Shanxi Medical University, Shanxi Province, China.
Peking Union Medical College Hospital, Beijing, China.
Appl Nurs Res. 2024 Feb;75:151773. doi: 10.1016/j.apnr.2024.151773. Epub 2024 Feb 23.
Subjective cognitive decline (SCD) is increasingly recognized as a clinical and medical risk factor for mild cognitive impairment (MCI) and dementia. Currently, there is little evidence regarding the quality of life (QoL) in older adults with SCD and the impact of social capital on their QoL.
To examine the perceptions of social capital and QoL among older adults with SCD.
A total of 325 participants (92.9 % response rate) with a self-reported diagnosis of SCD completed the Chinese version of the 36-item Short-Form Health Survey, the Chinese Shortened Social Capital Scale and the Generalized Anxiety Disorder Scale. A t-test was used to compare the QoL score of our sample with the Chinese norm. Pearson correlation analysis and multivariate linear regression analysis were used to assess the association of social capital with QoL.
Social capital were strongly correlated with the total QoL, as well as its physical component summary and mental component summary. The QoL score of older adults with SCD was significantly lower than the Chinese norm (P < 0.001). Multivariate analysis showed that social capital, physical activity, nutrition and anxiety symptoms were factors associated with QoL among older SCD population (P < 0.05).
The findings of the current study suggest that older adults with SCD may experience lower QoL. Social capital is associated with the QoL in older adults with SCD. These findings have implications for clinicians who work with older adults with SCD.
主观认知衰退(SCD)越来越被认为是轻度认知障碍(MCI)和痴呆的临床和医学危险因素。目前,关于 SCD 老年人的生活质量(QoL)以及社会资本对其 QoL 的影响的证据很少。
研究 SCD 老年人对社会资本和生活质量的看法。
共有 325 名(92.9%的回复率)自我报告 SCD 诊断的参与者完成了中文版 36 项简短健康调查、中文版简化社会资本量表和广泛性焦虑症量表。采用 t 检验比较本样本的 QoL 评分与中国常模。采用 Pearson 相关分析和多元线性回归分析评估社会资本与 QoL 的相关性。
社会资本与总 QoL 及其生理成分综合和心理成分综合呈强相关。SCD 老年人的 QoL 评分明显低于中国常模(P<0.001)。多因素分析显示,社会资本、体力活动、营养和焦虑症状是 SCD 老年人群 QoL 的相关因素(P<0.05)。
本研究结果表明,SCD 老年人可能经历较低的 QoL。社会资本与 SCD 老年人的 QoL 相关。这些发现对与 SCD 老年人合作的临床医生具有重要意义。