探討認知功能障礙及失智症的影響因子

Exploring the influential effects for having mild cognitive impairment and dementia

林育如(Yu-Ju Lin)

指導教授 ： 黃怡婷

國立臺北大學/商學院/統計學系/碩士(2016年)

摘要

台灣人口正加速老化當中，預期失能的人口也將愈來愈多，失智的老人也成為受關注的重要議題之一。本研究目的為探討台灣地區患有失智症和認知功能障礙的老年人與其身體健康狀況及平日的生活習慣、心理健康狀況、醫療資源利用情況等因素之相關性。
　　透過2009年「國民健康訪問調查(NHIS)」之65歲以上個人問卷，共2,581有效問卷作為資料來源，變項包含健康狀態、醫療服務使用、健康行為、居家環境等，而資料以描述性統計及邏輯斯迴歸分析進行統計分析。
　　研究結果發現：(1)台灣地區患有失智症的老年人其顯著影響因子為最近一年內，曾有過貧血、醫師曾診斷有氣喘或慢性阻塞性肺疾病、曾有過胃潰瘍或十二指腸潰瘍、住過長期照護機構、有身體不舒服去急診、及過去一個月內有看過門診。(2) 台灣地區有認知功能障礙的老年人其顯著影響因子為憂鬱量表得分、醫師曾診斷有氣喘或慢性阻塞性肺疾病、最近一年內，曾有過骨質疏鬆、曾患有糖尿病、住過長期照護機構、曾喝過酒。
　　台灣地區患有失智症和認知功能障礙的老年人其共同顯著影響因子為醫師診斷有氣喘或慢性阻塞性肺疾病及住過長期照護機構。本研究可以提供臨床工作者、護理人員、在居家照護相關工作者研究之參考。

關鍵字

失智症 ； 認知功能障礙 ； 邏輯斯迴歸分析

並列摘要

Population in Taiwan is aging rapidly nowadays. The expected disabled population will be increased as well. In turn, the elderly with dementia become one of important and concerned issues. The purpose of this study is to explore the influential factors for elderly with dementia and mild cognitive impairment. The factors include health situations, living habits, mental health, and heath care resources.
　　This study used data collected by National Health Interview Survey (NHIS) in 2009 for elderly over 65 years old. There were 2581 eligible respondents. Two response variables, the status of dementia and mild cognitive impairment, were included. The factors included personal health status, use of medical services, personal health behaviors, and living environment. Descriptive statistics were used to summary the data and the logistic regression was used to assess the association between two response variables and factors.
　　The findings of the study are as following. The elderly who diagnosed with anemia, asthma or chronic obstructive pulmonary disease, had gastric ulcer or duodenal ulcer, lived in a long-term care service, or treated in the emergency treatment within the past year and visited outpatient service within the past month are more likely to have dementia. Elderly with mild cognitive impairment are more likely to be depressed, diagnosis with asthma or chronic obstructive pulmonary disease, osteoporosis, diabetes mellitus within the past year and live in the long-term care service and drink.
　　The influential effects for both models include diagnostics with asthma or chronic obstructive pulmonary disease and living in long-term care facilities within past 1 year. The findings of this study can provide clinicians, nurses, and social workers some related insights into problems of the dementia and cognitive impairment.

並列關鍵字

Dementia ； Mild Cognitive Impairment ； Logistic regression analysis

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