有思想的老龄化:泰米尔纳德邦 Chengalpattu 老年人认知障碍的深入研究(使用 Mini-Cog 量表

V. M, T. D., Geetha M., Catherine Rexy D.
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引用次数: 0

摘要

背景:联合国预计,到 2050 年,每五个印度人中就有一个是 60 岁或以上的老人。在人口结构转型的同时,认知问题的发生率可能会大幅上升,这将对老年人的生活质量产生影响。有效的初级筛查将有助于确定疾病负担,更好地规划二级和三级筛查:在 Chengalpattu 区的 Pulipakkam 进行了为期三个月的社区横断面研究。估计样本量为 215 个,采用简单随机抽样法。同意参与研究的 60 岁及以上老年人被纳入研究范围。在获得知情同意后,使用迷你慢动作工具对他们进行筛查,该工具结合了短时记忆测试和简单的画钟测试,然后是回忆部分:共有 215 人接受了筛查。参与者的平均年龄为(66.02±3.83)岁。根据 Mini-Cog 量表,认知障碍(CI)的患病率为 44.2%。女性(44.8%)的患病率略高于男性(43.8%)。CI 在 65 岁以上人群中更为普遍(57.6%)。无配偶者(59.4%)、失业者(53.7%)和吸烟/酗酒者(63.7%)出现 CI 的可能性更高。结论考虑到 CI 带来的沉重负担,有必要开展长期的前瞻性研究,以全面了解社区精神障碍的概况。及早评估和发现 CI 有助于提高老年人的生活质量。实施旨在提高认识、减少耻辱感和使用可靠工具进行广泛筛查的举措。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mindful aging: an insightful examination of cognitive impairment in the elderly population of Chengalpattu, Tamil Nadu, using Mini-Cog scale
Background: By 2050, United Nations projects that one in five Indians would be 60 years of age or older. This demographic transition is likely to be accompanied by substantial rise in prevalence of cognitive problems, which will have an impact on quality of life among elderly people. Effective screening at primary level would help in identification of burden of diseases and better planning at secondary and tertiary level. Methods: A community-based cross-sectional study over a period of three months was conducted at Pulipakkam in Chengalpattu district. The estimated sample size was 215, and simple random sampling method was used. Elderly people aged 60 years and above who consented to participate were included in the study. After obtaining informed consent, they were screened using the Mini-Cog tool which combines a short memory test with a simple clock- drawing test followed by a recall component. Results: The 215 participants in total were screened. The mean age of participants was 66.02±3.83 years. The prevalence of cognitive impairment (CI) based on Mini-Cog scale was 44.2%. Females (44.8%) had marginally higher prevalence than males (43.8%). CI was more prevalent among people over 65 years (57.6%). The likelihood of experiencing CI was higher among those who lived without their spouse (59.4%), were unemployed (53.7%), and who were smokers / alcoholics (63.7%).  Conclusions: Considering the high burden of CI, there is need for long term prospective research for a comprehensive profile of mental disorders at community level. Early assessment and detection of CI could help in improving quality of life of elderly. Implementing initiatives aimed at increasing awareness, reducing stigma, and conducting widespread screening using reliable tools.
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