成功老齡相關(guān)因素的系列研究.pdf

1、上海第二醫(yī)科大學(xué)博士學(xué)位論文成功老齡相關(guān)因素的系列研究姓名：李春波申請學(xué)位級別：博士專業(yè)：老年精神醫(yī)學(xué)指導(dǎo)教師：張明園2001.4.1StudyonRelatedFactorsofSuccessfulAging(Abstract)O討ective:(1)Toestablishthediscriminatingstandardofsuccessfulaging(2)Toexploretherelatedfactorsofsuccessfu

2、laging.Methods:(1)Thediscriminatingstandardofsuccessfulagingwasdeterminedthrougharetrospectivecohortstudy.Thefirstsurveywasdonein1987forbaselinescreeningthesecondwasfollowedupfiveyearslaterin1992toverifythestandard.(2)Th

3、epsychosocialfactorsandtheneuropsychologicalprofileofsuccessfulagingwereexploredintwocrosssectionalstudiesonelargesamplestudyforaged65andoverandonesmallsamplestudydrawnfromthelargeforfurtherdetailedstudy.Theinstrumentsus

4、edweretheShanghaiHealthSurveyforElderly(VER2000S.A.2000)inCommunitywhichwaspurposelydevelopedforthestudyandWHOBCAIE(WHOBatteryofCognitiveAssessmentInstrumentforElderly).(3)Onewayanalysisandmultiplevariableanalysiswereemp

5、loyedaccordingtothecharacteristicsofthedistributionofdata.ThestatisticalsoftwareusedthroughouttheanalysiswereSPSS6.1andSAS6.12.Results:(1)Aftertestingdiferentcombinationsofindexesthefollowingparameterswereemergedasthebes

6、tmodelforsuccessfulaginginChineseelderlypopulation:CMMSE(ChineseversionMinimentalStatusExamination)totalscore4pointabovethecutofpointormoreADL(ActivityofDailyLiving14items)totalscorelessthanorequalto15fairorbetermoodself

7、evaluationandnophysicaldisabilities.(2)Thediscriminatingstandardwasquitestablewhenappliedtothefollowupstudy.Theweightedprevalenceofsuccessfulagingforelderly(aged60orabove)livingincommunitywas49.67%(95%Cl:47.800x51.34%).M

8、alelessagedandhighereducationallevelhadhigherprobabilitytobesuccessfulaging.Itwasalsoconfirmedthatthehealthybehaviorsattributetosuccessfulaginginthefuture.(3)Theprevalenceofsuccessfulagingusualagingandmildcognitiveimpair

9、ment(MCI)groupsinthelargesamplecrosssectionalstudywith1516individualslivingincommunityagedorabovehadwere46.17%(95%CC43.66%48.680n)40.11%(95%CI:37.64%42.57%)and9.70%(95%C[:8.21%一11.19%)respectively.Somespecialpsychosocial

10、factorswerefoundrelatedtosuccessfulaging.ThequalityoffifeofsuccessfulagingwashigherthanthatofusualagingorMCI.(4)224individualsaged65andabovewereinterviewedinthesmallsamplestudy.Thereexistedsomesignificantdiferenceinneuro

11、psychologicaltestsphysicalactivityproductiveactivitypersonalityindicatorsselfeficacyandmentalstatusamongthethreegroups.Conclusion:(1)Successfulaginghasamultidimensionalcharacteristicsamongthecommunityelderly.(2)Therelate