The impact of life behaviors on the rapid cognitive decline in the short term among community-dwelling elderly with mild cognitive impairment
10.3761/j.issn.0254-1769.2024.21.002
- VernacularTitle:社区轻度认知障碍老年人短期内认知功能下降与生活行为的相关性研究及护理启示
- Author:
Huixiu HU
1
;
Chao SUN
;
Yajie ZHAO
;
Xiang LI
;
Lei LI
Author Information
1. 100730 北京市 北京医院护理部 国家老年医学中心 中国医学科学院老年医学研究院
- Keywords:
Aged;
Mild Cognitive Impairment;
Lifestyle Behaviors;
Cognitive Decline;
Cohort Study;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(21):2571-2578
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the impact of different lifestyle behaviors on the rapid decline in cognitive function within 6 months among the elderly with mild cognitive impairment(MCI)in the community.Methods From March 2023 to January 2024,a convenient sampling method was used to select elderly people with MCI from 2 community health service centers of Beijing as the research subjects.They were followed up for 6 months,and the data on general information,life behaviors,and changes in cognitive function were collected.They were divided into a cognitive decline group and a non-decline group based on whether there were reliable changes in clinical cognitive function.Logistic regression was used to analyze the independent influencing factors of short-term cognitive decline in MCI elderly.Results A total of 385 MCI elderly people were successfully followed up in this study,and 113(29.4％)showed cognitive decline.Logistic regression analysis revealed that life behaviors such as frequent passive cognitive activities,depressive symptoms,and poor sleep quality are independent risk factors for rapid cognitive decline in elderly individuals with MCI over a short period(P＜0.05).Conversely,higher educational levels and good social activities are protective factors(P＜0.05).Conclusion The incidence of rapid cognitive decline is relatively high among MCI elderly people in the community.We should actively guide MCI elderly people to establish healthy lifestyle behaviors,such as engaging in social activities,reducing passive cognitive activities,maintaining a good psychological state,and ensuring good sleep quality,so as to delay or even reverse their cognitive decline.
