社区老年人口腔衰弱与轻度认知障碍现状及其相关性分析

Status Quo and Correlation Analysis of Oral Frailty and Mild Cognitive Impairment in Community Elderly

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2024, 51(5)
作者
作者单位

蚌埠医学院 ;

摘要
探讨社区老年人口腔衰弱(OF)和轻度认知障碍(MCI)的现状和两者之间的关系。方法 采用分阶段随机抽样方法选取安徽省皖北地区 10个行政社区的老年人935人为调查对象。采用一般资料调查表、口腔衰弱指数-8(OF-8)和简易智能精神状态检查量表(MMSE)对老年人进行调查,并进行相关性分析及影响因素分析。结果 社区老年人OF发生率为 38. 1%,MCI发生率为 20.2%;Logistic 回归分析显示,年龄、慢性病、文化程度和MCI是老年人OF的危险因素,性别、年龄、慢性病和OF是 MCI发生的危险因素;Spearman相关性分析显示,OF-8总分与MMSE总分呈负相关(r=0.-453,P<0. 001)。结论 社区老年人OF和MCI的发生率较高,二者呈正相关且互为因果,护理人员在关注老年人口腔健康的同时要重视其认知状况。
Abstract
Objective This study investigates the current status of Oral Frailty (OF) and Mild Cognitive Impairment (MCI) in community-dwelling elderly individuals, as well as explores the relationship between these two conditions. Methods A multistage random sampling method was employed to select 935 elderly individuals from 10 administrative communities in the northern region of Anhui Province, China, as the study participants. General information survey forms, the Oral Frailty Index-8 (OF-8), and the Mini-Mental State Examination (MMSE) were utilized to conduct the investigation among the elderly. Subsequently, correlation analysis and factors influencing the relationship were analyzed. Results The occurrence rate of Oral Frailty (OF) in the community-dwelling elderly was 38.1%, and the rate of Mild Cognitive Impairment (MCI) was 20.2%. Logistic regression analysis revealed that age, chronic diseases, educational level, and MCI were risk factors for OF among the elderly. On the other hand, gender, age, chronic diseases, and OF were identified as risk factors for the occurrence of MCI. Spearman correlation analysis showed a negative correlation between OF and MCI (r = -0.453, P < 0.001).Conclusion The occurrence rates of OF and MCI are relatively high among community-dwelling elderly individuals, and there is a negative correlation between the two conditions. Moreover, they may also have a causal relationship. As a result, healthcare professionals should not only focus on the oral health of elderly individuals but also pay close attention to their cognitive status.
关键词
社区老年人;口腔衰弱;轻度认知障碍;影响因素;相关性
KeyWord
Community Elderly; Oral frailty; Mild Cognitive Impairment; Influencing Factors; Correlation
基金项目
页码 1511-1519
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曾春璐,马晓青,Catherine Katumu Barka,谢晖*,刘乾坤,庞佳雪,徐洋. 社区老年人口腔衰弱与轻度认知障碍现状及其相关性分析 [J]. 国际精神病学杂志. 2024; 51; (5). 1511 - 1519.

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