上海市新场社区居家养老者老年综合征罹患情况.docVIP

上海市新场社区居家养老者老年综合征罹患情况 　　【摘 要】目的 探讨社区居家养老老年人的老年综合征罹患情况。方法 对上海城郊社区新场镇一个社区居家养老≥65岁的220名老年人进行老年综合评估。结果 社区居家养老老年人年龄（72.4±7.3）岁，共病2～10种，平均患老年综合征数4.5±3.2，有2个者91.3%，3个83.9%，4个者73.3%，5个57.3%；50.4%有视力异常，35.9%有听力下降。36.9%有睡眠障碍，15.5%有慢性疼痛， 15.0%存在多重用药问题， 20.4%最近1年曾发生跌倒，便秘和尿失禁的发生比例分别为29.6%和11.6%。焦虑抑郁为12.6%，认知功能障碍为8.7%，42.2%存在营养不良，46.6%存在日常生活能力下降。结论 社区居家养老老年人老年综合征广泛存在，同时患有多种基础疾病，全科医师团队深入社区进行老年综合征评估有一定优势 【Abstract】 Objective： To study the community home care of the elderly suffering from geriatric syndrome cases. Methods：A total of 220 elderly at an age of over 65 years in Xinchang community in Shanghai suburban home-based care were surveyed geriatric syndrome.Results： community home care elderly aged （72.4 ± 7.3） years， with 2 to 10 types of comorbidities. They averagely had （4.5 ± 3.2） geriatric syndrome； suffer from two geriatric syndrome was 91.3%， three geriatric syndrome was 83.9%， four geriatric syndrome was 73.3%， five geriatric syndrome was 57.3%； CGA showed the following geriatrics syndrome：50.4% have vision disorders， 35.9% had hearing loss. 36.9% have sleep disorders， 15.5% had chronic pain， 15.0% polypharmacy problem exists， 20.4% took place last fall in the proportion of constipation and incontinence were 29.6% and 11.6%. 12.6% of anxiety and depression， cognitive dysfunction was 8.7%， 42.2% malnutrition， 46.6 percent decline in the presence of daily living. Conclusion： Geriatric syndrome is very common in the community home care elderly， while suffering from a variety of underlying diseases， general practitioners team depth assessment of community elderly syndrome have certain advantages. 【?P键词】居家养老；老年综合评估；老年综合征；全科团队 【Key words】home care； comprehensive geriatric assessment； geriatric syndrome；general practitioners team 老年综合评估（comprehensive geriatric assessment CGA）已发展为老年医学实践中不可缺少的工具之一[1]， 老年人健康状态是影响居家养老老年人的生活质量、生活满意度和独立生活能力的重要因素[2] [3]，有必要通过（CGA）及时发现社区居家养老老年人综合征[4]如视力[A2]/听力障碍、跌倒、认知能力下降、焦虑 /抑郁、睡眠障碍、尿失禁、便秘、营养不良、多重用药等情况[A3]，才能干预这些老年问题。为此，作者对上海城郊新场社区居家养老老年人进行