摘要
目的了解芦山地震后5年雅安城市老年人日常生活活动能力(ADL)现况及影响因素,为预防及延缓老年人ADL受损干预措施提供依据。方法采用非概率抽样方法,于2019年3月选取雅安城区60岁以上老年人790人使用《老年人一般健康信息问卷表》、ADL(Barthel)量表,收集一般人口学资料及健康相关信息。结果发放问卷790份,回收有效问卷783份(99.11%),ADL受损180例(33.0%);单因素方差分析显示,年龄、患病情况、职业、生活费来源、是否精力充沛、是否开心充实是老年人ADL受损的影响因素(P<0.05);采用Logistic二元回归分析显示,年龄低、职业为务农、身体健康无伴随慢性疾病、生活费用来源稳定(过去储蓄、退休金、低保)、精力充沛、有开心充实感觉为保护因素,生活费用来源靠亲属赡养及其他、无开心充实感觉为危险因素。结论受生理、心理、社会经济水平及地震等灾难性事件的综合影响,雅安城市老年人ADL受损率较高,应予以重视,制定包括身心健康干预在内的以适合提升灾区老年人ADL的综合干预措施,进而提高老人生活、生存质量。
Objective To understand the status and influencing factors of ADL among the elderly in Ya'an five years after the Lushan earthquake,and provide evidence for the intervention measures to prevent and delay ADL damage in the elderly.Methods The non-probability sampling method was adopted to select 790 elderly people over 60 years old in Ya'an urban area in March 2019.General demographic data and health-related information were collected by using general health information questionnaire for elderly people and Barthel scale.Results 790 questionnaires were issued.783 valid questionnaires were recovered(99.11%),and 180 cases(33.0%)of ADL were damaged.Univariate analysis of variance showed that age,disease status,occupation,source of living expenses,if full of energy,happiness and enrichment were the influencing factors of ADL impairment in the elderly(P<0.05).Using binary logistic regression analysis showed that low age,occupation is farmer,good health not associated with chronic illnesses,source of living expenses(past savings,pensions,basic living allowances),full of energy,and feel happy,fulfilling were protect factors.The sources of living expenses are dependent on relatives,unhappiness and unfulfilled feeling were risk factors.Conclusion Due to the comprehensive influence of physical,psychological,socio-economic level and earthquake and other catastrophic events,the damage rate of ADL among the elderly in Ya'an City is relatively high,which should be paid attention to.Comprehensive intervention measures including physical and mental health intervention should be formulated to improve the ADL of the elderly in disaster areas,so as to improve the quality of life of the elderly.
作者
张霞
王成英
高茹
李清玲
张培书
廖玉静
杨秋楠
ZHANG Xia;WANG Chengying;GAO Ru;LI Qingling;ZHANG Peishu;LIAO Yujing;YANG Qiulan(The Fourth People's Hospital of Ya'an,Ya'an 625000,Sichuan,China)
出处
《西部医学》
2020年第12期1855-1858,1867,共5页
Medical Journal of West China
基金
2017年四川省基层卫生事业发展研究中心项目(SWFZ17-Z-10)。
关键词
地震灾害
城市
老年人
日常生活活动能力
影响因素
Earthquake disaster
City
The elderly
Activity of daily living
Influencing factors
作者简介
共同第一作者:王成英,E-mail:103246106@qq.com;通信作者:高茹,E-mail:154475957@qq.com。
