5 280名老年人主观记忆障碍现状及影响因素研究

doi:10.16460/j.issn1008-9969.2024.01.022

摘要/Abstract

摘要： 目的调查老年人主观记忆障碍现状,并分析其影响因素。方法利用2018年中国健康与养老追踪调查数据库中8 254名老年人的人口学信息、主观记忆状况、午睡时间、抑郁症状和体力活动等数据,研究分析主观记忆障碍现状及影响因素。采用卡方检验、二元Logistic 回归分析进行数据处理。结果本研究中有5 280名（63.96%）老人存在主观记忆障碍。二元Logistic回归分析显示：高龄、女性、中学及以上受教育程度、短时间午睡、长时间午睡及有抑郁症状为老年人主观记忆障碍的危险因素（P<0.05）,已婚、个人平均月收入>5 000元、中强度及高强度体力活动为老年人主观记忆障碍的保护性因素（P<0.05）。结论我国老年人主观记忆障碍发生率较高,高龄、女性、受教育程度高、短时间午睡、长时间午睡及有抑郁症状为老年人主观记忆障碍的危险因素,已婚、个人平均月收入高、中高强度体力活动为老年人主观记忆障碍的保护性因素。医护人员应加强对老年人的记忆与认知功能评估,尽早采取针对性的预防干预措施,延缓其向痴呆症发展。

关键词: 老年人, 主观记忆障碍, 痴呆症, 记忆减退

中图分类号:

R473.2

詹娜妮, 王雅琪, 唐丽, 卜凡, 吕启圆. 5 280名老年人主观记忆障碍现状及影响因素研究[J]. 护理学报, 2024, 31(1): 22-26.

