摘要
[目的 ] 探讨老年人躯体健康损害及死亡的预测因子 ,为老年保健服务计划的制定提供信息。 [方法 ] 对 145 3名社区老年人近 3年的纵向观察资料 ,应用Logistic回归模型进行分析。 [结果 ] 基线时年龄 ,患心脏病、高血压病 ,疾病严重程度及躯体健康状况可预测近 3年内躯体健康的高损害。基线时年龄、职业、疾病严重程度、日常活动能力损害可预测近 3年内死亡的发生。 [结论 ] 社区老年保健的重点对象为高龄老人、无职业者、患严重疾病尤其是患心血管疾病者。社区老年保健的首要任务是预防和阻止躯体健康和日常活动能力的损害 ,加强老年心血管疾病的人群防治。
To search predictors of physical health impairment and death and providing information to planners of health care for the aged. A three-year follow-up study of 1 453 aged living in an urban community of Shanghai were conducted. Logistic regression analysis was used to cope with the data. Age, cardiovascular diseases, seriousness of disease, condition of physical health at baseline were significant predictors of physical health impairment. Age, occupation, seriousness of disease and activities of daily living (ADL) at baseline could predict death. [Conclusion] The groups urgently needing health care were the oldest-old, the aged who had never had a formal job and patients with cardiovascular diseases. The major areas of health care for the aged were community-based cardiovascular disease control, prevention and postponement of physical health and ADL impairment.
出处
《上海预防医学》
CAS
2001年第11期503-504,507,共3页
Shanghai Journal of Preventive Medicine
