广州某社区老年人认知功能的影响因素研究-第三军医大学学报.DOC

生活习惯及社会心理因素对广州市社区老人认知功能的影响 佘生林，唐牟尼，骆雄，苏婵，任建娟 （广州医科大学附属脑科医院，广州，510370） 【摘要】目的 探讨生活习惯及社会心理因素对广州市社区老年人认知功能的影响。方法 采用蒙特利尔量表（MoCA）对广州市某社区≥60岁老年人进行认知功能评定，收集一般人口学及躯体疾病资料，完成生活习惯调查表、生活事件量表、社会支持评定量表等，并行相关统计分析。结果 以MoCA总分为因变量，以生活习惯、生活事件为自变量，单因素分析显示坚持运动与否与MoCA得分差异有统计学意义（20.75±4.88，17.37±6.63，P=0.000）,余组间差异无统计学意义， MoCA总分与客观社会支持、主观社会支持、支持利用度、社会支持总分均相关（r分别为0.201,0.280,0.092,0.266，均P=0.000）。考虑性别、年龄、受教育年限、躯体疾病等因素，采用多元回归分析，进入回归方程的因素有性别、年龄、受教育年限、社会支持总分、支持利用度评分（偏回归系数分别为：-0.220，-1.530,0.313,1.654,0.503）。结论 社会支持及对社会支持的利用是老年人认知功能的保护因素，而生活习惯、生活事件对认知功能影响差异无统计学意义。 【关键词】老年人；认知功能；蒙特利尔量表 The effect of lifestyle and socio-psychological factors on cognitive function for elder people in Guangzhou community SHE sheng-lin, TANG mu-ni, LUO xiong, SU chan, REN jian-juan (Department of general psychiatry of Guangzhou brain hospital, Affiliated with Guangzhou Medical University, Guangzhou 510370. China) 【abstract】 Objective To explore the effect of lifestyle and socio-psychological factors on cognitive function for elder people in Guangzhou community. Methods The Chinese Version of the Montreal Cognitive Assessment (MoCA-China) was applied to evaluate the cognitive function of elder people(60 years and older).the demographic information and physical diseases as well as Lifestyle questionnaire，Life Event Sale（LES），Social Support Scale（SSS）were collected .The relationships between these variables were analysed. Results Lifestyle and life events were taken as covariates and MoCA-China scores was taken as dependent in the Univariate analyzed. Which showed that there were no significant difference between the variables except for exercise（20.75±4.88,17.37±6.63,P=0.000）.The factors of social support including objective social support , subjective social support, utilization of support, and scores of SSS were signi?canly associated with the scores of MoCA-China （r=0.201，r=0.280，r=0.092，r=0.266 ,P=0.000）.Secondly, the factors including gender，age，education，etc were added to the multivariate regression analysis, i