山西省农村老年人认知衰弱现状及与老化期望的相关分析

摘要/Abstract

摘要： 目的调查山西省汾阳市农村老年人认知衰弱现状,并分析认知衰弱与老化期望的关系。方法采用方便抽样法于2021年11月—2022年2月选取山西省汾阳市农村247例老年人为调查对象,采用一般资料调查表、衰弱表型、简易精神状态检查量表及老化期望-12量表对其进行调查,并对数据进行分析。结果山西省汾阳市农村247例老年人认知衰弱发生率为39.7%。老化期望总分[M（P₂₅,P₇₅）]为26（20,29）分,其中身体健康、精神健康和认知功能期望维度得分分别为8（6,8）、10（8,11）和8（6,10）分。不同年龄、文化程度、婚姻状况、吸烟史、查尔森共病指数、抑郁状况、日常生活能力老年人的认知衰弱情况差异均有统计学意义（均P<0.05）。认知衰弱与老化期望得分呈负相关（r=-0.555,P<0.01）。高龄、日常生活能力中重度依赖和抑郁均是农村老年人认知衰弱的危险因素（均P<0.05）,而高水平老化期望为保护因素（P<0.01）。结论山西省汾阳市农村老年人认知衰弱发生率高,老化期望呈中等偏上水平。且认知衰弱与老化期望有关,应积极采取措施以改善农村老年人群认知衰弱并提高老化期望水平。

关键词: 老年人, 农村, 认知衰弱, 老化期望

Abstract: Objective To investigate the status of cognitive frailty and its relationship with expectations regarding aging among the elderly in rural areas in Fenyang City of Shanxi Province. Methods A total of 247 elderly people living in rural areas of Fenyang City in Shanxi Province were selected by the convenient samplingfrom November 2021 to February 2022,they were investigated with general date questionnaire,Fried phenotype of frailty,mini-mental status examination and the expectations regarding aging-12 scale,and the data were analyzed. Results The incidence of cognitive frailty among the elderly in rural areas of Fenyang City in Shanxi Province was 39.7%.The total score of expectations regarding aging[M（P₂₅,P₇₅）] was 26（20,29）points,and the score of expectations regarding physical health,mental health and cognitive function was 8（6,8）,10（8,11） and 8（6,10）points,respectively. There were statistically significant differences in the cognitive frailty condition among the elderly with different age,educational level,marriage status,smoking history,Charlson complication index,depressive status and activities of daily living（ADL）（all P<0.05）. The cognitive frailty and expectations regarding aging are negatively correlated（r=-0.555,P<0.01）. The advanced age,moderate and severe dependence onADL and depression were the risk factor of cognitive frailty（P<0.05）,while high level of expectations regarding aging was protective factor（P<0.01）. Conclusions The incidence of cognitive frailty among the elderly in rural areasof Fenyang City in Shanxi Province is high,and the expectations regarding aging is at high-to-moderate level. The cognitive frailty is associated with expectations regarding aging.The measures should be actively taken to improve the cognitive frailty and expectations regarding aging among the elderly in rural areas.

Key words: The elderly, Rural areas, Cognitive frailty, Expectations regarding aging

中图分类号:

R181.3

陈玲, 高欢玲, 魏芳芳, 杨玉霖. 山西省农村老年人认知衰弱现状及与老化期望的相关分析. [J]职业与健康, 2023, 39(21): 2944-2948.

CHEN Ling, GAO Huanling, WEI Fangfang, YANG Yulin. Correlation analysis on cognitive frailty prevalence and its relationship with expectations regarding aging among the elderly in rural areas of Shanxi Province. [J]OCCUPATION AND HEALTH, 2023, 39(21): 2944-2948.

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