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教育和婚姻对中国老年人认知能力下降风险的协同影响。

Synergistic influence of education and marriage on the risk for cognition loss among the older people in China.

机构信息

NingBo College of Health Sciences, Yinzhou, China.

Ningbo City College of Vocation Technology Ningbo, Yinzhou, China.

出版信息

Nurs Open. 2021 Sep;8(5):2616-2621. doi: 10.1002/nop2.801. Epub 2021 Mar 16.

Abstract

AIM

The study aimed to prove that both rationality and emotion are indispensable for older people to maintain their ability to live independently during the twilight of their lives. The resilience of older people to dementia were investigated by considering the interactions between educational levels and marriage status.

DESIGN

A quantitative study was conducted using questionnaires.

METHODS

Four sociodemographic variables (age, sex, educational level and marital status) were collected from 1,177 older Chinese participants, whose mini-mental state examination scores (MMSE scores) were measured.

RESULTS

A lower educational level coupled with being widowed caused a greater risk for severe cognitive impairment (relative risk [RR] 1.48; 95% confidence interval [CI] 1.20-1.82; p < .001) for high-aged older participants (age range: ≥80) than for their low-aged counterparts (age range: ≥60 and <80). In contrast, a higher educational level coupled with being married levelled this age-related risk for cognitive loss (RR 0.91; 95% CI 0.65-1.27; p = .62).

摘要

目的

本研究旨在证明在人生的黄昏阶段,理性和情感对于老年人保持独立生活能力都是不可或缺的。通过考虑教育水平和婚姻状况之间的相互作用,研究老年人对痴呆症的适应能力。

设计

采用问卷调查进行定量研究。

方法

从 1177 名中国老年人参与者中收集了 4 个社会人口学变量(年龄、性别、教育水平和婚姻状况),并测量了他们的简易精神状态检查评分(MMSE 评分)。

结果

与低龄组(年龄范围:≥60 岁且<80 岁)相比,高龄组(年龄范围:≥80 岁)中受教育程度较低且丧偶的老年人发生严重认知障碍的风险更高(相对风险 [RR] 1.48;95%置信区间 [CI] 1.20-1.82;p<0.001)。相比之下,受教育程度较高且已婚的老年人则降低了这种与年龄相关的认知丧失风险(RR 0.91;95% CI 0.65-1.27;p=0.62)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b54/8363380/2d2249023b78/NOP2-8-2616-g001.jpg

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