上海市闵行区社区老年人神经认知功能相关羞耻感及其影响因素分析

Analysis of the stigma and its influence factors related to the neurocognitive function of the elderly in the community of Minhang District,Shanghai

目的调查上海市闵行区社区老年人神经认知功能相关羞耻感及其影响因素。方法采用多阶段随机抽样方法选择闵行区60岁以上居民作为调查对象,用中文版社区失智筛查感知问卷(Chinese version of Perceptions Regarding Investigational Screening for Memory in Primary Care,C-PRISM-PC)及一般资料调查问卷对辖区2528名社区老人进行调查分析。结果闵行区社区老年人神经认知功能相关羞耻感较轻,得分为(26.18±14.54)分;单因素分析显示不同年龄、婚姻状态、职业、月收入的社区老年人在神经认知功能低羞耻感的得分差异具有统计学意义(P<0.05);非条件logistic回归显示高收入、从事非体力劳动和低年龄可能是老年人神经认知功能相关羞耻感的保护因素。结论应充分认识社区老年人的神经认知功能相关羞耻感,引导老年人正确科学认识。

Objective To investigate the sense of stigma and its factors associated with the neurocognitive function of the elderly in the community of Minhang District of Shanghai.Methods A multi-stage random sampling method was used to select residents over 60 years old in Minhang District.A total of 2528 community elderly in Minhang District were investigated with the Chinese version of Perceptions for Investigational Screening for Memory in Primary Care(C-PRISM-PC)and general information questionnaire.Results The shame related to neurocognitive function of the elderly in Minhang District was mild,and the score was(26.18±14.54).Single factor analysis showed that the scores of low shame in neurocognitive function of community elderly with different ages,marital status,occupation and monthly income were statistically significant(P<0.05).Unconditional logistic regression shows that high income,non-physical labor and low age may be the protective factors of shame related to neurocognitive function in the elderly.Conclusions It is necessary to fully understand the shame associated with neurocognitive function of the elderly in the community,and guide the elderly to understand scientifically.