發(fā)布時間：2018-06-25 17:35

  本文選題：老年人 + 共病　； 參考：《北京協(xié)和醫(yī)學(xué)院》2016年碩士論文

【摘要】：目的通過調(diào)查北京部分社區(qū)老年人健康相關(guān)情況,分析慢性疾病(簡稱慢病)及老年綜合征的患病情況,為優(yōu)化和配置衛(wèi)生資源提供依據(jù)。方法對北京市香河園街道4個社區(qū)自愿接受調(diào)查的老年人進行問卷調(diào)查,調(diào)查內(nèi)容包括一般情況、慢病、老年綜合征和軀體功能等。結(jié)果共1187例老年人接受調(diào)查,中位年齡76(65～98)歲,平均年齡75.7±7.0歲；其中男性561例,女性626例。受訪老人中,最常見的慢病依次為高血壓病(611例,51.5%)、骨關(guān)節(jié)病(439例,37.0%)和糖尿病(251例,21.1%)；至少患有1種慢病者為1016例(85.6%),至少有2種慢病者為676例(57.0%),有3種及以上慢病者為345例(29.1%)。受訪老人中,97.2%(1154例)的老年人至少有1種老年綜合征,患老年綜合征中位數(shù)為4(0～12種)。慢病數(shù)量與老年綜合征數(shù)量呈正相關(guān)(r=0.360,P=0.000)。慢病≥3種的老年人與慢病3種的老年人比較,軀體功能較差(x2=21.56,P=0.000)。老年綜合征數(shù)量與老年人Barthel ADL (Barthel-activities of daily living)量表評分呈負相關(guān)(r=-0.438,P=0.000),而與慢病數(shù)量的相關(guān)性則較小(r=-0.140,P=0.000)。結(jié)論社區(qū)老年人患有多種慢性疾病老年綜合征的比例均較高,且二者的數(shù)量呈正相關(guān)。老年綜合征較慢病對老年軀體功能影響更大,除了慢病管控,有必要同時防治老年綜合征,以改善老年人的功能狀態(tài)。
[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 鹵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，

本文編號：2066934