以质量求发展，以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (13): 74-78.doi: 10.16460/j.issn1008-9969.2021.13.074

Previous Articles    

Current Status of Mild Cognitive Impairment in Elderly People in Jinwan District of Zhuhai and Its Influence Factors

LIU Min-li1a, ZHOU Chun-lan2, LONG Yan-juan3, XIAO Xiu-ying1b, HUANG Yu-lou1c, HUANG Xiao-na1d, LI Xiao-zhen1c, GONG Xiu-qun1e, LI Su-cheng1f, HUANG Jin-hang1g, PENG Xiao-ping1h, GENG Li1i, LIANG Mei-yan1i   

  1. 1a. Dept. of Gynecology and Obstetrics; 1b. Dept. of Nursing Administration; 1C. Dept. of Physical Examination; 1d. Dept. of General Surgery; 1e. Dept. of Rehabilitation; 1f. Dept. of Emergency; 1g. Dept. of Critical Care Medicine; 1h. Operating Room; 1i. Care and Rehabilitation Center for the Elderly of Pingsha Town, the Fifth People's Hospital of Zhuhai, Zhuhai 519055, China;
    2. Dept. of Nursing Administration, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China;
    3. Operating Room, Zhuhai People's Hospital Affiliated to Jinan University, Zhuhai 519000, China
  • Received:2021-02-24 Published:2021-08-06

PDF (PC)

280

Like

Abstract: Objective To investigate the prevalence and risk factors of mild cognitive impairment (MCI) in the elderly in Jinwan District, Zhuhai and to provide a theoretical basis for the development of early intervention measures. Methods We enrolled 300 elderly people in Jinwan District, Zhuhai and questionnaire survey was conducted, from August 2019 to January 2020. The Montreal Cognitive Assessment-Basic (MoCA-B) scale was used to evaluate cognitive function to estimate the prevalence of MCI among older people (≥65 years) in the area. A total of 287 valid questionnaires were retrieved. Furthermore, univariate analysis and binary logistic regression were performed to clarify the factors affecting the presence of MCI. Results The prevalence of MCI among 287 study subjects was 22.3% (64/287). Univariable analysis indicated that there were significant differences in education background, lifestyle, exercise time per day, sleep time per day, and personal history of disease(P<0.05). Binary logistic regression analysis showed that a high level of education, appropriate length of physical exercise and length of sleep were the protect factors affecting the prevalence of MCI (P<0.05). Bad habits and personal disease history were the independent risk factors for MCI in the elderly (P<0.05). Conclusion The prevalence of MCI is high in the elderly in Zhuhai and its incidence is associated with several risk factors. Measures should be taken for early detection and intervention to delay and reduce the occurrence of MCI.

Key words: mild cognitive impairment, elderly population, prevalence, influence factor

CLC Number: 

