【摘要】 目的调查上海市浦东新区入册MCI老人痴呆相关知识知晓情况及慢性病的关注度对知晓率的影响。方法采用自行设计的老年痴呆防治相关知识知晓率的调查表,包括性别、年龄和学历等一般情况及相关知识问卷等测量工具对2016年入档的942名MCI干预项目老人痴呆知识知晓率开展调查,根据客观及主观认为有无慢性病将MCI分为四组,分别为无慢性病(A组),仅客观有慢性病(B组),仅主观有慢性病(C组),客观及主观均有慢性病(D组),比较各组对痴呆相关知识知晓率的情况。结果通过独立样本T检验提示,有慢性病组的痴呆严重性、影响因素和总分准确率显著高于无慢性病组,其差异具有统计学意义(P<0.01),通过多重比较的LSD法进一步两两比较,在痴呆严重性准确率维度上,D组准确率最低,具有显著性差异(P<0.01);在就医信息、概念、总分准确率上,B组最低,其差异具有统计学意义(P<0.05);在影响因素准确率上,C组显著高于B组及D组,其结果具有显著性差异(P<0.01);在总分准确率上,C组高于D组,其差异具有统计学意义(P<0.01)。结论有慢性病组对痴呆相关知识知晓率高于无慢性病组。无慢性病MCI对慢性病的适度关注及注意力有益于对痴呆相关知识的了解,同时有慢性病MCI对患慢性病关注不足或回避态度将不利于MCI的早期识别,进一步延误病情。加强社区慢性病健康相关知识的宣教,积极的关注自身的健康,对慢性病引起足够的重视,有助于减少痴呆的发病。更多还原

【Abstract】 OBJECTIVES To investigate the awareness and attention of the Alzheimer’s disease among the registered mild Cognitive Impairment(MCI) people cormorbided chronic disease in, Pudong New Area Shanghai. METHODS There were 942 MCI subjects joined the investigation. All the subjects were divided into four groups according to the objective and the subjective cormorbided the chronic disease, that is, no chronic disease group(group A), only objective chronic disease group(group B),only subjective chronic disease group(group C), both objective and subjective chronic disease group(group D). A self-designed questionnaires included two parts, one was the related knowledge of Alzheimer’s disease which included the risk factors, the severity, the conception and the clinic information of Alzheimer’s disease, the other was the general demographic statistic date. RESULTS The accuracy of the total scores, the severity, and the risk factors in the group cormorbided chronic disease were higher than those without(P<0.01). The accuracy of the dementia severity in group D was the lowest(P<0.01). The accuracy of the total scores, the conception, and the clinic information of Alzheimer’s disease in the group B were the lowest(P<0.05). The accuracy of the risk factors in group C was higher than that of group B and D P<0.01). The accuracy of the total scores in group C was higher than that of group D(P<0.05). CONCLUSIONS The accuracy of the related knowledge of Alzheimer’s disease in the group cormorbided chronic disease were higher than those without. Proper concern for chronic disease of MCI would benefit to get the related knowledge of Alzheimer, whereas avoidance and neglect do harm to do so. The community education plans should pay more attention to the chronic diseases so as to reduce the incidence of dementia in future.更多还原