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تعیین کننده های دموگرافیک وضعیت شناختی سالمندان : مطالعه طولی سالمندی نیشابور
Demographic Determinants of the Cognitive Status among Older Adults: Neyshabur Longitudinal Study on Aging
سلامت سالمندی
Elderly Health
پژوهشي
Research
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:115%"><span b="" koodak="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" style="font-family:" zar=""><span style="color:black">مقدمه</span></span></b><b><span b="" style="font-family:" zar=""><span style="color:black">:</span></span></b> <span b="" style="font-family:" zar=""><span style="color:black">اختلالات شناختی سالمندان با ایجاد اخـتلال درسیستم عصبی، زندگی فردی و اجتمـاعی آنها را تحت تاثیر قرار می دهد و شناسایی سالمندانی که بیشتر در معرض خطر بروز این اختلالات هستند حائز اهمیت است</span></span><span dir="LTR" style="color:black">.</span><span b="" style="font-family:" zar=""><span style="color:black"> لذا مطالعه حاضر با هدف بررسی تعیین کننده های دموگرافیک وضعیت شناختی سالمندان مراجعه کننده به مرکز کوهورت سالمندی در نیشابور انجام شد.</span></span><span lang="FA" style="font-size:11.0pt"><span b="" koodak="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" style="font-family:" zar=""><span style="color:black">روش بررسی:</span></span></b> <span b="" style="font-family:" zar=""><span style="color:black">این مطالعه مقطعی بر اساس دادههای فاز اول ثبت نام مطالعه کوهورت طولی سالمندی نیشابور بر روی 3451 نفر از افراد 60 سال به بالا (5/52% زن و 5/47% مرد) از سال 1395 آغاز و تا پایان سال 1397 انجام شد. انتخاب نمونه آماری ابتدا به روش طبقه بندی و سپس به روش تصادفی صورت گرفت. جمع آوری داده ها با استفاده از پرسشنامه های جمعیت شناختی،</span></span><b> </b><span b="" style="font-family:" zar=""><span style="color:black">پرسشنامه</span></span> <span b="" style="font-family:" zar=""><span style="color:black">کوتاه وضعیت شناختی </span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="color:black">(</span></span></span><span dir="LTR" style="font-size:11.0pt"><span style="color:black">MMSE</span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="color:black">) </span></span></span><span b="" style="font-family:" zar=""><span style="color:black">، ارزیابی شناختی مونترال</span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> (</span></span></span><span dir="LTR" style="font-size:11.0pt"><span style="color:black">MOCA</span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="color:black">) </span></span></span><span b="" style="font-family:" zar=""><span style="color:black">صورت گرفت و داده ها با استفاده از آزمون </span></span><span dir="LTR" style="color:black"> t</span><span b="" style="font-family:" zar=""><span style="color:black">مستقل، تحلیل واریانس</span></span><span dir="LTR" style="color:black"> (</span><span dir="LTR" style="font-size:11.0pt"><span style="color:black">ANOVA</span></span><span dir="LTR" style="color:black">)</span><span b="" style="font-family:" zar=""><span style="color:black">و رگرسیون چندگانه سلسله مراتبی در نرم افزار </span></span><span dir="LTR" style="font-size:11.0pt"><span style="color:black">spss16</span></span><span b="" style="font-family:" zar=""><span style="color:black"> تجزیه و تحلیل شدند.</span></span><span lang="AR-SA" style="font-size:11.0pt"><span b="" koodak="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" style="font-family:" zar=""><span style="color:black">یافتهها:</span></span></b> <span b="" style="font-family:" zar=""><span style="color:black">با ابزار </span></span><span dir="LTR" style="font-size:11.0pt"><span style="color:black">MMSE</span></span><span b="" style="font-family:" zar=""><span style="color:black"> فقط یک پنجم سالمندان (3/20%) و با ابزار </span></span><span dir="LTR" style="font-size:11.0pt"><span style="color:black">MOCA</span></span><span b="" style="font-family:" zar=""><span style="color:black"> تقریبا نیمی از شرکت کنندگان(3/49%) اختلال شناختی نداشتند. با افزایش سن اختلال شناختی شدیدتر می شد</span></span><span dir="LTR" style="color:black">)</span><span b="" style="font-family:" zar=""><span style="color:black"> 05/0></span></span><span dir="LTR" style="color:black">(</span><span dir="LTR" style="font-size:11.0pt"><span style="color:black">p</span></span><span b="" style="font-family:" zar=""><span style="color:black"> شدت اختلال شناختی در زنان</span></span><span dir="LTR" style="color:black">)</span><span b="" style="font-family:" zar=""><span style="color:black"> 05/0></span></span><span dir="LTR" style="color:black">(</span><span dir="LTR" style="font-size:11.0pt"><span style="color:black">p</span></span><span b="" style="font-family:" zar=""><span style="color:black">، زندگی به تنهایی</span></span><span dir="LTR" style="color:black">)</span><span b="" style="font-family:" zar=""><span style="color:black"> 