CAJ | 학술논문

目的：了解社区老年人的认知功能状况,为相应的社区护理措施提供依据。方法采用蒙特利尔( MoCA)认知功能评估量表对北京新中街社区内能合作的193名60岁及以上的老年人进行调查。结果193名老年人中有37名出现认知功能异常,占19.17%；认知功能是否正常与老人的年龄分布、教育程度、是否患有脑部疾病因素有关,高龄组老人、低学历、既往患有脑部疾病的老人中认知功能异常的人数多(χ2值分别为9.54,20.58,21.92；P<0.01)；Logistic回归分析显示,高龄和既往患有脑部疾病是老年人发生认知功能异常的危险因素,而高学历是老年人认知功能的保护因素。结论社区护士要特别关注高龄、低教育程度、既往患有脑部疾病的老人的认知功能变化情况；对有认知功能异常的老年人可以针对其认知功能受损维度给予相应的非药物干预措施。
목적：료해사구노년인적인지공능상황,위상응적사구호리조시제공의거。방법채용몽특리이( MoCA)인지공능평고량표대북경신중가사구내능합작적193명60세급이상적노년인진행조사。결과193명노년인중유37명출현인지공능이상,점19.17%；인지공능시부정상여노인적년령분포、교육정도、시부환유뇌부질병인소유관,고령조노인、저학력、기왕환유뇌부질병적노인중인지공능이상적인수다(χ2치분별위9.54,20.58,21.92；P<0.01)；Logistic회귀분석현시,고령화기왕환유뇌부질병시노년인발생인지공능이상적위험인소,이고학력시노년인인지공능적보호인소。결론사구호사요특별관주고령、저교육정도、기왕환유뇌부질병적노인적인지공능변화정황；대유인지공능이상적노년인가이침대기인지공능수손유도급여상응적비약물간예조시。
Objective To probe into the cognitive function among elders in Xinzhongjie community and provide the evidence for corresponding nursing interventions. Methods Convenient sampling was used to recruit 193 elders who were equal to or older than 60 for the investigation by Montreal cognitive assessment ( MoCA) . Results There were 37 elders (19. 17%) who were abnormal on cognitive function. Cognitive function was related to age, educational level, and whether had brain disease. Elders, who were in older, with lower educational level, and had brain disease, were more frequently to have abnormal cognitive function (χ2 =9. 54, 20. 58,21. 92;P<0. 01). By Logistic regression analysis, older age and brain disease were risk factors for cognitive function declines, while high educational level was a protective factor for the cognitive function. Conclusions Community nurses should pay increasing attention on the changes of cognitive function among elders who are in older age, with lower educational level, and have brain disease. Non-pharmacological nursing intervention can be provided to elders according to their specific cognitive function decline.