Investigation for distribution of the patient suffered with cognitive disorder and the compliance of those patients at memory clinic of neurology
1.The First Department of Neurology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015; 2.Department of Rehabilitation, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015; 3.Department of Psychiatry, the First Affiliated Hospital of Yangtze University, Jingzhou, 434000
Abstract：Objective: To observe the distribution of the outpatients suffered with cognitive disorder at memory clinic of neurology in our hospital. To find the factors which effected on the compliance of those patients. Methods: Consecutive cases of outpatients complaining with cognitive disorder at neurology clinic were collected from Nov. 2012 to Jan. 2013, the different causes for cognitive disorder of patients were definited and the degree of severity was described.2. Prospective following-up: all the cases were followed up to 56±7 days after registration, the factors with effected on the compliance of the patients were collected, non-conditional logistic regressions analysis was adopted as statistical method. Results: Total 93 cases complaining with memory disorder were screened, 60 patients with cognitive disorder were chosen, among them there were 40 cases of Alzheimer’s disease (AD) type, with the percent of 66.67%, 7 cases with cognitive impairment of vascular type, 2 cases of frontotemporal dementia (FTD), and 11 cases of other causes. Account to the degree of the severity, there were 11 cases with mild cognitive impairment (MCI), the percent was 18.33% and the cases of middle-severe patient were 34, the percent was 57%. By the study of the 8 possible factors, it showed that the degree of education was the independent factor (P=0.01, OR=2.3, 95%CI: 1.19～4.45) for the compliance of those patients. Conclusion: Cognitive impairment of AD type is the first cause of the patients with cognitive disorder at our memory clinic, middle-severe cognitive disorder patients take a high percent, the degree of education is the independent factor for compliance of the patients.
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