北京部分社区老年人慢病及老年综合征的调查分析

发布时间：2018-06-25 17:35

  本文选题：老年人 + 共病　； 参考：《北京协和医学院》2016年硕士论文

【摘要】：目的通过调查北京部分社区老年人健康相关情况,分析慢性疾病(简称慢病)及老年综合征的患病情况,为优化和配置卫生资源提供依据。方法对北京市香河园街道4个社区自愿接受调查的老年人进行问卷调查,调查内容包括一般情况、慢病、老年综合征和躯体功能等。结果共1187例老年人接受调查,中位年龄76(65～98)岁,平均年龄75.7±7.0岁；其中男性561例,女性626例。受访老人中,最常见的慢病依次为高血压病(611例,51.5%)、骨关节病(439例,37.0%)和糖尿病(251例,21.1%)；至少患有1种慢病者为1016例(85.6%),至少有2种慢病者为676例(57.0%),有3种及以上慢病者为345例(29.1%)。受访老人中,97.2%(1154例)的老年人至少有1种老年综合征,患老年综合征中位数为4(0～12种)。慢病数量与老年综合征数量呈正相关(r=0.360,P=0.000)。慢病≥3种的老年人与慢病3种的老年人比较,躯体功能较差(x2=21.56,P=0.000)。老年综合征数量与老年人Barthel ADL (Barthel-activities of daily living)量表评分呈负相关(r=-0.438,P=0.000),而与慢病数量的相关性则较小(r=-0.140,P=0.000)。结论社区老年人患有多种慢性疾病老年综合征的比例均较高,且二者的数量呈正相关。老年综合征较慢病对老年躯体功能影响更大,除了慢病管控,有必要同时防治老年综合征,以改善老年人的功能状态。
[Abstract]:Objective to investigate the health status of the elderly in some communities in Beijing and analyze the prevalence of chronic diseases and elderly syndrome so as to provide the basis for optimizing and allocating health resources. Methods A questionnaire survey was conducted among the elderly in 4 communities in Xianghe Garden, Beijing. The survey included general condition, chronic disease, senile syndrome and somatic function. Results A total of 1187 elderly patients were investigated. The median age was 76 years (65 ~ 98) with an average age of 75.7 卤7.0 years, including 561 males and 626 females. The most common chronic diseases were hypertension (611 cases, 51.5%), osteoarthropathy (439 cases, 37.0%) and diabetes mellitus (251 cases, 21.1%), at least one type of chronic disease (85.6%), at least two kinds of chronic diseases (676 cases (57.0%), and three or more chronic diseases (345 cases, 29.1%). There was at least one type of elderly syndrome in 1154 (97. 2%) of the elderly surveyed, and the median of 4 (0? 12) cases of senile syndrome. There was a positive correlation between the number of chronic diseases and the number of senile syndrome (r = 0.360, P = 0.000). The somatic function of the elderly with chronic disease 鈮，

本文编号：2066934