【摘要】：研究背景 隨著我國社會老年人口的逐步增多，老年癡呆的患病率也逐漸增高。而輕度認(rèn)知功能障礙（MCI）是指介于正常老年人與癡呆之間的一種過渡階段的認(rèn)知障礙，是老年性癡呆發(fā)病的早期信號。早期診斷和干預(yù)輕度認(rèn)知功能障礙對預(yù)防和延緩老年癡呆的發(fā)生有著重要的意義。 研究目的 1．通過流行病學(xué)調(diào)查，了解太倉市農(nóng)村60歲以上老年人認(rèn)知能力損害的患病率及人群分布特征；建立太倉農(nóng)村的蒙特利爾量表常模，為不同地區(qū)、不同人口特征的老年人認(rèn)知功能水平的研究提供參考。 2．在評估與診斷老年認(rèn)知能力損害的基礎(chǔ)上，采用認(rèn)知訓(xùn)練、體育鍛煉、社會交往等方式進(jìn)行干預(yù)，尋找和評估社區(qū)老年認(rèn)知能力損害群體干預(yù)的有效方法與措施。 研究對象和研究方法 1．流行病學(xué)現(xiàn)況調(diào)查：按照隨機(jī)、整群的抽樣原則，對太倉市農(nóng)村60周歲以上的老年人共2063人進(jìn)行了流行病學(xué)調(diào)查和MoCAVesion量表測試，，得到有效調(diào)查問卷1954份。調(diào)查內(nèi)容包括基本情況、生活方式、疾病等調(diào)查和蒙特利爾量表測試。 2．蒙特利爾量表常模研究：根據(jù)現(xiàn)況調(diào)查結(jié)果，建立了太倉市農(nóng)村老年人蒙特利爾量表總體常模、性別常模、年齡常模和文化程度常模。 3．輕度認(rèn)知功能損傷干預(yù)研究：對通過流行病學(xué)調(diào)查中篩選出來的的老年人分成干預(yù)組和對照組，其中干預(yù)組299人，對照組280人，采取體育鍛煉、記憶力訓(xùn)練、執(zhí)行力訓(xùn)練、計(jì)算訓(xùn)練、語言能力訓(xùn)練等方式進(jìn)行干預(yù)研究。在干預(yù)一年后用蒙特利爾量表評定認(rèn)知情況的變化。 研究結(jié)果 1．流行病學(xué)現(xiàn)況調(diào)查：太倉市農(nóng)村社區(qū)60歲以上的老年人MoCA量表平均得分為16.16±6.53分，分?jǐn)?shù)普通偏低。老年人MCI患病率在不同性別、年齡組、居住情況、收入情況及文化程度等方面存在顯著差異。而高齡、女性、獨(dú)居、低收入、低文化程度均與MCI的高發(fā)有關(guān)。 2．蒙特利爾量表常模研究：太倉市農(nóng)村社區(qū)60歲以上老年人在不同性別、年齡、文化程度的調(diào)查對象MoCA量表的7個(gè)方面及總分中存在明顯差異。在性別常模中男性在MoCA量表7個(gè)方面及總分上，得分均顯著高于女性；在年齡常模中隨著年齡的增加，MoCA量表7個(gè)方面以及總分都出現(xiàn)了下降趨勢；在文化程度常模中，隨著學(xué)歷的降低，MoCA量表的7個(gè)方面以及總分都出現(xiàn)了下降趨勢。 3．輕度認(rèn)知功能損傷干預(yù)研究：通過體育鍛煉、記憶力訓(xùn)練、執(zhí)行力訓(xùn)練、計(jì)算訓(xùn)練、語言訓(xùn)練等對輕度認(rèn)知功能損傷的老年人進(jìn)行綜合干預(yù)，改善了老年人的認(rèn)知狀況。但由于干預(yù)時(shí)間較短等原因，未取得預(yù)期效果。 結(jié)論 1．太倉市農(nóng)村社區(qū)60歲以上老年人MCI患病率與高齡、女性、獨(dú)居、低收入、低文化程度有關(guān)。 2．老年人MoCA量表測試得分在性別、年齡和文化程度上存在明顯差異。并由此建立了MoCA量表的總體常模、性別常模、年齡常模和學(xué)歷常模，供進(jìn)一步研究參考。 3．通過體育鍛煉、記憶力訓(xùn)練、執(zhí)行力訓(xùn)練、計(jì)算訓(xùn)練、語言訓(xùn)練等對輕度認(rèn)知功能損傷的老年人進(jìn)行綜合干預(yù)，改善了老年人的認(rèn)知狀況。但未取得預(yù)期效果。
[Abstract]:Study Background The prevalence of senile dementia is also increasing with the increase of the population of the elderly in our country. High. And mild cognitive impairment (MCI) is a cognitive disorder in a transitional phase between normal and senile dementia, which is an early letter to the onset of Alzheimer's disease. The early diagnosis and the intervention of mild cognitive impairment have important implications for preventing and delaying the occurrence of senile dementia Righteousness. Objective 1. To study the prevalence of cognitive impairment and the distribution of the population in the elderly in the rural areas of Taicang, through an epidemiological survey, and to establish the norm of the Montreal scale in the rural area of Taicang. A study on the cognitive function of the elderly in different regions and with different population characteristics 2. On the basis of the assessment and diagnosis of the impairment of the cognitive ability of the aged, the cognitive training, physical training and social interaction are used to intervene, to find and evaluate the community intervention in the community's old cognitive ability. Effective methods and measures. The research object and the research method 1. The epidemiological status survey: According to the sampling principle of the random and the cluster, the epidemiological