中风与神经疾病杂志2025，Vol.42Issue(2)：159-164,6.DOI:10.19845/j.cnki.zfysjjbzz.2025.0031
上海某社区老年认知与情绪问题干预的随访研究
Mild cognitive impairment and emotional problems among the elderly in a community of Shanghai,China:A follow-up study
摘要
Abstract
Objective To investigate the public health issues associated with the follow-up outcomes of mental health in elderly community residents with a focus on mild cognitive impairment(MCI)and emotional problems(anxiety and depression),as the burden of various diseases increases with global population growth and aging.Methods In this study,Patient Health Questionnaire-9,Early Dementia Screening Scale,Montreal Cognitive Assessment,Generalized Anxiety Disorder Scale,Geriatric Depression Scale,and Activities of Daily Living scale were used to analyze the data on MCI and emotional problems among the elderly in a district of Shanghai,China.The t-test,Spearman correlation analysis,and linear regression analysis were used to identify related protective factors and evaluate the effectiveness of comprehensive intervention measures.Results The first session of intervention led to an improvement in cognitive impairment(P<0.001).During the first session of intervention,exercise and skill training were very effective in improving cognitive impairment(r=0.71 and 0.68,P<0.001),while group instruction and the distribution of educational materials failed to achieve an ideal effectiveness.The second session of intervention also had a significant effect on cognitive impairment(P<0.05);however,the second session of intervention lacked a significant overall effect,and skill training remained the most effective intervention method(Pr=0.0344,P<0.05).The research findings showed that the two sessions of community intervention were protective factors against MCI and depression,while they could not alleviate anxiety.Conclusion This study validates the effectiveness of follow-up intervention measures in improving cognitive function in elderly patients with MCI,which provide scientific prediction and reference for early screening,prediction,and follow-up intervention of elderly dementia and MCI at the community level.关键词
轻度认知障碍/情绪问题/随访干预/预测Key words
Mild cognitive impairment/Emotional problems/Follow-up intervention/Prediction分类
医药卫生引用本文复制引用
张静洁,鞠康,陈思路..上海某社区老年认知与情绪问题干预的随访研究[J].中风与神经疾病杂志,2025,42(2):159-164,6.基金项目
上海市长宁区科学技术委员会科研课题项目(KW2020Y32) （KW2020Y32）
上海市卫生健康委员会科研课题项目(202040500) （202040500）