  • R473.5
[1] Ma L. Depression, Anxiety,Apathy in Mild Cognitive Impairment: Current Perspectives[J].Front Aging Neurosci, 2020,12:9. DOI:10.3389/fnagi.2020.00009.
[2] 陶雪琴, 廖雄, 李梦倩, 等. 社区老年人轻度认知功能障碍的流行病学调查[J]. 中国老年学杂志, 2016,36(13):3283-3286.
[3] Farias ST, Lau K, Harvey D, et al.Early Functional Limitations in Cognitively Normal Older Adults Predict Diagnostic Conversion to Mild Cognitive Impairment[J]. J Am Geriatr Soc, 2017,65(6):1152-1158.DOI:10.1111/jgs.14835.
[4] 李茜, 易子涵, 张海茹, 等. 628名社区老年人成功老龄化现状及影响因素分析[J]. 护理学报, 2021,28(4):57-61.DOI:10.16460/j.issn1008-9969.2021.04.057.
[5] Chen KL, Xu Y, Chu AQ, et al.Validation of the Chinese Version of Montreal Cognitive Assessment Basic for Screening Mild Cognitive Impairment[J]. J Am Geriatr Soc, 2016,64(12):e285-e290.DOI:10.1111/jgs.14530.
[6] 王丹丹. 中文版MoCA B量表在嘉兴市社区50岁以上人群中轻度认知功能障碍的诊断价值[D].蚌埠:蚌埠医学院, 2018.
[7] Liang JH, Shen WT, Li JY, et al.The Optimal Treatment for Improving Cognitive Function in Elder People with Mild Cognitive Impairment Incorporating Bayesian Network Meta-Analysis and Systematic Review[J]. Ageing Res Rev, 2019,51:85-96.DOI:10.1016/j.arr.2019.01.009.
[8] 王爱民, 黄灿, 周颖, 等. 长沙市社区老年人轻度认知功能障碍患病情况及影响因素[J]. 中国老年学杂志, 2016,36(7):1743-1745.
[9] 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.
[10] 黄武全, 陆媛, 于德华. 上海市某近郊城区老年人轻度认知障碍患病率及其影响因素分析[J].中国医药导报, 2019,16(21):59-63.
[11] Gan J, Liu S, Wang X, et al.Clinical Characteristics of Lewy Body Dementia in Chinese Memory Clinics[J]. BMC Neurol, 2021,21(1):144.DOI:10.1186/s12883-021-02169-w.
[12] Kandiah N, Chan YF, Chen C, et al.Strategies for the use of Ginkgo Biloba Extract, EGb 761 ,in the Treatment and Management of Mild Cognitive Impairment in Asia: Expert Consensus[J]. CNS Neurosci Ther, 2021,27(2):149-162.DOI:10.1111/cns.13536.
[13] Duan J, Lv YB, Gao X, et al.Association of Cognitive Impairment and Elderly Mortality: Differences between Two Cohorts Ascertained 6-years Apart in China[J]. BMC Geriatr, 2020,20(1):29.DOI:10.1186/s12877-020-1424-4.
[14] Hsiao YH, Chang CH, Gean PW.Impact of Social Relationships on Alzheimer's Memory Impairment: Mechanistic Studies[J]. J Biomed Sci,2018,25(1):3.DOI:10.1186/s12929-018-0404-x.
[15] Pais R, Ruano L, Moreira C, et al.Prevalence and Incidence of Cognitive Impairment in An Elder Portuguese Population (65-85 Years Old)[J]. BMC Geriatr, 2020,20(1):470.DOI:10.1186/s12877-020-01863-7.
[16] Higarza SG, Arboleya S, Arias JL, et al.Akkermansia Muciniphila and Environmental Enrichment Reverse Cognitive Impairment Associated with High-fat High-cholesterol Consumption in Rats[J]. Gut Microbes, 2021,13(1):1-20.DOI:10.1080/19490976.2021.1880240.
[17] Cedernaes J, Osorio RS, Varga AW, et al.Candidate Mechanisms Underlying the Association between Sleep-wake Disruptions and Alzheimer's Disease[J]. Sleep Med Rev, 2017,31:102-111.DOI:10.1016/j.smrv.2016.02.002.
[18] Zhao B, Liu P, Wei M, et al.Chronic Sleep Restriction Induces Abeta Accumulation by Disrupting the Balance of Abeta Production and Clearance in Rats[J].Neurochem Res, 2019,44(4):859-873.DOI:10.1007/s11064-019-02719-2.
[19] Wu J, Dong W, Pan XF, et al.Relation of Cigarette Smoking and Alcohol Drinking in Midlife with Risk of Cognitive Impairment in Late Life: The Singapore Chinese Health Study[J]. Age Ageing, 2019,48(1):101-107.DOI:10.1093/ageing/afy166.
[20] Wang P, Luo Q, Qiao H, et al.The Neuroprotective Effects of Carvacrol on Ethanol-Induced Hippocampal Neurons Impairment via the Antioxidative and Antiapoptotic Pathways[J]. Oxid Med Cell Longev, 2017,4079425.DOI:10.1155/2017/4079425.
[21] Hughes D, Judge C, Murphy R, et al.Association of Blood Pressure Lowering with Incident Dementia or Cognitive Impairment: A Systematic Review and Meta-analysis[J]. JAMA, 2020,323(19):1934-1944.DOI:10.1001/jama.2020.4249.
