Correlation between cognitive function and living ability of older adult patients living in a mining community
10.3760/cma.issn1008-6706.2022.04.015
- VernacularTitle:煤矿社区老年人认知功能及其与日常生活能力的相关性分析
- Author:
Shuhui XU
1
;
Wenqi ZHANG
;
Mingjie YAO
;
Lei ZHANG
;
Kaixuan ZHANG
;
Jingxiang HAN
;
Yining ZHAO
;
Tao MENG
;
Fang PEI
;
Jiezhong YU
;
Cungen MA
Author Information
1. 山西大同大学医学院神经炎症及变性疾病基础与应用研究山西省重点实验室,大同 037009
- Keywords:
Neurobehavioral manifestations;
Cognition;
Cognitive dysfunction;
Activities of daily living;
Aptitude;
Mental status schedule;
Factor analysis,statistical
- From:
Chinese Journal of Primary Medicine and Pharmacy
2022;29(4):544-548
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the correlation between cognitive function and living ability of older adult patients living in a mining community.Methods:A total of 180 older adult patients living in a mining community who received treatment during July-October 2019 were included in this study. They were randomly divided into the low-age group (< 68 years old, n = 94) and the high-age group (≥ 68 years old, n = 86). Cognitive function and living ability were evaluated using the Mini-Mental State Examination (MMSE), The Montreal Cognitive Assessment (MoCA), and the Activity of Daily Living Scale (ADL). The relationship between cognitive function and living ability was investigated using hierarchical analysis and Pearson correlation analysis. Results:The proportions of older adult patients with abnormal cognitive function identified by the MMSE and MoCA were 39.4% and 66.0%, respectively in the low-age group, and they were 32.6% and 61.6%, respectively in the high-age group. The MoCA had a greater performance in identifying abnormal cognitive function in each group than the MMSE ( χ2 = 26.69, 10.18, both P < 0.001). There were no significant differences in proportions of older adult patients with abnormal cognitive function identified by the MMSE and MoCA between low-age and high-age groups ( χ2 = 0.90, 0.36, both P > 0.05). The proportion of older adult patients with abnormal living ability was not significantly different between low-age and high-age groups (4.3% vs. 10.5%, χ2 = 2.58, P > 0.05). Compared with patients negative for MMSE items, living ability and instrumental activity of daily living increased by 7.0% and 9.4% in low-age patients positive for MMSE items (both P < 0.05). Compared with patients negative for MoCA items, living ability increased by 3.5% in low-age patients positive for MoCA items ( P < 0.05). Correlation analysis revealed that total scores of MMSE and MoCA were significantly negatively correlated with ADL score ( r = -0.26, -0.27, both P < 0.001) and instrumental activity of daily living score ( r = -0.27, -0.27, P < 0.001). Conclusion:Cognitive function and living ability are correlated in older adult patients living in a mining community. We should pay attention to the screening results of cognitive disorder in older adult patients and improve their living ability by improving their cognitive function.