记忆抱怨主诉人群痴呆早期检测求助意愿现状及其影响因素分析
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摘要
目的:调查记忆抱怨主诉人群的痴呆早期检测求助意愿现状,并分析其影响因素,为制定痴呆危险人群的早期干预策略提供参考依据。方法:采用方便抽样法对重庆市主城区某4个社区卫生服务中心建档的记忆抱怨主诉人群进行问卷调查,采用Logistic回归对记忆抱怨主诉人群的求助意愿的影响因素进行分析。结果:344名记忆抱怨主诉人群中,126例(36.63%)记忆抱怨主诉人群有求助意愿,218例(63.37%)记忆抱怨主诉人群没有求助意愿。Logistic回归结果显示,婚姻状况(OR=1.869,P=0.011)、文化程度(OR=1.364,P=0.012)、痴呆家族史(OR=1.989,P=0.010)对记忆抱怨主诉人群的痴呆早期检测求助意愿有影响。结论:记忆抱怨主诉人群的痴呆早期检测求助意愿缺乏,婚姻状况、文化程度、是否有痴呆家族史是记忆抱怨主诉人群痴呆早期检测求助意愿的影响因素。
Objective: To investigate the help-seeking intention for early detection of dementia and it's related factors of adults with subjective memory complaints(SMC), and to provide reference for early intervention with dementia risk group.Methods: A questionnaire survey was conducted among adults with SMC from 4 community health centers in Chongqing by convenient sampling, and the related factors of help-seeking intentions were analyzed with logistic regression. Result: For the 344 adults with SMC, there were 126 adults with help-seeking intention(36.63%). Logistic regression analysis showed that marital status(OR=1.869, P=0.011), education level(OR=1.364, P=0.012), family history of dementia(OR=1.989, P=0.010)were the related factors of help-seeking intention for early detection of dementia among adults with SMC. Conclusion: The help-seeking intention for early detection of dementia among adults with SMC is poor. Marital status, education level and family history of dementia are the main related factors of help-seeking intention for early detection of dementia among adults with SMC.
Objective: To investigate the help-seeking intention for early detection of dementia and it's related factors of adults with subjective memory complaints(SMC), and to provide reference for early intervention with dementia risk group.Methods: A questionnaire survey was conducted among adults with SMC from 4 community health centers in Chongqing by convenient sampling, and the related factors of help-seeking intentions were analyzed with logistic regression. Result: For the 344 adults with SMC, there were 126 adults with help-seeking intention(36.63%). Logistic regression analysis showed that marital status(OR=1.869, P=0.011), education level(OR=1.364, P=0.012), family history of dementia(OR=1.989, P=0.010)were the related factors of help-seeking intention for early detection of dementia among adults with SMC. Conclusion: The help-seeking intention for early detection of dementia among adults with SMC is poor. Marital status, education level and family history of dementia are the main related factors of help-seeking intention for early detection of dementia among adults with SMC.
引文
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[7]Steinberg SI,Negash S,Sammel MD,et al.Subjective memory complaints,cognitive performance,and psychological factors in healthy older adults.American Journal of Alzheimer Disease and Other Dementias,2013,28(8):776-783.
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[9]唐碧霞,杨燕妮,李世杰,等.记忆抱怨主诉人群求助行为的影响因素分析.中华护理杂志,2017:52(11):1310-1315.Tang BX,Yang YN,Li SJ,et al.The influence of help-seeking behavior in people with subjective memory complaints.Chinese Journal of Nursing,2017,52(11):1310-1315.
[10]Ajzen I.The theory of planned behavior.Organizational Behavior and Human Decision Processes.Journal of Leisure Research,1991,2(50):179-211.
[11]Geerlings MI,Jonker C,Bouter LM,et al.Association between memory complaints and incident Alzheimer's disease in elderly people with normal baseline cognition.Am J Psychiatry,1999,156(4):531-537.
[12]黄丽,杨燕妮,蒋云云,等.主观记忆障碍高血压患者治疗依从性及其影响因素研究.护理学杂志,2017,32(23):90-92.Huang L,Yang YN,Jiang YY,et al.Therapeutic adherence and its associated factors among hypertensive patients with subjective memory complaints.Journal of Nursing Science,2017,32(23):90-92.
[13]Katzman K,Zhang MY,Duang-Ya-Qu,et al.A Chinese Version of illteracy in a Shanghai dementia Survey.J Clin Epidemiol,1988,41(10):971-978.
[14]Zhang MY,Katzman R,Salmon D,et al.The prevalence of dementia and Alzheimer's disease in Shanghai,China:impact of age,gender,and education.Ann Neurol,1990,27(4):428-437.
[15]Shinan-Altman S,Werner P.Is there an association between help-seeking for early detection of Alzheimer's disease and illness representations of this disease among the lay public?.Int J Geriatr Psychiatry,2017,32(12):100-106.
[16]Werner P,Heinik J,Giveon S,et al.Helpseeking preferences in the area of mild cognitive impairment:comparing family physicians and the lay public.Clin Interv Aging,2014(9):613-619.
[17]Yang LH.Application of mental illness stigma theory to Chinese societies:synthesis and new directions.Singapore Med J,2007,48(11):977-985.
