十堰市城区老年人工具性日常生活活动能力及相关因素调查  

Investigation on Instrumental Activities of Urban Community-dwelling Older Adults in Shiyan

作　　者：袁桂霞[1] 李岩[1] 付莉[1] 冯琬淇[1] 

机构地区：[1]郧阳医学院附属东风总医院儿科,湖北十堰442008

出　　处：《护理学杂志》2009年第13期78-80,共3页

摘　　要：目的了解十堰市城区老年人工具性日常生活活动能力状况,分析功能状况的相关因素及预测因子。方法采用人口社会学特征量表和工具性日常生活活动(IADL)量表对148名≥65岁老年人进行调查。结果59.5%老年人能在社区完全独立的生活,40.5%老年人至少某项活动需要他人协助完成;老年人购物及乘公交车外出的能力较低。患慢性病数目、年龄、教育程度、月收入及居住状况与IADL评分显著相关(P<0.05,P<0.01);患慢性病数目、年龄、月收入及居住状况是IADL评分的预测因子。结论十堰市城区近50%老年人不能完全独立的生活;患多种慢性病、高龄、经济困难、与子孙同住的老年人功能下降及丧失的危险性更大。政府部门、社会及社区、社区护士、家人应共同采取措施延缓社区老年人功能衰退的速度。Objective To evaluate the Instrumental Activities of urban community-dwelling older adults in Shiyan, and to analyze associated factors as well as predictors. Methods In the cross-sectional correlation design, 148 community-dwelling older adults （≥65） filled out the soeio-demographic questionnaire and Instrumental Activities of Daily Living （IADL）. Results According to the IADL performances of the community-dwelling older adults, 59.5 % were totally independent; 40.5 % needed at least some help to deal with a specific activity; the older adults lacked the independence of shopping and transportation. Numbers of chronic medical conditions, age, educational backgrounels, monthly income and habitation condition were significantly correlated with scores of IADL （P〈0.05,P〈0.01）, and numbers of chronic conditions, age, monthly income and habitation condition were predictors of IADL scores. Conclusion Approximately 50% of urban eommunity-dwelling older adults in Shiyan failed to live independently in the community, especially for those who were suffering from multiple diseases, who reached an advanced age, who faced financial diffi- culty and lived with off springs. The government, community, community nurses and family members should work together to delay functional deterioration of urban community-dwelling older adults.

关 键 词：老年人 城区 功能状况 工具性日常生活活动 

分 类 号：R473.2[医药卫生—护理学]