上海市南汇区养老院老年痴呆症流行病学调查

EPIDEMIOLOGICAL INVESTIGATION ON ALZHEIMER DISEASE IN BEADHOUSES IN NANHUI DISTRICT OF SHANGHAI

[目的]了解上海市南汇区养老院老年痴呆症的流行现状,为建立老年痴呆症的预防与控制以及老年健康服务体系提供参考。[方法]采用整群抽样,以简易智能状态量表(MMSE)判别老年痴呆症,以日常生活能力量表(ADL)评价活动能力,以老年痴呆卫生知识调查表调查知晓率。[结果]上海市南汇区4所养老院163名60岁以上被调查者中有老年痴呆症者36人,患病率22.09%。老年痴呆症的发生与年龄有关(P﹤0.001),年龄越大,老年痴呆症患病率越高。老年痴呆症病人日常生活能力明显下降。老年人对老年痴呆卫生知识的知晓率很低(6.13%)。[结论]上海市南汇区养老院老年人老年痴呆患病率高,日常活动能力下降明显,健康状况令人堪忧,应引起社会关注。

[ Objective] To explore the prevalence of Alzheimer disease （AD） in beadhouses in Nanhui district of Shanghai, and to provide reference for establishing a prevention and control system for this disease and establishing the service system of the elderly, [Methods] The elderly aged at least 60 from four beadhouses in Nanhui district of Shanghai were sampied for investigation. AD patients were diagnosed by the method of MMSE, the activity of daily living was evaluated by ADL, and the knowledge about AD was surveyed by questionnaires. [Results] 36 elders with AD were identified and the prevalence was 22.09% in 163 residents aged 60 or above in four beadhouses. The prevalence of AD tended to increase with age （ P 〈 0.001）. The activity of daily living for AD patients was lower. The awareness rate of AD prevention was lower （6.13%） for the eiders in beadhouses. [Conclusion] The prevalence of AD is higher and the activity of daily living is lower in the elders in beadhouses, their health status is poor and more attention should be paid to them.