贵州医科大学学报

2008, No.131(02) 132-135+138

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贵阳市社区老年人慢性病与日常生活功能的关系
Impact of Chronic Diseases in the Elderly on Their Ability of Daily Life in Communities of Guiyang City

黄文湧;杨敬源;杨星;蔡毅媛;汪俊华;
HUANG Wenyong,YANG Jingyuan,YANG Xing,CAI Yiyuan,WANG Junhua Department of Epidemiology,School of Public Health,Guiyang Medical College,Guiyang 550004,Guizhou,China

摘要(Abstract):

目的:研究贵阳市城区老年人慢性病对日常生活功能的影响,并与1998年的情况进行比较,了解近年来的变化与差异。方法:采用多级整群抽样,通过问卷调查和体格检查相结合,对贵阳3229名≥60岁的老年人进行慢性病和日常生活功能调查。资料统计方法采用χ2检验和非条件Logistic回归模型分析。结果:慢性病患病率为62.1%,高于1998年的患病率。居前五位的疾病是高血压、风湿性关节炎、颈及腰椎等骨骼肌肉疾病、糖尿病和冠心病。日常生活功能量表(ADL)的受损率为5.3%,工具性日常生活功能量表(IADL)的受损率为11.9%;与ADL及IADL受损有较大关系的疾病为哮喘、风湿性关节炎和冠心病。老年人患慢性病的数量越多,ADL及IADL受损率越高。结论:两次研究结果比较表明,慢性病仍是老年人的重要健康问题,对日常生活功能有显著影响;随着时间变化,对ADL及IADL受损有显著影响的疾病顺位有所不同。
Objective:To analyze the impact of chronic diseases on ability of daily life in the elderly in communities of Guiyang city.Methods:A total of 3229 residents aged 60 and above was selected by random multistage cluster sampling among communities of Giuyang city.All participants were interviewed by using questionnaires and physical examination for related information,and their activities of daily living were assessed by activities of daily living scale(ADL).Chi-square test and non-conditional logistic regression model were used in data analysis.The data were compared with the results of the first wave study in 1998.Results:The prevalence of chronic diseases was 62.1%,which was higher than that in 1998.The top five diseases in turn were:hypertension,rheumatoid arthritis(RA),frame and muscle diseases on neck and waist,diabetes mellitus,coronary atherosclerotic heart disease(CHD).The rates of disability for ADL and instrument activities of daily living(IADL) were 5.3% and 11.9%,respectively.Bronchial asthma,RA,and CHD showed a significant effect on disability for ADL and IADL.The more the chronic diseases the elderly got,the severer the disability of ADL and IADL was.Conclusions:The prevalence of chronic diseases is still an important health problem for the elderly.Chronic diseases deteriorate the disability of ADL and IADL among the elderly.The rank of the chronic diseases that influence the disability of ADL and IADL is changing along the time.

关键词(KeyWords): 日常生活活动;老年人;工具性日常生活功能;慢性病
activities of daily living;aged;instrument activities of daily living;chronic disease

Abstract:

Keywords:

基金项目(Foundation): 贵州省省长基金资助项目[黔科教办(2004)07];; 贵州省教育厅自然科学研究项目(黔教科2005108)

作者(Author): 黄文湧;杨敬源;杨星;蔡毅媛;汪俊华;
HUANG Wenyong,YANG Jingyuan,YANG Xing,CAI Yiyuan,WANG Junhua Department of Epidemiology,School of Public Health,Guiyang Medical College,Guiyang 550004,Guizhou,China

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DOI: 10.19367/j.cnki.1000-2707.2008.02.007

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