| Objective: This study aims to investigate the status quo of leisure activity participation and the cognitive function of elderly in an urban community,analysis of the main factors affecting the cognitive function of elderly,explore the role of leisure activities in the cognitive function of elderly and the relationship between the two,thus to provide scientific basis for nursing staffs to scientifically formulate nursing intervention programs for the elderly regarding cognitive function,to help the elderly choose leisure activities rationally,to delay the decline of cognitive function,and to promote the improvement of cognitive function.Methods: Extensive reading of literature related to cognitive function by using the method of document literature,along with reading relevant books and other such materials,then on the basis of this,design the questionnaire,and through the expert consultation method,to validate the reliability of the questionnaire.Using the convenience sampling method,select the elderly in the main urban area of Hangzhou for the survey.This survey was conducted using a self-administered questionnaire.The contents of the survey includes the general situation survey questionnaire,the Montreal cognitive assessment scale,and the leisure activity survey questionnaire.Get the data from the survey,then using the statistical software,SPSS19.0,to conduct statistical description and analysis of the data obtained from the survey and make new research findings and conclusions based on current research.Results:(1)The questionnaire of leisure activities consisted of 25 activities,which were split into four major categories(intelligence,physical strength,socialization and entertainment).The total questionnaire’s Cronbach’α was 0.822,the test-retest reliability was 0.953,and all entries in the questionnaire I-CVI were greater than 0.830.(2)The total score of cognitive function survey score was 25.65 ± 2.59,of which 209 elderly had abnormal cognitive function and the total cognitive impairment rate was 38.7%.(3)Education,age and gender were the factors affecting cognitive function Factors,β value shows the impact of cognitive level,including education > gender > age.(4)Of the leisure activities that the elderly participated in,the category with the highest participation is entertainment,followed by mental,physical,and social activities.(5)The scores for cognitive function of the elderly who participated in recreational activities and intellectual activities were(25.65 ± 2.58)and(25.76 ± 2.48)points respectively,higher than that of the non-participants(25.21 ± 2.53)and(25.58 ± 2.60)points(T = 5.56,8.16,P <0.01).Cognitive function was positively related to intelligence activity and recreation participation(r = 0.347,0.270,P <0.01).Cognitive function and recreation activity are in Weak related.Conclusion: The overall cognitive functions of the elderly is at a moderate level,and some of them have had a significant decline in cognitive function.Influenced by many factors such as age and cultural level,there are differences in cognitive function between different individuals.The elderly of this area participate in leisure activities an average amount.Their awareness of leisure and concepts about leisure are lacking.The awareness of the importance and actual participation of leisure activities needs to be improved.Nurses should act according to the situation of the local elderly’s cognitive function and their needs regarding activities to create plans.The nurses should actively provide the area’s elderly with reasonable directing and involvement regarding activities,while also scientifically and rationally informing the elderly of the important effect that actively participating in leisurely activities improving cognitive functions,thus improving the enthusiasm in which elderly participate in leisure activities,and from that improve the cognitive functions of the elderly. |
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