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Journal of Nursing ›› 2023, Vol. 30 ›› Issue (22): 7-12.doi: 10.16460/j.issn1008-9969.2023.22.007

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Current status and influencing factors of mild cognitive impairment in 1 064 elderly people in rural areas of Shanxi

CAO Xiao-xia1, YANG Zhi-lan1, CUI Li-ping2a, GENG Hui1, JU Wei-fang2b   

  1. 1. School of Nursing, Shanxi University of Chinese Medicine, Jinzhong 030619, China;
    2a. Dept. of Nursing Administration; 2b. Dept. of Comprehensive Medicine, Shanxi Bethune Hospital, Taiyuan 030032, China
  • Received:2023-05-21 Online:2023-11-25 Published:2023-12-07

Abstract: Objective To explore the prevalence and influencing factors of mild cognitive impairment (MCI) in 1 064 elderly people in rural Shanxi. Methods From January to June 2021, 1 064 elderly people aged 60 and above were selected in rural areas of Shanxi Province as research subjects, and the General information questionnaire and Minimum Mental State Examination (MMSE) were used for the investigation, and binary logistic regression to determine the influencing factors of mild cognitive impairment. Results The prevalence of MCI in 1 064 rural elderly people in Shanxi Province was 17.6%. Univariate analysis showed that age, occupation, working after retirement, education background, living with spouses or not, marital status, monthly income, social activities, reading books and newspapers, physical exercise, health self-assessment, sleep status, hearing, vision, hypertension, and diabetes were influencing factors of the prevalence of MCI in the elderly (P<0.05). Binary logistic regression showed reading books and newspapers, participating in social activities, and living with spouses were protective factors for MCI. Low education level, advanced age, poor hearing, and diabetes were risk factors for MCI in elderly people. Conclusion There is moderate incidence of MCI in 1 064 rural elderly people in Shanxi Province. The elderly with advanced age, diabetes mellitus, low education level and poor hearing are the high-risk groups for MCI, so It is recommended that cognitive function screening be promptly conducted and appropriate interventions be implemented to enhance cognitive function of the elderly.

Key words: Shanxi, rural areas, mild cognitive impairment, elderly people, influencing factor

CLC Number: 

