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社区老年人主观轻度认知障碍(MCI)相关因素分析。

Analysis of Factors Associated with Subjective Mild Cognitive Impairment (MCI) among Older Adults Resident in the Community.

机构信息

Department of Nursing, Sehan University, 1113 Samho-eup, Yeongam-gun 58447, Korea.

出版信息

Int J Environ Res Public Health. 2022 Aug 20;19(16):10387. doi: 10.3390/ijerph191610387.

Abstract

This study explored the associated factors of mild cognitive impairment (MCI) in older adults, focusing on personal characteristics and health promotion activities. The research design of this study was a non-experimental, cross-sectional design. This study used secondary data from the 2019 community health survey conducted by the Korea Disease Control and Prevention Agency (KDCA). In this study, 20,041 older adults with subjective MCI and 52,587 healthy older adults-a total of 72,628 subjects-were analyzed as the final subjects in this study. The data were analyzed by using descriptive statistics, a chi-square test, an independent -test, and logistic regression. The results indicate that the probability of experiencing subjective MCI significantly decreased with an increase in monthly income (odds ratio (OR) = 1.71, 95% confidence interval (CI) = 1.19-2.46); increased with an increase in depressive symptoms (odds ratio (OR) = 1.09, 95% confidence interval (CI) = 1.04-1.15); and decreased with an increase in the quality of life level (OR = 0.90, 95% CI = 0.82-0.99). Through the results of this study, several factors related to MCI in older adults were identified. If these related factors are properly managed, the possibility of MCI in older adults may be reduced. Therefore, MCI in older adults should be addressed as a preventable disease rather than a natural aging process.

摘要

本研究探讨了老年人轻度认知障碍(MCI)的相关因素,重点关注个人特征和健康促进活动。本研究的设计为非实验性、横断面设计。本研究使用了韩国疾病控制与预防局(KDCA)于 2019 年进行的社区健康调查的二级数据。在本研究中,有 20041 名有主观 MCI 的老年人和 52587 名健康的老年人——共有 72628 名受试者——被分析为最终的研究对象。数据采用描述性统计、卡方检验、独立 t 检验和逻辑回归进行分析。结果表明,随着月收入的增加,经历主观 MCI 的概率显著降低(比值比(OR)=1.71,95%置信区间(CI)=1.19-2.46);随着抑郁症状的增加而增加(比值比(OR)=1.09,95%置信区间(CI)=1.04-1.15);随着生活质量水平的提高而降低(OR=0.90,95% CI=0.82-0.99)。通过本研究的结果,确定了与老年人 MCI 相关的几个因素。如果适当管理这些相关因素,老年人发生 MCI 的可能性可能会降低。因此,老年人的 MCI 应被视为一种可预防的疾病,而不是自然衰老过程。

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