轻度认知障碍的社区老年人中痴呆的发病:一项纵向研究
Na-Na Jung1,2, Gwi-Ryung Son Hong3
1Deputy Director, Seoul Nowon-gu Dementia Care Center, Seoul, Korea.
概括
轻度认知障碍的老年人,年龄较大,不运动,或参加不到8个非药物治疗项目,患痴呆症的风险更高. 持续参与非药物和ADL计划对于预防痴呆症至关重要.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 轻度认知障碍 (MCI) 是正常衰老和痴呆之间的过渡阶段.
- 确定影响MCI发展为痴呆症的因素对于早期干预至关重要.
- 居住在社区的老年人代表了面临认知衰退风险的重要人口.
研究的目的:
- 为了研究三年来患有MCI的老年人认知功能变化的速度.
- 在社区居民群体中确定与从MCI发展为痴呆症相关的因素.
- 分析非药理学计划和日常生活活动 (ADL) 教育对痴呆症进展的影响.
主要方法:
- 纵向研究设计使用来自首尔痴呆症管理项目的数据.
- 包括1,375名在社区居住的老年人,在基线被诊断患有MCI.
- 统计分析包括千平方,独立的t测试和物流回归来确定风险因素.
主要成果:
- 17.0%的参与者在三年内从MCI发展为痴呆症.
- 痴呆症进展的显著风险因素包括年龄 (OR=1.06),缺乏运动 (OR=1.42),少于八个非药物学项目 (OR=4.17) 和没有ADL相关的教育 (OR=1.05).
- 大多数 (83.0%) 仍然患有MCI,这表明干预的潜力.
结论:
- 在痴呆症护理中,定期和持续地参与非药物治疗项目是必不可少的.
- 激活社区级非药物和ADL教育计划可以帮助预防MCI老年人的痴呆症进展.
- 研究结果为制定针对性社区性痴呆症预防策略提供了基础.
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