上海市彭浦新村社区慢性病患者认知功能现状及影响因素分析

Analysis of the current status of cognitive function and influencing factors in patients with chronic diseases in Pengpuxincun Community,Shanghai

目的:分析上海彭浦新村社区慢性病患者的认知功能障碍现状及影响因素。方法:收集上海彭浦新村街道社区成年常住居民的信息,居民年龄18~95岁。平均年龄为(32.48±11.98)岁。收集慢性病患者体格数据和人口学信息,用简易智力状态检查量表(MMSE)评估慢性病患者的认知功能。结果:4234名成年常住居民中有慢性患者285名,慢性病检出率为6.37%。平均每人患2.33种慢性病。慢性病患者的认知功能障碍患病率高于与非慢性病患者(59.30%比6.99%,P<0.05)。年龄、文化程度、锻炼身体频率和合并慢性病数是影响慢性病居民的认知功能的因素(P<0.05)。结论:社区慢性病患者得认知功能障碍比例较高,慢性病居民认知功能障碍防治重点是高龄、文化程度较低、缺乏锻炼及合并多种慢性病的患者。

Objective:To analyze the current status of cognitive function and influencing factors in patients with chronic diseases in Pengpuxincun Community,Shanghai.Methods:The information of adult permanent residents of Pengpuxincun Community in Shanghai was collected,the residents were 18~95 years old,and the average age was(32.48±11.98)years.The physical data and demographic information of patients with chronic diseases were collected,and the cognitive function of patients with chronic diseases was evaluated by mini mental state examination(MMSE).Results:There were 285 chronic patients among 4234 adult permanent residents,and the detection rate of chronic diseases was 6.37%.The average person suffered from 2.33 kinds of chronic diseases.The prevalence of cognitive dysfunction in patients with chronic diseases was higher than that of patients with nonchronic diseases(59.30%vs.6.99%,P<0.05).Age,educational level,exercise frequency and the number of chronic diseases were the factors affecting the cognitive function of residents with chronic diseases(P<0.05).Conclusion:Patients with chronic diseases in the community have a high proportion of cognitive impairment,the focus of prevention and treatment of cognitive dysfunction in residents with chronic diseases is patients with advanced age,low education level,lack of exercise,and multiple chronic diseases.