首頁 資訊 社區(qū)老年人輕度認知障礙篩查量表應用策略研究

社區(qū)老年人輕度認知障礙篩查量表應用策略研究

來源:泰然健康網(wǎng) 時間:2024年12月15日 09:58

摘要: 隨著我國老齡化進程的加深、加快,老年人輕度認知障礙(MCI)的發(fā)病率逐年升高,而早期診斷篩查MCI對于降低癡呆的發(fā)病率具有重要的社會意義。本文收集和綜合分析了國內(nèi)外臨床實踐中常用的MCI篩查評估量表(老年人認知功能減退知情者調(diào)查問卷,劍橋神經(jīng)心理測試自動化成套量表,蒙特利爾認知評估量表,畫鐘試驗、鐘表讀數(shù)試驗、鐘表設(shè)置試驗,美國阿爾茨海默病聯(lián)合登記協(xié)作組織的評估條目,8條目癡呆篩查問卷,Addenbrooke認知評估量表,全科醫(yī)生認知功能評估量表),結(jié)合各量表的優(yōu)缺點,提出將用時短且高效的8條目癡呆篩查問卷、老年人認知功能減退知情者調(diào)查問卷與靈敏且全面的Addenbrooke認知評估量表聯(lián)合使用的量表組合策略,該策略可以很好地彌補各量表的不足,適用于我國社區(qū)老年人MCI的早期篩查、識別。

關(guān)鍵詞: 認知功能障礙, 精神狀態(tài)和癡呆測驗, 社區(qū)衛(wèi)生服務, 老年人, 篩查

Abstract:

With the deepening and acceleration of the aging process, an increasing prevalence of mild cognitive impairment (MCI) is found in China's elderly population. To reduce MCI prevalence in this group, early screening and diagnosis are approaches having great social significance. To provide support for the choice of appropriate tools for early screening and identifying MCI in community-dwelling Chinese older adults, we comprehensively reviewed the commonly used scales in clinical MCI screening and assessment〔Informant Questionnaire on Cognitive Decline in the Elderly Individuals (IQCODE) , Cambridge Neuropsychological Test Automated Battery, Montreal Cognitive Assessment, Clock Drawing Test, Clock Reading Test, Clock Setting Test, Consortium to Establish a Registry for Alzheimer's Disease, Ascertain Dementia 8 (AD8) , Addenbrooke's Cognitive Examination-Revised (ACE) , and General Practitioner Assessment of Cognition〕, and put forward a strategy after analyzing the advantages and disadvantages of each of the above-mentioned scales, namely, combined use of the quick and highly effective AD8, IQCODE, and the sensitive and comprehensive ACE, for these three scales may make up for each other's shortcomings when they are used together.

Key words: Cognitive dysfunction, Mental status and dementia tests, Community health services, Aged, Screening

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