老年卧床患者认知障碍的调查分析

摘要

Objective To understand the cognition state of the bedridden eldedy patients,and to definitude the correlations between cognition and complication.self-care ability and social activities.Methods The hospitalized bedridden elderly patients from the elderly or cadre section of 5 hospitals in Chengdu were the objects.The self-care ability.social activities and cognition of 151 elderly patients,whose bedridden times exceeding 1 month.were investigated by adopting the correlative scales.Results There were 80.8% of the bedridden elderly patients having light or serious obstacles in cognition.With the increase of bedridden time,the obstacles in cognition were more serious.The obstacle in cognition had positive correlations with the decrease of activities of daily living and the increase of complication(P<0.01),and a negative correlation with the increase of social activities(P<0.01).Conclusions It's necessary to reduce the bedridden time as low as possible,thereby improving their cognition function.%目的 了解老年卧床患者认知状况,明确老年卧床患者认知与并发症、自理能力和社会活动的关系.方法 调查成都市5所医院的老年科、干部科的老年住院卧床患者.用相应量表对卧床时间1个月的151例老年患者进行自理能力、社会活动、认知的调查.结果 老年卧床患者80.8%的人有轻到重度的认知功能障碍;随着卧床时间增长,认知功能障碍发生增加;老年卧床患者的认知障碍与日常生活能力下降、及并发症增加呈正相关关系(P＜0.01),与社会活动增加呈负相关关系(P＜0.01).结论 应尽量减少卧床时间,改善其认知功能.