05/0></span></span><span dir="LTR" style="color:black">(</span><span dir="LTR" style="font-size:11.0pt"><span style="color:black">p</span></span><span b="" style="font-family:" zar=""><span style="color:black"> ، شغل خانه داری </span></span><span dir="LTR" style="color:black">)</span><span b="" style="font-family:" zar=""><span style="color:black"> 05/0></span></span><span dir="LTR" style="color:black">(</span><span dir="LTR" style="font-size:11.0pt"><span style="color:black">p</span></span><span b="" style="font-family:" zar=""><span style="color:black"> و افراد بی سواد بیشتر بود</span></span><span dir="LTR" style="color:black">)</span><span b="" style="font-family:" zar=""><span style="color:black"> 05/0></span></span><span dir="LTR" style="color:black">(</span><span dir="LTR" style="font-size:11.0pt"><span style="color:black">p</span></span><span b="" style="font-family:" zar=""><span style="color:black">.</span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" style="font-family:" zar=""><span style="color:black">نتیجه گیری:</span></span></b> <span b="" style="font-family:" zar=""><span style="color:black">غربالگری اختلالات شناختی در سالمندان و مداخلات زودرس از جمله برگزاری کلاس های آموزشی خصوصاً برای زنان با سطح سواد پایین که همسرانشان فوت شدهاند، میتواند به پیشگیری از پیشرفت اختلال و بهبود کیفیت زندگی در آنان منجر گردد.</span></span><span lang="AR-SA" style="font-size:11.0pt"><span b="" koodak="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
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<span style="font-size:12pt"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt">Introduction</span></b><span style="font-size:11.0pt">: Cognitive disorders affect the elderly’s personal and social life by causing disturbances in their nervous system, and it is important to identify who is at the highest risk of these disorders; therefore, the present study aims to investigate demographic determinants of the cognitive status in the elderly visiting the Geriatric Cohort Center in Neyshabur</span><span dir="RTL" lang="FA" style="font-size:11.0pt">.</span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt">Methods:</span></b><span style="font-size:11.0pt"> This cross-sectional study was conducted on 3451 people aged 60 and above (52.5% women and 47.5% men) from 2015 to the end of 2017. The selection of statistical sample was done first by classification method, and then, by random method. Data collection was done using demographic questionnaires, and the questionnaires of </span><span lang="EN" style="font-size:11.0pt"><span calibri="" style="font-family:">Mini Mental State Examination</span></span><span style="font-size:11.0pt"> (MMSE)and Montreal Cognitive Assessment (MOCA), and data were analyzed using independent t-test, ANOVA, and hierarchical multiple regression in software. were analyzed by SPSS16 software.</span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt">Results:</span></b><span style="font-size:11.0pt"> With MMSE, one fifth of the participants (20/3%) and with MOCA, almost half of the respondents (49/3%) did not have cognitive disorder. Cognitive disorder became more severe with aging. The severity of cognitive disorder was higher in women (</span><span style="font-size:11.0pt"><span style="color:black">P<</span></span> <span style="font-size:11.0pt"><span style="color:black">0/05) </span></span><span style="font-size:11.0pt"> those who were living alone</span><span style="font-size:11.0pt"><span style="color:black">(P</span></span> <span style="font-size:11.0pt"><span style="color:black"><0/05)</span></span><span style="font-size:11.0pt">, the women who only did housework(</span><span style="font-size:11.0pt"><span style="color:black">P</span></span> <span style="font-size:11.0pt"><span style="color:black"><</span></span> <span style="font-size:11.0pt"><span style="color:black">0/05)</span></span><span style="font-size:11.0pt">, and the cases who were illiterate </span><span style="font-size:11.0pt"><span style="color:black">(P<</span></span> <span style="font-size:11.0pt"><span style="color:black">0/05)</span></span><span style="font-size:11.0pt">.</span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt">Conclusion:</span></b><span style="font-size:11.0pt"> Screening of cognitive disorders in the elderly and early interventions including holding educational classes, especially for women with low literacy levels whose husbands have died, can prevent the progression of the disorder and improve their quality of life. </span></span></span></span><br>
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سالمند, دموگرافیک, شناختی, MMSE , MOCA
The elderly, Demographic, Cognitive, MMSE, MOCA
67
83
http://tbj.ssu.ac.ir/browse.php?a_code=A-10-3150-1&slc_lang=fa&sid=1
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