上海市社区高血压老年人认知功能现状及影响因素分析

Cognitive Function Status and Influencing Factors of Hypertensive Elderly in Shanghai Community

目的:探讨社区70岁及以上高血压老年人的认知功能现状及影响因素。方法:采用蒙特利尔认知评估量表基础版(MoCA-B)对286例社区70岁及以上高血压老年人进行调查。结果:社区70岁及以上高血压老年人认知障碍患病率为58.7%,MoCA-B得分为(20.97±4.60)分。二元logistic回归分析结果显示,使用微信或电脑、兴趣爱好广泛和参加社交活动是认知功能的保护因素,听力下降是认知功能的危险因素。结论:社区70岁及以上高血压老年人认知障碍患病率高,社区应普及新媒体公益培训,培养老年人兴趣爱好,促进老年人的社会交往,并及早开展听力功能的筛查。

OBJECTIVE To explore the current status and influencing factors of the cognitive function of the elderly with hypertension in the community aged 70 and above.METHODS The Montreal Cognitive Assessment-Basic(MoCA-B)was used to investigate 286 elder⁃ly people with hypertension in the community aged 70 and above.RESULTS The prevalence of cognitive impairment in hypertensive elderly people aged 70 years and over in the community was 58.7%,and the MoCA-B score was(20.97±4.601).Binary logistic regression analysis showed that extensive hobbies,participating in social activities were protective factors of cognitive function and hearing loss was a risk fac⁃tor for cognitive function through WeChat computer.CONCLUSION The prevalence of cognitive impairment in the elderly with hypertension in the community was high.The community should popularize new media public welfare training,cultivate the interests and hobbies of the elderly,promote social interaction of the elderly,and carry out screening of hearing function as early as possible.