老年人群情景记忆障碍发生现状及影响因素研究

doi:10.12183/j.scjpm.2023.0277

摘要/Abstract

摘要： 目的了解老年人群情境记忆障碍发生现状,并分析其影响因素。方法采用便利抽样法在西安市随机抽取11个社区,每个社区抽取100名老年人作为调查对象,采用影像学手段、量表评估和脑电图检测3种方法评估情景记忆障碍发生情况,并对影响因素开展调查,采用描述性分析方法对老年人群情景记忆障碍发生情况进行分析,并对其影响因素进行单、多因素分析。结果共对986名老年人开展情景记忆障碍及其影响因素调查,男622人（63.08%）,女364人（36.92%）,年龄61~89岁,平均年龄（73.69±5.21）岁。评估结果显示为情境记忆障碍者156例,发生率为15.82%。多因素Logistic回归分析结果显示年龄（OR=3.177）、阅读习惯（OR=0.266）、家务情况（OR=0.254）、社会交往（OR=0.381）、抑郁（OR=2.762）、焦虑（OR=2.912）、营养不良风险（OR=2.307）、睡眠障碍（OR=2.375）是导致老年人群情景记忆障碍的影响因素。结论西安市老年人群情景记忆障碍的发生率较高,针对其发生情景记忆障碍的危险因素实施针对性干预,将可能有助于降低老年人群认知功能障碍的发生率,从而为改善老年人群生活质量提供参考依据。

关键词: 老年人群, 情景记忆障碍, 影响因素, 认知功能障碍

Abstract: Objective To understand the incidence of episodic memory disorder in the elderly population and analyze its influencing factors. Methods Convenience sampling method was used to randomly select 11 communities in Xi'an, with 100 elderly people selected from each community as survey subjects. Imaging methods, scale evaluation, and EEG testing were used to evaluate the incidence of episodic memory disorder, and influencing factors were investigated. Descriptive analysis method was used to analyze the incidence of episodic memory disorder in the elderly population, and univariate and multivariate analyses were conducted on its influencing factors. Results A total of 986 elderly people were investigated for episodic memory disorder and its influencing factors. There were 622 males （63.08%） and 364 females （36.92%）, aged 61 to 89, with an average age of （73.69 ± 5.21） years. The evaluation results showed 156 cases of episodic memory disorder, with an incidence rate of 15.82%. Multivariate Logistic regression analysis showed that age （OR=3.177）, reading habits （OR=0.266）, household chores （OR=0.254）, social interaction （OR=0.381）,depression（OR=2.762）,anxiety （OR=2.912）, risk of malnutrition （OR=2.307）, and sleep disorders （OR=2.375） were influencing factors of episodic memory disorder in the elderly population. Conclusions The incidence of episodic memory disorder in the elderly population is high in Xi'an City. Targeted intervention aimed at the risk factors of episodic memory disorder may help to reduce the incidence of cognitive dysfunction in the elderly, thus providing a reference for improving the quality of life of the elderly.

Key words: Elderly population, Episodic memory disorder, Influencing factor, Cognitive dysfunction

中图分类号:

R195

李洁, 彭阿丽, 耿冬, 范静, 刘建华, 王姣姣. 老年人群情景记忆障碍发生现状及影响因素研究[J]. 华南预防医学, 2023, 49(3): 277-281.

LI Jie, PENG Ali, GENG Dong, FAN Jing, LIU Jianhua, WANG Jiaojiao. Incidence and influencing factors of episodic memory disorder in elderly population[J]. South China Journal of Preventive Medicine, 2023, 49(3): 277-281.

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