CAJ | 학술논문

目的：研究社区老年人认知障碍及其相关因素。方法采用多阶段分层抽样对泸州市市区居住的766名60岁以上老年人以面访形式进行问卷调查，收集被调查者人口学、社会学、生活方式、健康状况、营养状况等信息并运用简易精神状态检查(MMSE)测评被访者认知状况。结果泸州市社区老年人认知障碍患病率为19.7%。单因素分析显示，性别(男vs.女，OR=0.577)，年龄(90岁以上vs.60~64岁，OR=29.857)，职业为行政管理人员(行政管理人员vs.非行政管理人员，OR=0.360)、农民(农民vs.非农民，OR=2.121)，营养状况(营养不良vs.营养良好，OR=2.460)，体重(体重过轻vs.体重正常，OR=3.222)，居住状况(偶居vs.非偶居，OR=0.658)，婚姻状况(丧偶vs.非丧偶，OR=2.208)，文化程度(大专文化vs.文盲，OR=0.328)，经济收入(1000元以上vs.无经济收入，OR=0.596)与认知状况有关联(P<0.05)；多因素Logistic回归分析显示，高龄、职业为农民、营养不良与认知障碍发生独立相关。结论认知障碍相关因素较多且混杂，应采取有效可及的方式加以干预。
목적：연구사구노년인인지장애급기상관인소。방법채용다계단분층추양대로주시시구거주적766명60세이상노년인이면방형식진행문권조사，수집피조사자인구학、사회학、생활방식、건강상황、영양상황등신식병운용간역정신상태검사(MMSE)측평피방자인지상황。결과로주시사구노년인인지장애환병솔위19.7%。단인소분석현시，성별(남vs.녀，OR=0.577)，년령(90세이상vs.60~64세，OR=29.857)，직업위행정관리인원(행정관리인원vs.비행정관리인원，OR=0.360)、농민(농민vs.비농민，OR=2.121)，영양상황(영양불량vs.영양량호，OR=2.460)，체중(체중과경vs.체중정상，OR=3.222)，거주상황(우거vs.비우거，OR=0.658)，혼인상황(상우vs.비상우，OR=2.208)，문화정도(대전문화vs.문맹，OR=0.328)，경제수입(1000원이상vs.무경제수입，OR=0.596)여인지상황유관련(P<0.05)；다인소Logistic회귀분석현시，고령、직업위농민、영양불량여인지장애발생독립상관。결론인지장애상관인소교다차혼잡，응채취유효가급적방식가이간예。
Objective To investigate the prevalence and relative factors of cognitive disfunction among the community-dwelling old adults. Methods 766 participants over 60 years old dwelling in Luzhou, Sichuan, China were enrolled with Multi-stage stratified sampling. Information about sociodemographic characteristics, lifestyle, health condition, nutrition were interviewed, and their cognitive function was evaluated with Mini-Mental State Examination (MMSE). Results The prevalence of cognitive disfunction was 19.7%among them. Gender (male vs. female, OR=0.577), age (over 90 years vs. 60-64 years, OR=29.857), administrator (administrator vs. not administrator, OR=0.360), farmer (farmer vs. not farmer, OR=2.121), nutrition (malnutrition vs. eutrophia, OR=2.460), body weight (underweight vs. normal weight, OR=3.222), living status (UN-Habitat vs. living alone, OR=0.658), marital status (widowed vs. not widowed, OR=2.208), education attainment (junior college vs. illiteracy, OR=0.328), income (over 1000 yuan vs. no income, OR=0.596) significantly related with cognitive disfunction (P<0.05). Multiple Logistic regression analysis showed that old age, occupation (farmer) and malnutrition were independent risk factors for cognitive disfunction. Conclusion The cognitive disfunction related with multi-factors, and need more effective and available in-tervention in the old adults.