[22] 邱晓雪, 陈红霞, 李世文, 等. 卒中后认知障碍的危险因素分析[J]. 中国卒中杂志, 2021,16(3):272-277.
[23] 李晗, 王蕾. 血管性认知障碍发病机制的研究进展[J]. 中国病理生理杂志, 2021,37(2):363-368.
[24] 张虹, 沈军, 喻秀丽. 352名医养结合机构失能老人长期照护需求现状及影响因素分析[J]. 护理学报, 2020,27(21):7-10.DOI:10.16460/j.issn1008-9969.2020.21.007.
[1] CAO Xiao-xia, YANG Zhi-lan, CUI Li-ping, GENG Hui, JU Wei-fang. Current status and influencing factors of mild cognitive impairment in 1 064 elderly people in rural areas of Shanxi [J]. Journal of Nursing, 2023, 30(22): 7-12.
[2] JIAO Yu-chen, JI Yan, MENG Yao, XU Li-juan. Mediating role of psychological capital between family functioning and social participation in patients with mild cognitive impairment [J]. Journal of Nursing, 2023, 30(2): 60-66.
[3] HUANG Yu-lou, ZHOU Chun-lan, LIU Ning, LI Xiao-zhen, LIU Min-li, HE Yin-ying, SUN Hong-chun, HUANG Xiao-na, GONG Xiu-qun, ZHENG Ping, XIAO Xiu-ying. Construction of Step-up Nutrition Management Program for Elderly People with Mild Cognitive Impairment [J]. Journal of Nursing, 2022, 29(21): 17-22.
[4] WANG Qi, LI Jue-jin, HU Xiao-lin. Current Status of Resilience in Lung Cancer Patients and Its Influence Factors [J]. Journal of Nursing, 2022, 29(10): 5-8.
[5] LI Jing-jing, PARIDA·Maimaiti, WANG Ning-ning, MIAO Tian-yu, NUERBIYA·Keqike. Current Status of Activities of Daily Living and Its Influence Factors in Stroke Patients with Foot Drop [J]. Journal of Nursing, 2022, 29(10): 9-13.
[6] WANG Zhang-yi, ZHAO Hao-mei, Ye Jian-ya, ZHANG Si-ai, WANG Yue, WANG Zhao, PANG Xiao-li. Status Quo of Spiritual Needs and Its Influence Factors in Elderly Patients with Chronic Heart Failure: A 321-case Study [J]. Journal of Nursing, 2022, 29(1): 1-6.
[7] TIAN Li, LI Meng-yuan, XIAO Shu-qing, YAN Ling. Prevalence and Influence Factors of Anticipatory Grief in Advanced Cancer Patients [J]. Journal of Nursing, 2021, 28(7): 11-14.
[8] OUYANG Ya-qi, XIE Jian-hui, MEI Hai-bo, LIU Kun, LIU Yao-xi, HUANG Yuan. Current Status of Family Resilience of Caregivers of Patients with Congenital Pseudarthrosis of the Tibia and Its Influence Factors: A 364-case Study [J]. Journal of Nursing, 2021, 28(5): 1-5.
[9] LU Jing-yu, YANG Lian-zhao, CHEN Ling, YANG Yong. Construction and Validation of Risk Prediction Model of Mild Cognitive Impairment in Community-dwelling Elderly Hypertensive Patients [J]. Journal of Nursing, 2021, 28(24): 42-50.
[10] LI Min-yi, LUO Yan-hua, ZHONG Xue-yi, YAN Si-jing, LI Jia-meng, LU Fei-fei. Current Status of Satisfaction with Education Quality among Full-time Nursing Postgraduate Students [J]. Journal of Nursing, 2021, 28(22): 6-11.
[11] JIAO Zi-shan, QIU Jin-hua, WANG Na-na, SHA Kai-hui. Current Status of Postpartum Diastasis Recti Abdominis and Its Influence Factors: A 489-case Study [J]. Journal of Nursing, 2021, 28(20): 7-10.
[12] TONG Yun-jie, LIU Yan-mei, LV Mei-fang, LU Dan-dan, TAN Shi-yun. Self-acceptance of Convalescent Stroke Patients and Its Influence Factors [J]. Journal of Nursing, 2021, 28(19): 13-16.
[13] YI Zi-han, LI Qian, ZHANG Hai-ru, YANG Liang-qin, CHEN Ming-qiu, JU Mei. Elder Self-Neglect among Elderly People Living Alone in Rural Areas and Its Influence Factors [J]. Journal of Nursing, 2021, 28(18): 7-11.
[14] ZHANG Shu-fang, LI Jue-jin, HU Xiao-lin. Current Status of Professionalism in Nursing Undergraduates and Its Influence Factors [J]. Journal of Nursing, 2020, 27(23): 10-13.
[15] CHEN Dong, SUI Shu-jie, TAI Chun-ling, ZHANG Yu-huan, PANG Dong. Current Status of Dating Violence among Vocational Nursing Students and Its Influence Factors [J]. Journal of Nursing, 2020, 27(23): 58-63.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!