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墨西哥瓜达拉哈拉大都市区长期护理机构老年居民认知障碍的相关因素

Correlates of cognitive impairment in elderly residents of long term care institutions in the metropolitan area of Guadalajara, Mexico.

作者信息

Arias-Merino E D, Orozco-Mares I, Garabito-Esparza L C, Fernandez-Cruz L, Arias-Merino M J, Celis de la Rosa A, Cabrera-Pivaral C, Gonzalez-P Rez G J

机构信息

University of Guadalajara, University Center for Health Sciences, Jalisco, Mexico.

出版信息

J Nutr Health Aging. 2003;7(2):97-101.

Abstract

AIM

To determine the prevalence of cognitive impairment and to examine the correlation between demographic and social factors, the activities of daily living (ADL), and depression with cognitive function in elderly Mexicans living in nursing homes.

DESIGN

Cross-sectional.

SETTING

Fourteen nursing homes in Guadalajara.

PARTICIPANTS

Data were drawn from a random sample of 451 elderly, aged 60-104 years.

MEASUREMENTS

The Spanish versions of MMSE (Folstein), ADL index (Barthel), and the Geriatric Depression Screening (GDS) (Yesavage); demographic factors were obtained.

RESULTS

The prevalence of cognitive impairment was 52.3%, with a cut-off of 19/20 (Bohnstedt). Cognitive impairment was significantly related to gender, educational level, activity participation, pension, ADL, and depression.

CONCLUSION

The results indicate a higher prevalence of cognitive impairment than in other Mexican studies. The data are consistent with previous findings that cognitive impairment in the elderly is more common among females, those with a low level of education, the lack of participation in social/leisure activities, ADL dependencies, and depression.

摘要

目的

确定认知障碍的患病率,并研究居住在养老院的墨西哥老年人的人口统计学和社会因素、日常生活活动(ADL)以及抑郁与认知功能之间的相关性。

设计

横断面研究。

地点

瓜达拉哈拉的14家养老院。

参与者

数据来自451名年龄在60 - 104岁之间的老年人的随机样本。

测量方法

采用西班牙语版的简易精神状态检查表(Folstein)、ADL指数(Barthel)和老年抑郁筛查量表(GDS)(Yesavage);获取人口统计学因素。

结果

认知障碍的患病率为52.3%,临界值为19/20(Bohnstedt)。认知障碍与性别、教育水平、活动参与度、养老金、ADL以及抑郁显著相关。

结论

结果表明,认知障碍的患病率高于其他墨西哥研究。这些数据与之前的研究结果一致,即老年人中的认知障碍在女性中更为常见,在教育水平低、缺乏社会/休闲活动参与、ADL依赖以及抑郁的人群中更为常见。

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