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老年人主观认知下降影响因素的路径分析

王嘉璐 徐林燕 赵磊 姚远 杨灏栋 许丽娟 叶丽慧 张莎莉 林家玲

护理研究2024,Vol.38Issue(2):216-223,8.
护理研究2024,Vol.38Issue(2):216-223,8.DOI:10.12102/j.issn.1009-6493.2024.02.005

老年人主观认知下降影响因素的路径分析

Pathway analysis of influencing factors on subjective cognitive decline in the elderly

王嘉璐 1徐林燕 1赵磊 1姚远 1杨灏栋 1许丽娟 1叶丽慧 1张莎莉 1林家玲1

作者信息

  • 1. 丽水学院医学院,浙江 323000
  • 折叠

摘要

Abstract

Objective:To investigate the statue quo of subjective cognitive decline(SCD)in the elderly,and to analyze its influencing factors and pathways.Methods:A total of 1 004 elderly from 8 communities or townships in Zhejiang province were selected by two-stage cluster sampling method as the research subjects from July to November 2022.General information survey questionnaire,The 21-Item Subjective Cognitive Decline Questionnaire(SCD-Q21),Short-Form Mini-Nutritional Assessment(MNA-SF),15-Item Geriatric Depression Scale(GDS-15),3-Item Subscale of the Geriatric Depression Scale(GDS-3A),and International Physical Activity Questionnaire Short Form(IPAQ-SF)were used to investigate the elderly.And the influencing factors and pathways of SCD in the elderly were analyzed.Results:The total score of SCD-Q21 in elderly was 7.50(3.50,11.50).Hearing status,viewing the visual condition of distant objects,visual condition of objects in close proximity,number of medications used,education level,pain level,indifference,depression,hypertension,and decreased grip strength or not were the influencing factors of SCD in the elderly(P<0.05),among them,indifference(0.245),hearing status(-0.184)and,visual condition of objects in close proximity(-0.138)were highly influential factor,indifference and depression were mediating factors for SCD in the elderly.Conclusions:The subjective cognitive level of the elderly needs further improvement,which is influenced by multiple factors and pathways.Indifference and depression have mediating effect on SCD.

关键词

老年人/主观认知下降(SCD)/影响因素/路径分析/认知功能/护理

Key words

elderly/subjective cognitive decline,SCD/influencing factors/path analysis/cognitive function/nursing

引用本文复制引用

王嘉璐,徐林燕,赵磊,姚远,杨灏栋,许丽娟,叶丽慧,张莎莉,林家玲..老年人主观认知下降影响因素的路径分析[J].护理研究,2024,38(2):216-223,8.

基金项目

国家自然科学基金项目,编号:71904073 ()

浙江省大学生创新创业训练计划项目,编号:S202110352023 ()

浙江省教育厅项目,编号:Y202044921 ()

丽水市公益性技术应用研究项目,编号:2022GYX62 ()

护理研究

OACSTPCD

1009-6493

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