[18]Brunet M,Mccartney M,Heath I,et al.There is no evidence base for proposed dementia screening.BMJ,2012,345:8588.
[19]Gill L,Alistair B,Kenneth E.Dementia prevention intervention and care.Lancet,2017,390(10103):2673-2734.
[20]李娟.住院患者参与维护患者安全意愿及行为现状的研究.重庆:重庆医科大学,2012.Li J.Patient safety intention and behavior among inpatients.Chongqing:Chongqing Medical University,2012.
[21]Farshidi H,Rahimi S,Abdi A,et al.Factors associated with pre-hospital delay in patients with acute myocardial infarction.Iran Red Crescent Med J,2013,15(4):312-316.
[22]Levkoff S,Levy B,Weitzman P.The role of religion and ethnicity in the help seeking of family caregivers of elders with Alzheimer's disease and related disorders.J Cross Cult Gerontol,1999,14(4):335-356.
[2]Barnett JH,Lewis L,Blackwell AD,et al.Early intervention in Alzheimer's disease:a health economic study of the effects of diagnostic timing.BMC Neurol,2014(14):101.
[3]Brooker D,La Fontaine J,Evans S,et al.Public health guidance to facilitate timely diagnosis of dementia:Alzheimer's Cooperatives Valuation in Europe recommendations.Int J Geriatric Psychiatry,2014,29(7):682-693.
[4]Speechly CM,Bridges-webb C,Passmore E.The pathway to dementia diagnosis.Med J Aus.,2008,189(9):487-489.
[5]Dua T,Seeher KM,Sivananthan S,et al.World health organization's global action plan on the public health response to dementia 2017-2025.Alzheimer's&Dementia,2017,13(7):1450-1451.
[6]Mitchell AJ,Beaumont H,Ferguson D,et al.Risk of dementia and mild cognitive impairment in older people with subjective memor y complaints:meta-analysis.Acta Psychiatr Scand,2014,130(6):439-451.
[7]Steinberg SI,Negash S,Sammel MD,et al.Subjective memory complaints,cognitive performance,and psychological factors in healthy older adults.American Journal of Alzheimer Disease and Other Dementias,2013,28(8):776-783.
[8]Waldorff FB,Rishoj S,Waldemar G.If you don't ask(about memory),they probably won't tell.J Fam Pract,2008,57(1):41-44.
[9]唐碧霞,杨燕妮,李世杰,等.记忆抱怨主诉人群求助行为的影响因素分析.中华护理杂志,2017:52(11):1310-1315.Tang BX,Yang YN,Li SJ,et al.The influence of help-seeking behavior in people with subjective memory complaints.Chinese Journal of Nursing,2017,52(11):1310-1315.
[10]Ajzen I.The theory of planned behavior.Organizational Behavior and Human Decision Processes.Journal of Leisure Research,1991,2(50):179-211.
[11]Geerlings MI,Jonker C,Bouter LM,et al.Association between memory complaints and incident Alzheimer's disease in elderly people with normal baseline cognition.Am J Psychiatry,1999,156(4):531-537.
[12]黄丽,杨燕妮,蒋云云,等.主观记忆障碍高血压患者治疗依从性及其影响因素研究.护理学杂志,2017,32(23):90-92.Huang L,Yang YN,Jiang YY,et al.Therapeutic adherence and its associated factors among hypertensive patients with subjective memory complaints.Journal of Nursing Science,2017,32(23):90-92.
[13]Katzman K,Zhang MY,Duang-Ya-Qu,et al.A Chinese Version of illteracy in a Shanghai dementia Survey.J Clin Epidemiol,1988,41(10):971-978.
[14]Zhang MY,Katzman R,Salmon D,et al.The prevalence of dementia and Alzheimer's disease in Shanghai,China:impact of age,gender,and education.Ann Neurol,1990,27(4):428-437.
[15]Shinan-Altman S,Werner P.Is there an association between help-seeking for early detection of Alzheimer's disease and illness representations of this disease among the lay public?.Int J Geriatr Psychiatry,2017,32(12):100-106.
[16]Werner P,Heinik J,Giveon S,et al.Helpseeking preferences in the area of mild cognitive impairment:comparing family physicians and the lay public.Clin Interv Aging,2014(9):613-619.
[17]Yang LH.Application of mental illness stigma theory to Chinese societies:synthesis and new directions.Singapore Med J,2007,48(11):977-985.
[18]Brunet M,Mccartney M,Heath I,et al.There is no evidence base for proposed dementia screening.BMJ,2012,345:8588.
[19]Gill L,Alistair B,Kenneth E.Dementia prevention intervention and care.Lancet,2017,390(10103):2673-2734.
[20]李娟.住院患者参与维护患者安全意愿及行为现状的研究.重庆:重庆医科大学,2012.Li J.Patient safety intention and behavior among inpatients.Chongqing:Chongqing Medical University,2012.
[21]Farshidi H,Rahimi S,Abdi A,et al.Factors associated with pre-hospital delay in patients with acute myocardial infarction.Iran Red Crescent Med J,2013,15(4):312-316.
[22]Levkoff S,Levy B,Weitzman P.The role of religion and ethnicity in the help seeking of family caregivers of elders with Alzheimer's disease and related disorders.J Cross Cult Gerontol,1999,14(4):335-356.
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