机构老年人衰弱与轻度认知障碍的相关性研究
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摘要
目的了解南京市养老机构老年人衰弱和轻度认知障碍(MCI)的患病现状,探讨认知和衰弱之间的关系。方法 2017年6～12月,整群抽取10所养老机构里>60岁老年人,采用面谈方式,应用自制的老年人一般情况调查表、Tilburg衰弱量表、蒙特利尔认知量表进行调查。结果共调查340例老年人,其中衰弱老年人206例(60. 6%),MCI 146例(43. 1%),衰弱合并MCI老年人89例(26. 2%)。衰弱老年人认知领域中的执行能力及记忆力维度得分较非衰弱老年人低(P<0. 05)。结论机构老年人衰弱和MCI患病率均较高,衰弱和认知功能的下降可共同作用,加剧老年人的不良结局。
Objective To investigate the prevalence of frailty and mild cognitive impairment( MCI) of the elderly in nursing home in Nanjing,and to explore the relationship between cognitive function and frailty. Methods From June to December 2017,the elderly above 60 years old living in nursing home were enrolled by cluster sampling. The demographic questionnaire,Tilburg frailty scale and Montreal Cognitive Assessment( MoCA) were used to evaluate the situtation of the elderly. Results There were 340 elderly enrolled in this study,of which 206( 60. 6%) cases presented with frailty,146( 26. 2%) cases presented with MCI,and 89( 26. 2%) cases suffered from both. The ability of performance and memory in the elderly with frailty were lower than those without frailty. Conclusions The prevalence of frailty and MCI in the elderly living in nursing home are high.The combination of frailty and cognitive decline can exacerbate the adverse outcomes of the elderly.
Objective To investigate the prevalence of frailty and mild cognitive impairment( MCI) of the elderly in nursing home in Nanjing,and to explore the relationship between cognitive function and frailty. Methods From June to December 2017,the elderly above 60 years old living in nursing home were enrolled by cluster sampling. The demographic questionnaire,Tilburg frailty scale and Montreal Cognitive Assessment( MoCA) were used to evaluate the situtation of the elderly. Results There were 340 elderly enrolled in this study,of which 206( 60. 6%) cases presented with frailty,146( 26. 2%) cases presented with MCI,and 89( 26. 2%) cases suffered from both. The ability of performance and memory in the elderly with frailty were lower than those without frailty. Conclusions The prevalence of frailty and MCI in the elderly living in nursing home are high.The combination of frailty and cognitive decline can exacerbate the adverse outcomes of the elderly.
引文
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[9] Kim S,Park JL,Hwang HS,et al. Correlation betweenfrailty and cognitive function in non-demented communitydwelling older Koreans[J]. Korean J Fam Med,2014,35(6):309-320.
[10] Irish M,Lawlor BA,Coen RF,et al. Everyday episodicmemory in amnestic mild cognitive impairment:Apreliminary investigation[J]. BMC Neurosis,2011,12:80.
[11] Ringer T, Hazzan A, Agarwal A, et al. Relationshipbetween family caregiver burden and physical frailty in olderadults without dementia:a systematic review[J]. Syst Rev,2017,6(1):55.
[2]刘晋,赵敬堃.轻度认知障碍的研究进展[J].现代生物医学进展,2017,17(11):2170-2173.
[3]郝单单,李放.衰弱与认知损害相关性研究进展[J].首都医科大学学报,2017,38(3):406-410.
[4] Canevelli M,Cesari M,van Kan GA.Frailty and cognitive de-cline:how do they relate[J]. Curr Opin Clin Nutr MetabCare,2015,18(1):43-50.
[5]李畅妍,何华英.老年衰弱的护理评估及研究进展[J].护理研究,2016,30(36):4485-4488.
[6]张立秀,刘雪琴.蒙特利尔认知评估量表中文版广州市老人院人群划界分探讨[J].中国心理卫生杂志,2008,22(2):123-125.
[7]李畅妍,何华英.老年衰弱的护理评估及研究进展[J].护理研究,2016,30(36):4485-4488.
[8]赵春善.轻度认知障碍老年人认知功能干预模式的构建及其干预效果评价[D].延边大学,2016.
[9] Kim S,Park JL,Hwang HS,et al. Correlation betweenfrailty and cognitive function in non-demented communitydwelling older Koreans[J]. Korean J Fam Med,2014,35(6):309-320.
[10] Irish M,Lawlor BA,Coen RF,et al. Everyday episodicmemory in amnestic mild cognitive impairment:Apreliminary investigation[J]. BMC Neurosis,2011,12:80.
[11] Ringer T, Hazzan A, Agarwal A, et al. Relationshipbetween family caregiver burden and physical frailty in olderadults without dementia:a systematic review[J]. Syst Rev,2017,6(1):55.