The incidence of mild cognitive impairment and influencing factors of elderly patients with subjective memory impairment
10.3760/cma.j.cn115682-20210412-01607
- VernacularTitle:老年主观记忆障碍患者轻度认知障碍发生情况及影响因素分析
- Author:
Cunmei YANG
1
;
Juan LI
;
Yixin HU
;
Ying ZHOU
;
Hongying MA
;
Nannan JIN
;
Yidan WANG
Author Information
1. 中国科学院心理研究所心理健康院重点实验室老年心理研究中心,北京 100101
- Keywords:
Aged;
Subjective memory impairment;
Mild cognitive impairment;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2022;28(4):470-477
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the incidence of mild cognitive impairment (MCI) of elderly patients with subjective memory impairment and analyze its influencing factors.Methods:A total of 322 patients with subjective memory impairment in elderly frail cognitive management clinic in General Hospital of Chinese PLA were selected by the convenient sampling method. According to the 2018 Diagnostic Criteria for Diagnosis and Treatment of Dementia and Cognitive Impairment in China, the subjects were divided into the MCI group and the non-MCI group. Demographic data, physiological factors, psychological factors, lifestyle and nutritional status of patients were collected using self-designed questionnaires. The Barthel Index Rating Scale was used to assess activity of daily living, 9-item Patient Health Questionnaire (PHQ-9) was used to assess depression and Generalized Anxiety Disorder Questionnaire (GAD-7) was used to to assess anxiety. The Pittsburgh Sleep Quality Index was used to assess sleep disturbances and Mini Nutritional Assessment Short Form (MNA-SF) was used to assess nutritional status. Univariate analysis and multivariate binary logistic regression analysis were used to explore the influencing factors of MCI in patients. Results:Among the 322 elderly patients with subjective memory impairment, 173 (53.73%) had MCI and 149 (46.27%) were non-MCI patients. Binomial Logistic regression analysis showed that reading habits, housework, social interaction, anxiety, age, depression, and sleep disturbance were the influencing factors of MCI in the elderly with subjective memory impairment ( P<0.05) . Conclusions:The incidence of MCI in elderly patients with subjective memory impairment is relatively high. The cognitive management clinic should comprehensively evaluate and analyze the influencing factors of such patients and assist patients to establish a healthy lifestyle according to their personal conditions, so as to improve their cognitive status.