居家不出老年人外出状况与日常生活能力
发布时间：2018-10-11 18:45
【摘要】：目的通过对社区居家不出老年人5年后的随访观察,明确居家不出老年人在一定时间内日常生活能力(ADL)、外出状况等方面的变化。方法采用随访研究方法,于2010年12月至2011年6月对2006年调查中已确定为居家不出的275位老年人进行调研,调研工具为自行设计的一般状况调查表、居家不出转归调查表、ADL量表等。结果 1实际随访189人,男性67人,女性122人,平均年龄(77±7.4)岁,失访人数86人(含已故81例,失去联系5例),追踪率为68.7%;25年后社区居家不出老年人外出状况恶化的占调查总人数的55%;好转的仅占45%;3ADL平均得分和生活完全独立的人数及比例均下降,两次调查的差异有统计学意义(P0.01)。结论居家不出老年人自然转归较差,ADL、外出状况等随时间变化而恶化,应该对该人群居家不出状况予以积极管理与干预,以促使居家不出状态向好的方向转归。
[Abstract]:Objective to investigate the changes of the ability of daily living (ADL),) of the elderly at home after 5 years' follow-up. Methods A follow-up study was conducted between December 2010 and June 2011 to investigate 275 elderly people who had been identified as having no home in the 2006 survey. The survey tool was a self-designed general status questionnaire. At home, not out of the outcome questionnaire, ADL scale, and so on. Results 1 A total of 189 patients were followed up, 67 males and 122 females, with an average age of (77 卤7.4) years. Five cases lost contact), the follow-up rate was 68.7%; 55 of the total number of people surveyed who were unable to get out of the home in the community after 25 years; and only 45% of the total number of people who had improved, the average score of ADL and the number and proportion of completely independent living decreased. The difference between the two surveys was statistically significant (P0.01). Conclusion the natural outcome of the elderly is worse than that of the old people at home, and the condition of ADL, going out is deteriorating with time. It is necessary to actively manage and intervene the situation of the elderly in order to promote the change of the situation of the family without leaving the home to a good direction.
【作者单位】： 华北理工大学附属医院;唐山市医疗保险事业局;唐山市人民医院;华北理工大学护理与康复学院;中国中医科学院广安门医院;
【基金】：国家社科基金项目(2013BRK005)
【分类号】：R161.7
本文编号：2264858
[Abstract]:Objective to investigate the changes of the ability of daily living (ADL),) of the elderly at home after 5 years' follow-up. Methods A follow-up study was conducted between December 2010 and June 2011 to investigate 275 elderly people who had been identified as having no home in the 2006 survey. The survey tool was a self-designed general status questionnaire. At home, not out of the outcome questionnaire, ADL scale, and so on. Results 1 A total of 189 patients were followed up, 67 males and 122 females, with an average age of (77 卤7.4) years. Five cases lost contact), the follow-up rate was 68.7%; 55 of the total number of people surveyed who were unable to get out of the home in the community after 25 years; and only 45% of the total number of people who had improved, the average score of ADL and the number and proportion of completely independent living decreased. The difference between the two surveys was statistically significant (P0.01). Conclusion the natural outcome of the elderly is worse than that of the old people at home, and the condition of ADL, going out is deteriorating with time. It is necessary to actively manage and intervene the situation of the elderly in order to promote the change of the situation of the family without leaving the home to a good direction.
【作者单位】： 华北理工大学附属医院;唐山市医疗保险事业局;唐山市人民医院;华北理工大学护理与康复学院;中国中医科学院广安门医院;
【基金】：国家社科基金项目(2013BRK005)
【分类号】：R161.7
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