住院老年患者认知功能与日常生活能力及焦虑抑郁的关系研究

Correlation among cognitive function and activities of daily living,anxiety and depression in hospitalized older patients

目的了解住院老年患者的认知功能状况,并探讨其认知功能与焦虑抑郁负性情绪和日常生活能力的关系。方法以横断面研究法,对符合条件的151例住院老年患者采用简易智能精神状态检查量表、医院焦虑抑郁量表和日常生活能力量表进行调查。结果住院老年患者认知功能评分为(25.28±5.42)分,认知功能正常82例,下降69例;不同认知功能患者的焦虑、抑郁、日常生活能力得分比较,差异有统计学意义(P<0.05,P<0.01),住院老年患者认知功能与抑郁得分存在负相关(P<0.05)。结论住院老年患者认知功能会影响其情绪及日常生活能力,应早发现、早诊断老年患者的认知功能障碍,及早进行日常生活能力和认知功能训练,尽可能地降低老年人认知障碍程度。

Objective To investigate cogitive functions of hospitalized older patients, and to explore relationship between cognitive function and activities of daily living, anxiety and depression. Methods Totally, 151 hospitalized older patients were investigated with Mini Mental State Examination （MMSE）, the Hospital Anxiety and Depression Scale and Activities of Daily Living Scale. Results The older patients scored （25.28±5.42） points in cognitive function, with 82 having normal cognitive function and 69 impaired. Patients with different levels of cognitive function had different scores in anxiety, depression, and activities of daily living （P〈0.05 ,P〈0.01）. Patientsf cognitive function was negatively correlated with depression （P〈0.05）. Conclusion The cognitive function of hospitalized older patients affect their emotions and activities of daily living. We should recognize older patients＇ cogni tive dysfunction timely, provide trainings on activities of daily living and cognitive function, so as to minimize the severity of cogni tive impairment.