction, so as to improve the quality of life of the elderly in urban pension institutions.
参考文献
[1] 国家统计局.第七次全国人口普查公报(第五号)[EB/OL].[2021-05-11].http://www.stats.gov.cn/sj/tjgb/rkpcgb/qgrkpcgb/202302/t20230206_1902005.html.
[2] 史路平,姚水洪,王薇.中国老年人群轻度认知障碍患病率及发展趋势的Meta分析[J].中国全科医学,2022,25(1):109-114.
[3] 禹延雪,白茹玉,于文龙,等.≥60岁人群认知功能障碍发生现状及影响因素研究[J].中国全科医学,2023,26(21):2581-2588.
[4] MAHONEY F I,BARTHEL D W.Functional evaluation:the barthel index[J].Maryland state medical journal,1965(14):61-65.
[5] Folstein M F,Folstein S E,McHugh P R."Mini-mental state".A practical method for grading the cognitive state of patients for the clinician[J].Journal of psychiatric research,1975,12(3):189-198.
[6] 张明园.精神科评定量表手册[M].长沙:湖南科学技术出版社,1998.
[7] 饶婷,王丽婷,唐浪娟.南昌市养老机构老年人认知功能现状调查[J].职业与健康,2020,36(6):771-774.
[8] 胡慧秀,孙超,赵雅洁,等.我国9个省份老年人身体及认知功能状况的调查研究[J].中华护理杂志,2023,58(1):68-73.
[9] 石红宇,王西鸽,袁博,等.养老机构老年人衰弱及认知功能[J].中国老年学杂志,2021,41(6):1322-1326.
[10] 吉慧聪,姚淑娟,李倩阳,等.居家老年人认知功能及其影响因素[J].中国老年学杂志,2018,38(4):974-976.
[11] 刘淼,王建华,吴蕾,等.城乡两社区老年人群轻度认知功能障碍的患病状况[J].上海预防医学,2018,30(1):32-37.
[12] 倪爽,徐莲薇.雌激素对女性认知功能影响的研究进展[J].老年医学与保健,2020,26(4):697-700.
[13] 何燕,何海艳,吴学华.绵阳市养老机构老人认知功能现状调查[J].现代预防医学,2019,46(11):2000-2003.
[14] 曲艺,刘畅,张若馨.沈阳市养老机构老年人认知功能与日常生活能力的相关性研究[J].中国医科大学学报,2021,50(11):970-975.
[15] 韦慧燕,刘乐,杨光媚,等.我国老年人认知功能障碍现状及其影响因素[J].医学与社会,2022,35(2):55-59.
[16] 黄君杭,傅清华,冯腾宇,等.老年人认知功能现状及影响因素分析[J].中国疗养医学,2022,31(8):793-796.
[17] 张磊,朱丹,张桂娟,等.1096例60岁以上慢性心衰患者认知功能减低现状及影响因素分析[J].实用预防医学,2023,30(9):1101-1104.
[18] 李晓翔,肖亚婷,刘理.日常生活能力、社会经济地位与老年人认知功能的关系[J].中国健康教育,2023,39(5):417-422.
[19] 方园,刘会,宋勇,等.中国中老年人认知功能状况及其影响因素分析[J].公共卫生与预防医学,2019,30(3):75-78.