北京部分社区老年人共病及老年综合征调查分析

发布时间：2019-01-02 18:26

【摘要】：目的调查北京部分社区老年人慢性疾病(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2013年2—5月北京市朝阳区香河园街道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(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种者(共病)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种(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(χ~2=21.56,P=0.000)。老年综合征数量与老年人Barthel ADL评分呈负相关(r=-0.438,P=0.000),而慢病数量与其相关性则较小(r=-0.140,P=0.000)。结论社区老年人患有共病和老年综合征的比例均较高,且二者数量呈正相关。老年综合征较慢病对老年躯体功能影响更大。
[Abstract]:Objective to investigate the prevalence of chronic diseases (chronic diseases) and elderly syndrome in some communities in Beijing, and to provide basis for optimizing and allocating health resources. Methods A questionnaire survey was conducted in 4 communities of Xiangheyuan Street, Chaoyang District, Beijing from February to May 2013. The survey included general condition, chronic disease, senile syndrome and somatic function. Results A total of 1187 elderly patients were investigated, with a median age of 76 years (65 ~ 98 years) with an average age of (75.7 卤7.0) years, including 561 cases of males and 626 cases of females. The most common chronic diseases were hypertension (611 cases (51.5%), osteoarthropathy (439 cases (37.0%) and diabetes mellitus (251 cases (21.1%). There were 1016 cases (85.6%) with at least one chronic disease, 676 cases (57.0%) with at least 2 kinds of chronic disease and 345 cases (29.1%) with 3 or more chronic diseases. Among the elderly surveyed, 97.2% (1154 cases) had at least one type of senile syndrome, and the median number of elderly syndrome was 4 (0 / 12). 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 diseases 鈮，

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