Research Progress on Influencing Factors of Cognitive Management Compliance among People with Mild Cognitive Impairment in the Community

doi:10.12114/j.issn.1007-9572.2019.00.500

Abstract

Abstract: Cognitive management is an important means to delay the disease progress of mild cognitive impairment（MCI）.However，the compliance of cognitive management among people with MCI at home and abroad is still at a low level at present，which greatly affects the intervention effect of cognitive management.In this paper，the influencing factors of cognitive management compliance among people with MCI were summarized from three aspects of biology，social psychology and methodology.Gender，marital status，education level，disease awareness，ideation and self-efficacy，social support，cognitive management development form，intervention content and effectiveness，and cognitive management environment were main factors affecting the cognitive management compliance of people with MCI.The relationship between depression and cognitive management compliance was still controversial.Based on the above factors，this paper formulated corresponding improvement strategies so as to provide theoretical guide for community medical staff to target high-risk groups of cognitive management and then carry out the compliance-oriented project of cognitive management.

Key words: Mild cognitive impairment, Cognitive management, Compliance, Community health services, Root cause analysis, Review

摘要： 认知管理是延缓轻度认知障碍（MCI）人群疾病进程的重要手段，然而目前国内外MCI人群认知管理依从性较低，极大影响了认知管理干预成效。本文从生物学、社会心理学及方法学3个方面总结了影响MCI人群认知管理依从性的因素：性别、婚姻状况、受教育程度，疾病知晓度、意念与自我效能、社会支持，认知管理开展形式、干预内容和成效、认知管理环境是影响MCI人群认知管理依从性的主要因素；抑郁与其的关系尚存在争议。同时，本文基于上述影响因素拟定了相应的改进策略，希望可以为社区医务人员锁定认知管理高危人群，开展以依从性为导向的认知管理项目提供理论借鉴。

关键词: 轻度认知障碍, 认知管理, 依从性, 社区卫生服务, 影响因素分析, 综述

ZHEN Xueting,WANG Lina,CHEN Haiqin, et al. Research Progress on Influencing Factors of Cognitive Management Compliance among People with Mild Cognitive Impairment in the Community　[J]. Chinese General Practice, 2020, 23(10): 1322-1326. DOI: 10.12114/j.issn.1007-9572.2019.00.500.
镇雪婷,王丽娜,陈海勤等. 社区轻度认知障碍人群认知管理依从性影响因素的研究进展[J]. 中国全科医学, 2020, 23(10): 1322-1326. DOI: 10.12114/j.issn.1007-9572.2019.00.500.

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