视力受损老年人的记忆与认知混乱主诉：幸福感中一个未被充分研究的方面。
Memory and Confusion Complaints in Visually Impaired Older Adults: An Understudied Aspect of Well-Being.
作者信息
Lee Moon Jeong, Varadaraj Varshini, Ramulu Pradeep Y, Whitson Heather E, Deal Jennifer A, Swenor Bonnielin K
机构信息
Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Duke University Medical Center, Durham, NC, USA.
出版信息
Gerontol Geriatr Med. 2019 Jan 8;5:2333721418818944. doi: 10.1177/2333721418818944. eCollection 2019 Jan-Dec.
To determine the prevalence of cognitive (memory or confusion) complaints in older adults with visual impairment (VI). We assessed the relationship between VI (corrected visual acuity [VA] < 20/40) and self-reported confusion or problems with memory among participants aged 60 years to 85 years in the 1999-2006 cycles of National Health and Nutrition Examination Survey ( = 5,795). Prevalence estimates of cognitive complaints were calculated using Current Population Surveys. Memory/confusion complaints were reported in 22% of the VI group and 11% of the no VI group ( < .001). In individuals aged ≥ 80 years, 30% of those with VI reported cognitive complaints, as compared with 19% with no VI ( = .003). In fully adjusted models, individuals with VI were more likely (OR = 1.3, = .049) to report cognitive complaints as compared with those without VI. Subjective reports of memory or confusion are highly prevalent in older individuals with VI.
确定视力障碍（VI）的老年人中认知（记忆或意识模糊）主诉的患病率。我们在1999 - 2006年全国健康与营养检查调查周期中，评估了60岁至85岁参与者中视力障碍（矫正视力[VA]<20/40）与自我报告的意识模糊或记忆问题之间的关系（n = 5795）。使用当前人口调查计算认知主诉的患病率估计值。视力障碍组中22%报告有记忆/意识模糊主诉，无视力障碍组为11%（P<.001）。在80岁及以上的个体中，视力障碍者中有30%报告有认知主诉，无视力障碍者为19%（P = .003）。在完全调整模型中，与无视力障碍者相比，视力障碍者更有可能（OR = 1.3，P = .049）报告认知主诉。在视力障碍的老年人中，记忆或意识模糊的主观报告非常普遍。
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