承德市社区老年人轻度认知功能障碍现状及影响因素

Status and influencing factors of mild cognitive impairment among the elderly in Chengde Community

目的:了解承德市社区老年人轻度认知功能障碍(mild cognitive impairment,MCI)现状,分析其影响因素,为制定其相关干预措施提供参考依据。方法:采用便利抽样、调查问卷的方法,对2021年5月-2021年10月承德市3个社区M 60岁的老年人进行轻度认知功能障碍的调查,采用单因素和二元Logistic回归多因素分析60岁以上老年人患MCI的影响因素。结果:承德市3个社区≥60岁的老年人MCI患病率为18.1%(47/260),略高于我国近年来城市老年人患MCI的平均水平;性别、年龄、疾病类型、锻炼情况、吸烟及喝酒情况均影响60岁以上老年人的MCI患病率(P<0.05),其中性别、年龄、锻炼情况、饮酒及吸烟情况是影响承德市社区60岁以上老年人MCI患病的独立因素。结论:承德市社区60岁以上老年人MCI患病率较高,建议早筛查、早干预,控制MCI危险因素,以延迟痴呆发病。

Objective:The current situation of mild cognitive impairment in the elderly in Chengde City was investigated and its influencing factors were analyzed.Methods:Using convenience sampling method,280 elderly people aged 60 were screened from three communities from May 2021 to October 2021.General questionnaire and simple mental state check scale(MMSE)were used.260 valid questionnaires were recovered with an efficiency of 92.86%.Results:The number of MCI patients in Chengde City was 47 people,accounting for 18.1%(47/260).Univariate analysis showed that gender,health,age,disease type,exercise,smoking,and drinking consumption afEected the prevalence of MCI(P<0.05).Binary Logistic regression analysis showed that gender comparison,age,exercise,drinking consumption and smoking were independent fectors affecting MCI disease in the elderly in Chengde City.Conclusion:The prevalence of MCI is high in the elderly in Chengde city is high,so it is recommended that early screening and early intervention to control MCI risk factors to delay the onset of dementia.