社区老人智力活动与认知功能状况研究

Status and correlation analysis of intellectual activity and cognitive function among community-dwelling older adults

目的探讨老年人智力活动与认知功能的关系。方法采用蒙特利尔认知评估量表、一般人口学资料调查问卷和智力活动调查表对杭州市528位社区老年人进行认知功能和智力活动调查。结果 528名老年人认知功能得分25.65±2.59;智力活动参与得分2.00(1.00,2.00);是否参与玩棋牌纸牌麻将游戏和是否演奏乐器对老年人认知功能有显著影响(均P<0.01);各认知域受损程度最高的是延迟回忆与视空间与执行功能。结论护理人员要重视老年人的认知功能下降并给予合理帮助,让老年人认识智力活动的重要性,提高积极性,科学参与,丰富晚年生活质量,改善认知功能。

Objective To explore the correlation of intellectual activity and cognitive function among community dwelling older a dults. Methods The intellectual activity and cognitive function of 528 community dwelling older adults in Hangzhou city were inves tigated using Montreal Cognitive Assessment scale, the general demographic questionnaire and intellectual activity questionnaire. Results The score of cognitive function for the 528 older adults was 26.63±2.59; the score of participating in intellectual activities was 2.00（1.00,2.00）;there were significant differences of cognitive function for those older adults participated in the games of chess, card and mahjong or played a musical instrument and others did not （P〈0.01 for all）. The cognitive impairment at a high level were delayed memory, visual spatial and executive function. Conclusion Nurses should pay attention to the decline of cognitive function of the older adults and provide appropriate help to make them recognize the importance of intellectual activity, improve their enthusiasm to participate in intellectual activities, and to enrich their quality of life in old age, then improve their cognitive function.