本文選題：老年人 + 神經(jīng)系統(tǒng)��； 參考：《福建醫(yī)科大學(xué)》2011年碩士論文

【摘要】：目的對福州地區(qū)軍隊離退休老年人的神經(jīng)系統(tǒng)健康狀況進(jìn)行系統(tǒng)評價,評估神經(jīng)系統(tǒng)健康狀況和認(rèn)知功能、運動功能、情感、睡眠障礙的患病率;探討可能的保護因素及危險因素,為老年人的健康保健及醫(yī)療服務(wù)提供參考依據(jù)。 方法采用整群抽樣和分層抽樣相結(jié)合的方法,對福州地區(qū)軍隊14個干休所的500名離退休老年人進(jìn)行神經(jīng)系統(tǒng)健康狀況調(diào)查。調(diào)查采用自制的一般狀況量表、簡易智能狀態(tài)檢查量表、日常生活能力量表、畫鐘試驗、蒙特利爾認(rèn)知量表等評估老年人的認(rèn)知功能,分析可能影響因素;用帕金森篩查量表等對老年人運動功能進(jìn)行評估;自制的流調(diào)用抑郁自評量表評估老年人情感狀態(tài);匹茲堡睡眠質(zhì)量指數(shù)量表評估老年人的睡眠質(zhì)量,全面評估老年人神經(jīng)系統(tǒng)健康狀況。采用Epidata 3.1建立數(shù)據(jù)庫對調(diào)查數(shù)據(jù)進(jìn)行錄入,使用SPSS 13.0軟件進(jìn)行統(tǒng)計學(xué)分析,單因素分析采用方差分析和卡方檢驗,多因素分析采用非條件Logistic逐步回歸模型。 結(jié)果(1)調(diào)查人群伴發(fā)多種基礎(chǔ)疾病,大部分老年人每天需長期口服多種藥物治療,服藥比例高;14.8%的老年人因年齡偏大、行動不便、伴有多種基礎(chǔ)疾病等無法獨立生活,需要照料者來照顧,從而加重家庭和社會的經(jīng)濟負(fù)擔(dān)。(2)福州地區(qū)軍隊離退休老年人認(rèn)知功能障礙總體患病率為18.47%,其中輕度認(rèn)知功能障礙的患病率為11.25%,老年性癡呆的患病率為7.22%。年齡、文化程度、日�；顒幽芰Α⑽鼰燂嬀剖穼夏耆苏J(rèn)知功能障礙的影響存在統(tǒng)計學(xué)差異,認(rèn)知功能障礙的患病率與年齡獨立相關(guān),隨著年齡增加患病率也呈上升趨勢。(3)運動功能障礙的總體患病率為18.47%,帕金森病患病率為7.22%,特發(fā)性震顫患病率為9.13%,其他運動障礙性疾病患病率2.12%。(4)流調(diào)用抑郁量表平均得分5.56±7.01分,抑郁癥狀患者的患病率為8.8%,患病率高低與收入、居住環(huán)境、心理負(fù)擔(dān)等存在相關(guān)性。(5)500例老年人PSQI平均得分為5.72±4.01分,睡眠質(zhì)量差者有129人(25.8%),睡眠質(zhì)量一般者192人(38.4%),睡眠質(zhì)量好者179人(35.8%)。 結(jié)論福州地區(qū)軍隊離退休老年人的神經(jīng)系統(tǒng)健康狀況不容忽視,認(rèn)知功能障礙和運動功能障礙的患病率較高,但睡眠障礙與情感障礙的患病率較其他研究偏低。年齡、日�；顒幽芰拔鼰燂嬀剖穼φJ(rèn)知功能障礙的影響存在統(tǒng)計學(xué)差異,文化程度是認(rèn)知功能障礙的保護因素。情感障礙的患病率受婚姻狀況、居住方式、吸煙史、需要生活照料者等因素影響;因該人群的經(jīng)濟條件、居住環(huán)境、醫(yī)療保障較好,睡眠障礙的患病率較其他研究偏低。福州地區(qū)軍隊離退休老年人需要照料者比例較高,費用較大,加重了家庭和社會負(fù)擔(dān)。
[Abstract]:Objective to evaluate the health status of nervous system and the prevalence of cognitive function, motor function, emotion and sleep disorder in retired elderly in Fuzhou area.To explore the possible protective factors and risk factors, to provide reference for health care and medical services for the elderly.Methods A total of 500 retired elderly in 14 military recuperation centers in Fuzhou were investigated with cluster sampling and stratified sampling.The cognitive function of the elderly was assessed by self-made general condition scale, simple mental state examination scale, activity of daily life scale, clock drawing test, Montreal cognitive scale, and the possible influencing factors were analyzed.The motor function of the elderly was evaluated with Parkinson's screening scale, the self-made flow call depression self-rating scale was used to assess the emotional state of the elderly, and the Pittsburgh Sleep quality Index was used to evaluate the sleep quality of the elderly.Comprehensive assessment of the neurological health status of the elderly.Epidata 3.1 database was used to input the investigation data, SPSS 13.0 software was used for statistical analysis, single factor analysis used variance analysis and chi-square test, multivariate analysis adopted non-conditional Logistic stepwise regression model.Results 1) many basic diseases were found in the survey population. The majority of the elderly need long-term oral treatment with multiple drugs every day. 14.8% of the elderly people are unable to live independently because of their older age, inconvenient movement and many basic diseases.The overall prevalence of cognitive dysfunction in retired military elderly in Fuzhou area was 18.47, in which the prevalence rate of mild cognitive impairment was 11.25 and that of Alzheimer's disease was 7.22.Age, education level, daily activity ability, smoking and drinking history had statistical differences on cognitive dysfunction in the elderly. The prevalence rate of cognitive dysfunction was independent of age.The overall prevalence rate of motor dysfunction was 18.47, Parkinson's disease 7.22, idiopathic tremor 9.13, and other motor disorders 2.12. 4) the average score of FMD was 5.56 鹵7.01.The prevalence rate of depressive symptom patients was 8.8. The average PSQI score of 5500 elderly patients was 5.72 鹵4.01, which was related to income, living environment and psychological burden.There were 129 patients with poor sleep quality, 192 with normal sleep quality and 179 with good sleep quality.Conclusion the neurological health status of retired military elderly in Fuzhou area should not be ignored. The prevalence rate of cognitive and motor dysfunction is higher, but the prevalence rate of sleep disorder and emotional disorder is lower than that of other studies.The influence of age, daily activity ability and smoking and drinking history on cognitive dysfunction was statistically different. Education level was the protective factor of cognitive dysfunction.The prevalence rate of affective disorder was influenced by marital status, living style, smoking history and need of carers, because of their economic condition, living environment and medical security, the prevalence rate of sleep disorder was lower than that of other studies.In Fuzhou area, the proportion of retired elderly people in need of care is high and the cost is large, which increases the burden on families and society.
【學(xué)位授予單位】：福建醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2011
【分類號】：R82

【參考文獻(xiàn)】

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1 陳彬;羅維武;施光，

本文編號：1771185