investigation and the MoCAVisiion scale test of 2063 people in the rural area of Taicang city were carried out, and the results were obtained. An effective questionnaire of 1954. The contents of the survey included basic conditions, lifestyle, disease, etc. Survey and Montreal scale test.2. The Montreal scale norm study: based on the findings of the current situation, the general norm of the Montreal Inventory of the Rural Elderly in Taicang City was established, with a gender constant 3. The model, the norm of age and the norm of the cultural degree.3. The intervention of the mild cognitive function: the intervention group and the control group were divided into the intervention group and the control group. the training of the memory, the training of the execution force, the calculation and the training, Intervention study in language ability training, etc. After one year of intervention, Montreal The change of the cognitive situation of the scale assessment. Results 1. Epidemiological survey: the average score of the MoCA scale of the aged over 60 years old in the rural community in Taicang City At 16.16-6.53 points, the scores were generally low. The prevalence of MCI in the elderly was in different sex, age groups, and residential conditions. There are significant differences in terms of income and culture, while older, female, solitary, Low-income and low-cultural levels are related to the high incidence of MCI. There was a significant difference in the 7 aspects of the MoCA scale and the total score. In the gender norm, the scores of the male in 7 aspects and the total score of the MoCA scale were significantly higher than that of the female; in the age norm, with the increase of the age,7 aspects of the MoCA scale and the total score appeared. The trend of decline; in the norm of cultural degree, with the decrease of the degree of education, Mo There was a downward trend in the 7 aspects of the CA scale and the total score.3. The study of mild cognitive impairment: through physical exercise, memory training, execution training, calculation training, language training, etc. The elderly's cognition is improved by the comprehensive intervention of the aged people. condition However, due to the short intervention time and other reasons, the expected effect is not achieved. Conclusion 1. The elderly in the rural community in Taicang city are over 60 years old. The prevalence of MCI is related to the aged, female, solitary, low-income, and low-educated. The test scores of the human MoCA scale were significantly different in terms of sex, age and culture, and the MoCA scale was established. 3. Through physical exercise, memory training, execution training, calculation training, language training, etc. damage to mild cognitive function
【學(xué)位授予單位】：蘇州大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：R749.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前2條

1 王琦;毛禮煒;劉娟;趙合慶;劉春風(fēng);李文;;蒙特利爾認(rèn)知評估量表在老年輕度認(rèn)知損害中的應(yīng)用[J];蘇州大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);2011年04期

2 周玢,洪震,黃茂盛,曾軍,金美華;上海市城鄉(xiāng)人群癡呆患病率調(diào)查[J];中華流行病學(xué)雜志;2001年05期

本文編號：2502629