海口市某三级甲等医院老年住院患者自理能力和认知功能现状调查及其相关性分析

Status survey and correlation analysis on self-care ability and cognitive function among elderly inpatients in an upper first-class hospital in Haikou City

摘要:

目的 明确海口市某三级甲等医院老年住院患者的日常生活自理能力与认知功能现状,并分析两者之间的相关性。方法 应用一般资料问卷、Barthel 指数评定量表、简易精神状态检查表对2019年7月至2019年10月海口市某三级甲等医院老年病科的219例患者进行评估。采用SPSS 22.0统计软件进行数据分析。采用Spearman相关法分析自理能力与认知功能的相关性。结果 219例老年患者中有185例(84.5%)出现了不同程度的自理能力受损,不同年龄的老年患者自理能力比较,差异有统计学意义(H=15.34,P＜0.05)；有125例(57.1%)出现了不同程度的认知障碍,不同学历的老年患者认知功能比较,差异有统计学意义(H=9.57,P＜0.05)。日常生活自理能力与认知功能总体之间呈正相关性(r=0.26,P＜0.01)。结论 老年住院患者日常生活自理能力受损率和认知障碍发生率均较高,认知障碍与自理能力受损之间呈正相关性。

Abstract:

Objective To clarify the current situation of self-care ability of daily living and cognitive function in elderly inpatients from an upper first-class hospital in Haikou, Hainan Province, and to analyze the correlation between their self-care ability and cognitive function. Methods The general information questionnaire, Barthel index rating scale, and mini-mental state examination were used to evaluate 219 elderly inpatients from Department of Geriatrics of the hospital from July 2019 to October 2019. SPSS statistics 22.0 was used to perform the statistical analysis. Spearman correlation analysis was employed to analyze the correlation between self-care ability and cognitive function. Results Of 219 elderly patients, 185 (84.5%) showed impaired self-care ability at different severities. Significant difference was seen in the ability among the elderly patients at different ages (H=15.34, P<0.05). There were 125 (57.1%) patients presenting cognitive impairment at different levels. There was a statistical difference in cognitive function among those with different education levels (H=9.57, P<0.05). Self-care ability of daily living was positively correlated with overall cognitive function in elderly inpatients (r=0.26, P<0.01). Conclusion Elderly inpatients have higher prevalence of impaired self-care ability of daily living and cognitive impairment, and the two abilities are positively correlated.