| Abstract |
Objective：To investigate the prevalence of mild cognitive impairment (MCI) among the elderly in Jingan District, Shanghai, and to study the intervention methods and effects. Methods：60 years old as the standard, the survey included a total of 1796 people, with a self-designed general situation questionnaire statistics social demographic information, using the MoCA scale, GDS scale, GDS scale, HIS scale and ADL scale were used to investigate the level of cognitive function, patients of MCI diagnosis. According to the random number rule in elderly MCI cases diagnosed group intervention group (159 cases) and control group (158 cases), the intervention of 3 months of continuous implementation, the control group received routine health education, intervention group in the control group based on the implementation plan of MCI intervention in community elderly, and MoCA the ADL score was used as the reference index to evaluate the effect of intervention. Results：The Shanghai community of Jingan District, aged 60 years old the prevalence rate of MCI was 17.65%; different gender, marital status and income of the elderly and the prevalence of MCI was not statistically significant (P>0.05); different age, educational level, occupation attribute, living conditions, smoking and drinking habits and nearly half of the prevalence of the body the elderly the prevalence rate of MCI was statistically significant (P<0.05); Logistic regression analysis showed that age, education, occupation, the original living conditions and nearly half of the body disease risk factors of MCI disease (P<0.05); 3 months after the intervention, the two groups of patients with MoCA score were higher in the intervention group increased significantly with the control group and the intervention were statistically significant before the intervention (P<0.001), the two groups of patients with ADL score was significantly lower than before intervention ( P<0.001), but the reduction degree of the intervention group was significantly higher than that of the control group (P<0.001). Conclusion：The effect of disease mainly influenced by age, education, occupation, the original living conditions and nearly half of somatic diseases and other factors in Shanghai community of Jingan District, aged 60 years old MCI MCI; elderly community comprehensive intervention program of this research can really effectively improve the cognitive level of community elderly patients with MCI and improve the the ability of daily life.
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