居家养老老人日常生活能力的影响因素.docVIP

居家养老老年人日常生活活动能力及其影响因素 汤军克 陈林利 陈建平 [摘要] 目的 了解居家养老老年人日常生活活动能力（ADL）及其影响因素。 方法 采用分层整群抽样方法抽取上海市闵行区3个镇1个街道的830名居家养老老年人，采用ADL量表进行调查。 结果 居家养老老年人ADL得分情况为：人均ADL总分（25.59±11.16）分，其中躯体生活自理能力（PSMS）得分为（8.74±4.29）分，工具性日常生活活动能力（IADL）得分为（16.85±7.53）分。830名老年人中，PSMS、IADL受损或功能下降的分别占55.19%， 79.64%。ADL总分＞16分的有593（71.45%）人，≥22分的有458（55.18%）人。结论 居家养老老年人的ADL较差；影响居家养老老年人ADL的影响因素有：是否每天外出散步、每月收入、是否患有脑血管意外、医疗保险、文化程度、糖尿病、对目前生活满意度、有无疾病、是否丧偶。 [关键词] 居家养老；老年人；日常生活活动能力；影响因素 Activities of daily living and Related Factors of the Elderly Homecare Receivers TANG Jun-ke, CHEN Lin-li, CHEN Jin-ping. Department of information，Minhang District Center for Disease Control and Prevention, Shanghai 201100,China Abstract: Objective To understand the activities of daily living and related factors of the elderly homecare receivers. Methods The elderly homecare receivers in 3 towns and 1 street of Shanghai Minhang District were enrolled by stratified cluster sampling, 830 elderly persons were investigated with Activities of Daily Living Scale (ADL). Results The score of the elderly in local areas was as following: ADL score was (25.59?11.16), Physical Self-maintenance Scale(PSMS) score was (8.74?4.29), Instrumental Activity of Daily Living Scale(IADL) score was (16.85?7.53). PSMS impairment or dysfunction accounted for 55.19% and IADL accounted for 79.64%. ADL score 16 points had 593 people, accounting for 71.45%, ≥22 points had 458 people, accounting for 55.18%. Conclusion The elderly homecare receivers have relatively poor ability of daily living. Related factors were( whether to go out for a walk every day, monthly income, cerebral vascular accident, medical insurance, educational level, diabetes, the current life satisfaction, disease and loss of spouse. Community dwelling elders is a special elderly groups, quality of life score is relatively low, in the general health status and physical function dimensions relatively outstanding performance Key Words: homecare for the aged; the elderly; activ