親友電話溝通與中老年人認(rèn)知功能的相關(guān)性研究
發(fā)布時間:2018-04-27 16:48
本文選題:老年人 + 認(rèn)知障礙 ; 參考:《中華疾病控制雜志》2016年02期
【摘要】:目的探討親友電話溝通與中老年人認(rèn)知功能的相關(guān)性,為防控老年性癡呆提供依據(jù)。方法選"廣州生物庫隊列研究"第三期基線數(shù)據(jù)中9 434名年齡≥50歲的廣州居民,通過標(biāo)準(zhǔn)化問卷收集研究對象簡易精神狀態(tài)檢查(mini-mental state examination,MMSE)得分、與親友電話溝通頻率、年齡、文化程度等其他相關(guān)變量,采用一般線性模型和非條件邏輯(Logistic)回歸模型進(jìn)行統(tǒng)計分析。輕度認(rèn)知障礙(mild cognitive impairment,MCI)判定:MMSE24分。結(jié)果多因素調(diào)整后,親友電話溝通頻率與MMSE得分顯著相關(guān)且呈劑量-反應(yīng)關(guān)系,隨著電話溝通頻率的減少,MMSE得分降低,突出表現(xiàn)在郊區(qū)中老年人;以電話溝通頻率≥1次/周為參比組,1次/月組和無溝通組患MCI的風(fēng)險增加,OR分別為1.26(95%CI:1.02~1.55)和1.63(95%CI:1.25~2.11),該兩組中居住在郊區(qū)中老年人患MCI的OR則分別為1.52(95%CI:1.13~2.03)和2.13(95%CI:1.51~3.01)。結(jié)論親友電話溝通頻率與中老年人認(rèn)知功能呈正相關(guān),每月1次電話溝通提示郊區(qū)中老人可能患上輕度認(rèn)知障礙,值得進(jìn)行增加電話溝通干預(yù)以測試增加親友電話溝通能否有助防控老年性癡呆。
[Abstract]:Objective to explore the correlation between telephone communication and cognitive function of middle and old people, and to provide evidence for prevention and control of senile dementia. Methods 9 434 Guangzhou residents aged more than 50 years were selected from the baseline data of the third phase of Guangzhou Biobank Cohort study. The mini-mental state examination scores of the subjects were collected by standardized questionnaire, and the frequency and age of telephone communication with relatives and friends were analyzed. The general linear model and non-conditional logistic regression model are used to analyze other related variables such as education level. Mild cognitive impairment (MMSE 24). Results after multivariate adjustment, the frequency of telephone communication between relatives and friends was significantly correlated with the score of MMSE and showed a dose-response relationship. With the decrease of the frequency of telephone communication, the score of MMSE decreased, which was prominent in the middle and old people in rural areas. The increased risk of MCI in the frequency of telephone communication 鈮,
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