【摘要】：目的調(diào)查北京部分社區(qū)老年人慢性疾病(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2013年2—5月北京市朝陽區(qū)香河園街道4個社區(qū)自愿接受調(diào)查的老年人進(jìn)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(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種者(共病)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種(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(χ~2=21.56,P=0.000)。老年綜合征數(shù)量與老年人Barthel ADL評分呈負(fù)相關(guān)(r=-0.438,P=0.000),而慢病數(shù)量與其相關(guān)性則較小(r=-0.140,P=0.000)。結(jié)論社區(qū)老年人患有共病和老年綜合征的比例均較高,且二者數(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。
[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 鹵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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