中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2014年
12期
1120-1123
,共4页
主观记忆障碍%认知功能%社区%老年人
主觀記憶障礙%認知功能%社區%老年人
주관기억장애%인지공능%사구%노년인
Subjective memory complaint%Cognitive function%Community%Elderly people
目的 了解社区主观记忆障碍(SMC)老年人的认知功能状况.方法 采用方便抽样的方法选取符合纳入标准的SMC老年人262名,以面对面访谈的方式进行一般人口学资料收集及认知功能评估.采用SPSS19.0软件对数据进行统计学分析.结果 SMC老年人总体认知功能水平较低,蒙特利尔认知评估量表(MoCA)平均得分为(22.18±4.21)分;其中“抽象”和“延迟记忆”两个认知领域得分最低,平均得分分别为(0.85±-0.82)分和(2.91±1.50)分,平均得分率均低于60.00％.SMC老年人中有54.20％存在认知功能损害,认知功能正常和认知功能受损两组的“抽象”得分均较低,此外,认知功能受损组在“视空间与执行功能”、“语言”和“延迟记忆”三个认知领域上得分也较低.SMC老年人认知功能受损可能与年龄和婚姻状况有关,70岁以上和丧偶的SMC老年人认知功能更易受损.结论 SMC老年人总体认知功能水平较低,认知功能损害检出率较高,高龄和丧偶是影响其认知功能的重要因素.
目的 瞭解社區主觀記憶障礙(SMC)老年人的認知功能狀況.方法 採用方便抽樣的方法選取符閤納入標準的SMC老年人262名,以麵對麵訪談的方式進行一般人口學資料收集及認知功能評估.採用SPSS19.0軟件對數據進行統計學分析.結果 SMC老年人總體認知功能水平較低,矇特利爾認知評估量錶(MoCA)平均得分為(22.18±4.21)分;其中“抽象”和“延遲記憶”兩箇認知領域得分最低,平均得分分彆為(0.85±-0.82)分和(2.91±1.50)分,平均得分率均低于60.00％.SMC老年人中有54.20％存在認知功能損害,認知功能正常和認知功能受損兩組的“抽象”得分均較低,此外,認知功能受損組在“視空間與執行功能”、“語言”和“延遲記憶”三箇認知領域上得分也較低.SMC老年人認知功能受損可能與年齡和婚姻狀況有關,70歲以上和喪偶的SMC老年人認知功能更易受損.結論 SMC老年人總體認知功能水平較低,認知功能損害檢齣率較高,高齡和喪偶是影響其認知功能的重要因素.
목적 료해사구주관기억장애(SMC)노년인적인지공능상황.방법 채용방편추양적방법선취부합납입표준적SMC노년인262명,이면대면방담적방식진행일반인구학자료수집급인지공능평고.채용SPSS19.0연건대수거진행통계학분석.결과 SMC노년인총체인지공능수평교저,몽특리이인지평고량표(MoCA)평균득분위(22.18±4.21)분;기중“추상”화“연지기억”량개인지영역득분최저,평균득분분별위(0.85±-0.82)분화(2.91±1.50)분,평균득분솔균저우60.00％.SMC노년인중유54.20％존재인지공능손해,인지공능정상화인지공능수손량조적“추상”득분균교저,차외,인지공능수손조재“시공간여집행공능”、“어언”화“연지기억”삼개인지영역상득분야교저.SMC노년인인지공능수손가능여년령화혼인상황유관,70세이상화상우적SMC노년인인지공능경역수손.결론 SMC노년인총체인지공능수평교저,인지공능손해검출솔교고,고령화상우시영향기인지공능적중요인소.
Objective To explore the cognitive status of community-dwelling older adults with subjective memory complaints (SMC).Methods A total of 262 older adults with SMC were included based on convenience sampling.Face-to-face interview was conducted for demographic information collection and cognitive assessment.Statistical analyses Were undertaken using SPSS version 19.0.Results The participants with SMC had a low level of general cognitive function,with a mean score of 22.18±4.21 on the MoCA; the two cognitive domains of "abstraction' and "deIayed memory" had the lowest scores,with an average score of 0.85±0.82 and 2.91± 1.50 respectively,and the average scoring rate lower than 60.00％.About 54.20％ of the older adults with SMC presented with cognitive impairment.The scores of " abstraction" were low in the participants with and without cognitive impairment.In addition,the scores of "visuospatial/executive function"," language" and "delayed memory" were low in the participants with cognitive impairment.The cognitive impairment of persons with SMC may be associated with age and marital status.The people over the age of 70 years and widowed ones are more likely to suffer from cognitive dysfunction.Conclusion The older adults with SMC have a low level of general cognitive function,and cognitive imPairment detection rate is higher.Advanced age and widowhood are important factors affecting their cognitive function.
