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lyre,较，躯体功能较差（x2=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。
Objective To investigate the health status among community-dwelling elder adults in Beijing for the purpose of managing chronic diseases and geriatric syndromes （GS）, in order to provide some references for health care reform. Methods Communitydwelling elder adults aged over 65 years from 4 communities in Xiangheyuan district of Beijing were investigated by questionnaires from February to May in 2003. Information including general health conditions, chronic diseases, geriatric syndromes, and physical function was collected. Result Totally 1187 elder adults aged between 65 and 98 were enrolled. The median age was 76 years old, and the mean age was （75.7±7.0） years old, with 561 males and 626 females. The most common chronic diseases were hypertension （611, 51.5%）, osteoarthropathy （439, 37.0%）, and diabetes melhtus（251, 21.1%）. Among the subjects, 85.6% （1016） had at least one chronic disease, 57% （676） had two or more chronic diseases, and 29.1% （345） had three or more chronic diseases. The median number of geriatric syndrome was 4 （0-12）, and 97.2% （1154/1187） of the elder adults had at least one geriatric syndrome. The number of chronic diseases was positively correlated with the number of geriatric syndrome （P〈0.001, R=0.360）. Physical function of the elder adults with 3 or more chronic diseases was worse than the group with fewer chronic diseases （≥3 vs. 〈3, x2=21.56, P〈0.001）. The function of the subjects also dedined with the increasing number of chronic diseases, and more obviously declined with the increasing number of geriatric syndromes （number of geriatric syndromes vs Barthel-activities of daily living score, P〈0.001, r=-0.438; number of chronic diseases vs Barthel-ADL score, P〈0.001, r=-0.140）. Conclusion Multimorbidity and GS are common among community-dwelling elder adults, and the chronic diseases and GS are correlated in number. The number of chronic diseases and GS is correlated negatively with physical performances of those elder adults, with GS more obviously.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2016年第5期419-421,共3页
Chinese Journal of Practical Internal Medicine
基金
北京市科学技术委员会重点项目(D12110000491-2002)
关键词
老年人
共病
老年综合征
elder adults
multimorbidity
geriatric syndromes
作者简介
通信作者：刘晓红，电子信箱：xhliu41@sina．com
