体检护理检查在无明显认知问题老年人潜在较低认知功能评估中的作用

Effect of nursing physical examination in physical check- up on the assessment of the potential and poor cognitive function of the elderly people without obviously cognitive problems

目的:探讨体检护理检查在无明显认知问题老年人潜在较低认知功能评估中的作用。方法:选取1 440名具有明显认知问题的老年人,采用蒙特利尔认知评估量表(Mo CA)测定其认知功能,采用日常生活能力量表(ADL)测定其生活自理情况,采用凯斯勒心理疾患量表(K6)对老年人心理健康状况进行测评,采用多元线性回归分析检查体能和认知功能之间的关联情况。结果:回归分析的结果表明,在调整了年龄和性别后5项体质检查得分明显与Mo CA分数相关联(P<0.01);在调整年龄、性别、文化程度BMI后,5项体质检查得分明显与Mo CA分数相关联(P<0.01);经过进一步调整其他混杂因素,5项体质检查得分明显与Mo CA分数的相关性几乎不变(P<0.01)。结论:社区无明显的认知问题老年人5个体能指标和认知功能相关,且排除年龄、性别、受教育程度、BMI和其他混杂因素。每个体能指标均具有预测低认知功能的老年人口单一生活方式相关的标记物的能力,从而可以用来帮助早期检测的认知功能障碍,并且可以作为社区为基础的老年痴呆症预防和护理参考。

Objective： To explore the effect of nursing physical examination in physical check- up on the assessment of the potential and poor cognitive function of the elderly people without obviously cognitive problems. Methods： 1 440 elderly people with obviously cognitive problems were selected. The Montreal cognitive assessment scale（ MoCA）,activities of daily living and Kessler mental disorder scale（ K6） were used to respectively determine the cognitive function,self- care ability and the mental health status of the elderly people,the correlation between the status of physical fitness and cognitive function was analyzed by multiple linear regression analysis. Results： The analysis showed that the scores of 5 items of physical fitness after adjustment of age and gender were significantly correlated with MoCA scores（ P〈0. 01）; after adjustment of age,gender,education level and BMI,the scores of 5 items of physical fitness were significantly correlated with MoCA scores（ P〈0. 01）; the correlation between the scores of 5 items of physical fitness and MoCA scores changed little after adjustment of other influencing factors（ P〈0. 01）. Conclusion： Each index of physical fitness has the effect to identify the markers of the single lifestyle of the elderly population with poor cognitive function,thus it can be used to detect cognitive dysfunction as early as possible.