  • R473.59
[1] 伍海霞,宋健.中国农村老年人养老规划的现状及影响因素研究[J].西北人口,2022,43(1):88-99.DOI:10.15884/j.cnki.issn.1007-0672.2022.01.008.
[2] 艾亚婷,胡慧.社区老年人认知障碍筛查推荐建议[J].中国全科医学,2020,23(27):3375-3381.DOI:10.12114/j.issn.1007-9572.2020.00.425.
[3] 薛梦婷,姜荣荣,黄安乐,等.我国轻度认知障碍研究热点分析及展望[J].中国全科医学, 2020,23(27):3381-3388.DOI:10.12114/j.issn.1007-9572.2020.00.367.
[4] 王艳霞,王俊.轻度认知功能障碍研究现状[J]. 浙江中西医结合杂志,2017,27(9):818-822.DOI:10.3969/j.issn.1005-4561.2017.09.033.
[5] 刘桂芬. 医学统计学[M].北京:中国协和医科大学出版社,2007.
[6] 贠航,王丽,于翔.苏州市社区65岁及以上老年人轻度认知障碍患病率及影响因素[J].中国老年学杂志,2021,41(10):2200-2204.DOI:10.3969/j.issn.1005-9202.2021.10.052.
[7] 史路平,姚水洪,王薇.中国老年人群轻度认知障碍患病率及发展趋势的Meta分析[J].中国全科医学, 2022, 25(1):109-114.DOI:10.12114/j.issn.1007-9572.2021.00.315.
[8] 张惠玲,钟冬灵,李涓,等.中国老年轻度认知障碍患病率的系统评价[J].中国循证医学杂志, 2020,20(1):17-25.DOI:10.7507/1672-2531.201906097.
[9] 霍永彦,陆媛,于德华,等.上海农村地区老年居民轻度认知障碍患病情况及影响因素分析[J].山东医药, 2020,60(14):67-70.DOI:10.3969/j.issn.1002-266X.2020.14.020.
[10] 潘惠英,王君俏,潘超君,等.金华市农村老年人轻度认知功能障碍患病率及影响因素[J].中国老年学杂志, 2020,40(20):4448-4451.DOI:10.3969/j.issn.1005-9202.2020.20.056.
[11] 袁琳丽,傅荣,李敬伟,等.社区老年人轻度认知障碍影响因素Meta分析[J].现代预防医学, 2019,46(22):4099-4104.
[12] 刘淼,马春,李淑玲,等.生活方式与老年轻度认知障碍的关系[J].中国老年学杂志, 2021,41(3):665-669.DOI:10.3969/j.issn.1005-9202.2021.03.061.
[13] 王珊珊. 个体老年期认知能力及其影响因素分析——基于生物医学-心理-社会模式的分析框架[J].老龄科学研究, 2017, 5(6):59-70.DOI:10.3969/j.issn.2095-5898.2017.06.007.
[14] 赵禹,李峥.广场舞对社区老年轻度认知障碍合并抑郁症状患者的干预效果[J].中国老年学杂志,2020,40(9):1896-1900. DOI:10.3969/j.issn.1005-9202.2020.09.034.
[15] 王喜. 我国空巢老人幸福感影响因素及政策建议[D].杭州:浙江大学,2020.
[16] 李东倩,孙建萍,杨支兰,等.太原市养老机构老年人轻度认知障碍影响因素[J].中国老年学杂志,2018,38(10):2516-2518.DOI:10.3969/j.issn.1005-9202.2018.10.084.
[17] 潘晶雪,陈利群,王敬丽,等.社区老年慢性病患者认知功能的现状调查[J]. 中华护理杂志, 2021,56(1):109-115.DOI:10.3761/j.issn.0254-1769.2021.01.018.
[18] 易子涵,李茜,张海茹,等.农村独居老年人老年自我忽视的现状及影响因素分析[J].护理学报, 2021,28(18):7-11.DOI:10.16460/j.issn1008-9969.2021.18.007.
[19] 代峰,孔伶俐,陈娇,等.青岛市社区老人轻度认知功能障碍患病率及影响因素的研究[J]. 精神医学杂志, 2019,32(3):195-199.DOI:10.3969/j.issn.2095-9346.2019.03.008.
[20] Jia L,Du Y,Chu L, et al.Prevalence, risk factors, and management of dementia and mild cognitive impairment in adults aged 60 years or older in China: a cross-sectional study[J].Lancet Public Health, 2020,5(12):e661-e671.DOI:10.1016/S2468-2667(20)30185-7.
[21] 傅昌,杨帆,毛宗福.武汉市社区空巢老年人轻度认知障碍及影响因素[J].中国老年学杂志, 2018,38(23):5846-5848.[22] 徐雪洁.我国农村人口老龄化问题研究[D]. 西安:西安工业大学, 2018.DOI:10.7666/d.Y3400596.
[23] 申颖. 农村养老模式研究[D].太原:山西大学, 2020.
[24] 陈艳,马婧. 农村老年人精神健康服务需求现状及其成因[J].长沙大学学报, 2018,32(6):38-40.DOI:10.3969/j.issn.1008-4681.2018.06.009.
[25] 刘嘉璐,于德华,陆媛,等.上海城乡结合地区老年轻度认知功能障碍筛查及相关因素分析[J].中国医药导报, 2019,16(24):62-66.
[26] 中华医学会糖尿病学分会,国家基层糖尿病防治管理办公室.国家基层糖尿病防治管理指南(2022)[J].中华内科杂志, 2022,61(3):249-262.DOI:10.3760/cma.j.cn112138-20220120-000063.
[27] Liu L, Yu B, Han M, et al.Mild cognitive impairment understanding: an empirical study by data-driven approach[J].BMC Bioinformatics, 2019, 20(Suppl 15):481.DOI:10.1186/s12859-019-3057-1.
[28] 丁永军,杨蕊,摘译,等.听力障碍与轻度认知功能障碍患病率之间的关系[J].听力学及言语疾病杂志, 2021,29(2):236.DOI:10.3969/j.issn.1006-7299.2021.02.029.
[29] 池艳宇,朱锦玲,刁桐湘.听力下降老年住院患者认知状况调查[J].护理学杂志, 2020,35(11):27-29.DOI:10.3870/j.issn.1001-4152.2020.11.027.
[30] Heywood R, Gao Q, Nyunt M, et al.Hearing loss and risk of mild cognitive impairment and dementia: findings from the Singapore longitudinal ageing study[J]. Dement Geriatr Cogn Disord,2017, 43(5-6):259-268. DOI:10.1159/000464281.
[31] 马雅军,刘惠,胡志灏,等.听力下降预警老年人群3年后认知障碍的发生情况分析[J]. 中国全科医学, 2020,23(11):1349-1354.DOI:10.12114/j.issn.1007-9572.2019.00.667.
[32] Xu Y, Li Y, Guo D, et al.Association of hearing acuity and cognitive function among a low-income elderly population in rural China: a population-based cross-sectional study[J].Front Neurosci, 2021,15:704871.DOI:10.3389/fnins.2021.704871.
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