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一个混合方法研究在杭州,中国的轻度认知障碍的老年人的协作健康治理

Yiqi Kong¹, Zihan Xu¹, Zhiyou Zhu¹

¹School of Public Administration, Hangzhou Normal University, Hangzhou, China.

Frontiers in public health

|December 8, 2025

概括

这项研究表明,虽然家庭支持在轻度认知障碍 (MCI) 中有助于某些认知功能,但它阻碍了其他功能. 优化基于社区的MCI护理需要社会工作者,医生和家庭之间更好的合作.

科学领域:

老年学是一门学科.
公共卫生公共卫生
认知科学认知科学

背景情况:

轻度认知障碍 (MCI) 是阿尔茨海默病的前体,对老年人群构成重大挑战.
现有的基于社区的MCI干预往往受到关键利益相关者之间分散的护理和不良协作的影响.
有效管理MCI需要综合方法,涉及家庭,社区工作者和医疗保健提供者.

研究的目的:

为基于社区的MCI管理开发一个多代理合作治理模型.
确定优化策略,以加强MCI的协作护理.
分析社会隔离和家庭支持对MCI老年人的认知领域的影响.

主要方法:

在中国杭州进行了一项混合方法研究,涉及373名患有MCI的老年人.
量化分析使用了家庭APGAR指数,社会隔离量表和微型心理状态检查 (MMSE),通过结构方程建模 (SEM) 进行分析.
定性分析涉及对社区工作者和家庭医生采访的主题分析,以确定合作挑战.

主要成果:

家庭支持表现出双重效应,积极影响记忆/计算能力,但负面影响阅读/实践能力.
减少社会隔离与增强的家庭支持密切相关 (β = 0.405,p < 0.001).
有效护理的主要障碍包括缺乏结构化的协作,被动的信息共享和护理人员培训不足.

结论:

综合护理模式对于管理MCI至关重要,承认家庭支持的复杂作用.
拟议的三方"社会工作者-医生-家庭"框架旨在通过技能建设和数据链接来改善健康结果.
建议进行进一步的纵向研究,以验证研究结果,并为未来基于社区的MCI干预提供信息.

关键词:

阿尔茨海默氏症是阿尔茨海默氏症的一种疾病.协作健康治理协作健康治理基于社区的管理管理.轻度的认知障碍轻度的认知障碍优化的优化优化优化.

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