摘要
目的 对老年人躯体健康、日常生活功能、精神健康、健康自评状况以及主要影响因素进行调查 ,以了解影响老年人健康的主要卫生问题。 方法 采用整群抽样方法对三河市开发区 717名 6 0岁及以上老年人进行问卷调查。 结果 老年人两周患病率为 5 6 3% ,慢性病患病率为92 1% ,其中 70 0 %的老年人同时患有两种及以上慢性疾病 ,残疾率 1 8% ;日常生活活动能力(ADL)和工具性日常生活活动能力 (IADL)受损率为 1 8%和 7 0 % ;生活满意度指数 (LSIA)平均记分 2 9分 ,2 1分及以上者占 87 1% ;健康自评不好的老年人占 9 3% ,6 3 1%的老年人认为健康问题对于日常想做事情没有影响 ;目前工作状况、慢性病指数、症状指数、高血压、LSIA是影响老年人健康自评的主要因素。 结论 三河开发区老年人慢性病患病率高 ,日常生活功能受损率低 ,生活满意度高 ,健康自评状况较好。有必要针对不同情况采取不同的社区干预措施 ,以提高老年人整体健康水平。
Objective To study current status of physical health, activities of daily life, mental health, self-appraisal for health, as well as factors influencing the health, and to find out major health problems in the elderly. Methods A cross-sectional study was carried out in Yanjiao Developing District of Sanhe City, Hebei Province. A total of 717 persons aged 60 years and over were selected by cluster sampling among 10 companies and specialty schools registered in the Developing District. Results The total prevalence rate of chronic disease was 92.1%. Out of these aged people, 70.0% suffered from more than two kinds of chronic diseases; 56.3% of them had paroxysm of the chronic diseases within 2 weeks. The deformity ratio was 1.8%. The damaged rate of the ADL and IADL in the elderly was 1.8% and 7.0%, respectively. The average score of LSIA was 29.0, and 87.1% of them scored more than 21. The health status being not good occupied 9.3% by self- assessment. 63.1% of the elderly people thought that the daily life and what they wanted to do were not influenced by their health condition. Major factors affecting self-assessment of the health status included current working condition, index of chronic disease, index of symptoms, hypertension, and LISA. Conclusions The prevalence of chronic diseases in the elderly was high, with a low damage rate in ADL and IADL, high life satisfaction index, as well as better self-assessment about the health. In order to improve their overall health situation, it is necessary to take intervention measures in community for different conditions.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2003年第9期554-558,共5页
Chinese Journal of Geriatrics