参考文献

[1] Jia L, Quan M, Fu Y, et al.Dementia in China: epidemiology, clinical management, and research advances[J].Lancet Neurol,2020,19(1):81-92.DOI:10.1016/S1474-4422(19)30290-X.
[2] Hill NL, Mogle J.Alzheimer's disease risk factors as mediators of subjective memory impairment and objective memory decline:protocol for a construct-level replication analysis[J]. BMC Geriatr,2018,18(1):260.DOI:10.1186/s12877-018-0954-5.
[3] Rönnlund M, Sundström A, Adolfsson R, et al.Subjective memory impairment in older adults predicts future dementia independent of baseline memory performance: evidence from the Betula prospective cohort study[J]. Alzheimers Dement, 2015, 11(11): 1385-1392. DOI:10.1016/j.jalz.2014.11.006.
[4] Jessen F, Wiese B, Bachmann C, et al.Prediction of dementia by subjective memory impairment: effects of severity and temporal association with cognitive impairment[J]. Arch Gen Psychiatry, 2010, 67(4):414-422. DOI:10.1001/archgenpsychiatry.2010.30.
[5] Tyrrell M, Religa D, Fossum B, et al.Embarking on a memory assessment voices of older persons living with memory impairment[J]. Dementia (London), 2021, 20(2):717-733. DOI:10.1177/1471301220910637.
[6] 陆静钰, 杨连招, 陈玲, 等. 社区老年高血压患者轻度认知功能障碍风险预测模型的构建与验证[J].护理学报, 2021, 28(24):42-50. DOI:10.16460/j.issn1008-9969.2021.24.042.
[7] Anon.2021 Alzheimer's disease facts and figures[J]. Alzheimers Dement, 2021, 17(3):327-406. DOI:10.1002/alz.12328.
[8] Brucki SM, Nitrini R.Subjective memory impairment in a rural population with low education in the Amazon rainforest: an exploratory study[J]. Int Psychogeriatr, 2009,21(1):164-71. DOI: 10.1017/S1041610208008065.
[9] Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician[J]. J Psychiatr Res, 1975, 12(3):189-198. DOI:10.1016/0022-3956(75)90026-6.
[10] 李格, 沈漁邨, 陈昌惠, 等. 老年痴呆简易测试方法研究——MMSE 在城市老年居民中的测试[J]. 中国心理卫生杂志, 1988(1): 13-18.
[11] 周小炫. 中文版简易智能精神状态检查量表在脑卒中患者中的信效度初步研究[D].福州:福建中医药大学,2016.
[12] 商苏杭,马楼艳,张彬艳,等. 70岁及以上人群收缩压与认知障碍的相关关系:一项以西安市鄠邑区农村人群为基础的横断面调查[J]. 西安交通大学学报(医学版),2020,41(6):956-960,965. DOI:10.7652/jdyxb202006028.
[13] Li J, Cacchione PZ, Hodgson N, et al.Afternoon napping and cognition in Chinese older adults: findings from the China health and retirement longitudinal study baseline assessment[J]. J Am Geriatr Soc, 2017, 65(2):373-380. DOI:10.1111/jgs.14368.
[14] Radloff LS.The CES-D Scale: a Self-report Depression Scale for research in the general population[J]. Appl Psych Meas,1977,1(3):385-401.DOI:10.1177/014662167700100306.
[15] Andresen EM, Malmgren JA, Carter WB, et al.Screening for depression in well older adults: evaluation of a short form of the CES-D(Center for Epidemiologic Studies Depression Scale)[J]. Am J Prev Med,1994,10(2):77-84.
[16] 黄庆波, 王晓华, 陈功. 10项流调中心抑郁自评量表在中国中老人群中的信效度[J]. 中国健康心理学杂志, 2015, 23(7): 1036-1041. DOI:10.13342/j.cnki.cjhp.2015.07.023.
[17] Ainsworth BE, Haskell WL, Herrmann SD, et al.2011 Compendium of physical activities: a second update of codes and MET values[J]. Med Sci Sports Exerc, 2011, 43(8): 1575-1581. DOI:10.1249/MSS.0b013e31821ece12.
[18] 屈宁宁, 李可基. 国际体力活动问卷中文版的信度和效度研究[J].中华流行病学杂志, 2004,25(3):265-268. DOI:10.3760/j.issn:0254-6450.2004.03.021.
[19] 蔡燕, 杨洋. 中老年人认知功能与未来跌倒事件的关联研究[J]. 现代预防医学, 2021, 48(7):1268-1271.
[20] Kim JM, Stewart R, Shin IS, et al.Subjective memory impairment, cognitive function and depression--a community study in older Koreans[J]. Demen Geriatr Cogn Disord, 2003, 15(4): 218-225. DOI:10.1159/000068783.
[21] Manza P, Wiers CE, Shokri-Kojori E, et al.Brain network segregation and glucose energy utilization:relevance for age-related differences in cognitive function[J]. Cerebral Cortex, 2020, 30(11):5930-5942. DOI:10.1093/cercor/bhaa167.
[21] Morrison MF.Androgens in the elderly: will androgen replacement therapy improve mood, cognition, and quality of life in aging men and women[J]. Psychopharmacol Bull. 1997,33(2):293-296.
[23] 周丽. 社区老年人健康素养、社会支持对成功老龄化的影响[D].延边:延边大学,2020.
[24] Amariglio RE, Becker JA, Carmasin J, et al.Subjective cognitive complaints and amyloid burden in cognitively normal older individuals[J]. Neuropsychologia, 2012, 50(12):2880-2886.DOI:10.1016/j.neuropsychologia.2012.08.011.
[25] 吴黎明,陈长香. 社区老年人记忆障碍调查及其影响因素分析[J]. 中国老年学杂志,2011,31(18):3573-3575. DOI:10.3969/j.issn.1005-9202.2011.18.064.
[26] 唐丽,赵玉,曾庆威,等. 体力活动强度对痴呆症高危人群认知功能的影响研究——基于2015年中国健康与养老追踪调查数据的实证研究[J]. 解放军护理杂志,2022,39(8):65-68. DOI:10.3969/j.issn.2097-1826.2022.08.017.
[27] Jefferson AL.Cardiac output as a potential risk factor for abnormal brain aging[J]. J Alzheimers Dis, 2010, 20(3): 813-821. DOI:10.3233/JAD-2010-100081.
[28] Yang R, Tracy EL, Wang H.Longitudinal associations of depressive symptoms, subjective memory decline, and cognitive functioning among Chinese older adults: between-person and within-person perspective[J]. Arch Gerontol Geriatr,2019,81:105-110.DOI:10.1016/j.archger.2018.12.001.
[29] Song D, Yu DSF, Li PWC, et al.Role of depressive symptoms in subjective memory complaint in older adults with mild cognitive impairment[J]. Int J Older People Nurs, 2020, 15(1): e12279. DOI:10.1111/opn.12279.
[30] Sachs-Ericsson N, Joiner T, Blazer DG.The influence of lifetime depression on self-reported memory and cognitive problems: results from the national comorbidity survey-replication[J]. Aging Ment Health, 2008, 12(2):183-192. DOI:10.1080/13607860801951739.
[31] Misiak B, Beszłej JA, Kotowicz K, et al.Cytokine alterations and cognitive impairment in major depressive disorder: from putative mechanisms to novel treatment targets[J]. Prog Neuropsychopharmacol Biol Psychiatry,2018, 80(Pt C): 177-188. DOI:10.1016/j.pnpbp.2017.04.021.
[32] Barnes DE, Alexopoulos GS, Lopez OL, et al.Depressive symptoms, vascular disease, and mild cognitive impairment: findings from the cardiovascular health study[J]. Arch General Psychiat, 2006, 63(3):273-279. DOI:10.1001/archpsyc.63.3.273.
[33] Wang Q, Zhu H, Dai R, et al.Associations between total sleep duration and cognitive function among middle-aged and older chinese adults: does midday napping have an effect on it?[J]. Int J Gen Med, 2022, 15:1381-1391. DOI:10.2147/IJGM.S343286.
[34] Blackwell T, Yaffe K, Ancoli-Israel S, et al.Association of sleep characteristics and cognition in older community-dwelling men: the MrOS sleep study[J]. Sleep, 2011, 34(10):1347-1356. DOI:10.5665/SLEEP.1276.
[35] Meerlo P, Mistlberger RE, Jacobs BL, et al.New neurons in the adult brain: the role of sleep and consequences of sleep loss[J]. Sleep Med Rev, 2009, 13(3):187-194. DOI:10.1016/j.smrv.2008.07.004.
[36] Lovato N, Lack L.The effects of napping on cognitive functioning[J]. Prog Brain Res, 2010, 185:155-166. DOI:10.1016/B978-0-444-53702-7.00009-9.

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