平顶山市社区老年人轻度认知功能障碍现况
Situation of mild cognitive impairment among the elderly in Pingdingshan community

目的:探讨平顶山市社区老年人轻度认知功能障碍(MCI)现况及相关影响因素。方法:采用整群随机抽样法进行抽样后,对平顶山市837名社区老年人进行一般情况问卷调查及MCI筛查。结果:平顶山市社区老年人MCI患病率为11.6%。不同年龄、文化程度、居住情况、睡眠时间、社交情况的老年人MCI患病率差异均具有统计学意义(P＜0.05), 随着年龄的增长,MCI患病率有升高的趋势(Z=3.824,P＜0.001)。Logistic回归结果显示居住情况(OR=3.203,95%CI为2.594～3.812)、社交情况(OR=0.576,95%CI为0.179～0.973)、文化程度(OR=0.507,95%CI为0.194～0.820)是MCI的影响因素。其中独居是MCI的危险因素,常参加社交是MCI的保护因素。结论:应对可控因素进行积极干预,提高老年人群的认知能力,降低MCI的发病率。
Aim: To investigate the situation of mild cognitive impairment(MCI)and its influencing factors among the elderly in Pingdingshan community.Methods: A total of 837 elderly people in the community were sampled by cluster random sampling method and investigated with a questionnaire and screening for mild cognitive impairment.Results: The prevalence rate of MCI was 11.6%. Age, education level, living conditions, sleep time, and social conditions significantly affected prevalent rate(P＜0.05).The prevalence of MCI increased with age(Z=3.824,P＜0.001). Conditional logistic regression analysis showed that the influencing factors included living conditions(OR=3.203,95%CI:2.594-3.812),social conditions(OR=0.576,95%CI:0.179-0.973),education level(OR=0.507,95%CI:0.194-0.820). Living alone is a risk factor of MCI, and often participating in social activities is a protective factor of MCI.Conclusion: The measures against controllable factors should be actively taken to improve the cognitive function of the elderly population, and reduce the incidence of MCI