社区认知障碍老年人生活质量调查及影响因素分析

摘要

目的：探讨社区认知障碍老年人生活质量的影响因素，为提高社区认知障碍老年人生活质量提供早期干预措施。方法采用中文简易智力状态量表（Mini-Mental State Examination，MMSE）、日常生活自理能力量表（Activities of Daily Living， ADL）、健康调查简表（the MOS Item Short From Health Survey, SF-36）和一般资料问卷，对随机抽取的西安市815例社区老年人进行轻度认知障碍筛查。采用多元线性逐步回归分析影响轻度认知障碍老年人生活质量的相关因素。结果西安市社区老年人认知障碍的患病率为18.2%。多元线性逐步回归分析显示：年龄、性别、配偶及日常生活自理能力是社区认知障碍老年人生活质量的影响因素（P<0.05）。结论高龄、女性、无配偶及自理能力障碍是影响社区认知障碍老年人生活质量的独立危险因素，要加强对这部分老年人的关爱，提高其生活质量。%Objective To investigate the predictors of quality of life of seniors with MCI (mild cognitive impairment) and provide early interventions. Methods A total of 815 community-dwelling seniors in Xi’an were screened by MMSE (mini-mental state examination), ADL (activities of daily living), SF-36 (the MOS Item Short From Health Survey) and the general information questionnaire. The risk factors of MCI were analyzed by MLR (multiple linear regressions). Results The prevalence rate of MCI was 18.2% in community-dwelling seniors in Xi’an. MLR showed that age, gender, without spouse and ADL disability significantly affected prevalent rate (P<0.05). Conclusion The advanced age, female, without spouse and ADL disability are independent predictors for seniors with mild cognitive impairment.