老年人主觀認知下降影響因素的路徑分析

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

WANG Jialu， XU Linyan， ZHAO Lei， YAO Yuan， YANG Haodong， XU Lijuan， YE Lihui， ZHANG Shali， LIN Jialing

Medicine College of Lishui University， Zhejiang 323000 China

Corresponding Author  ZHAO Lei， E?mail： [email protected]

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.

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

摘要  目的：調(diào)查老年人主觀認知下降（SCD）現(xiàn)狀，分析其影響因素及作用路徑。（剩余12582字）