从日常生活活动能力视角看上海市老年照护需求  

Elderly care needs from the perspective of activities of daily living in Shanghai

作　　者：杜丽侠[1] 杨逸彤 王常颖[1] 陈多[1] 谢春艳[1] 冯泽昀 信虹云[1] 杨晓娟[1] 丁汉升[1] 

机构地区：[1]上海市医学科学技术情报研究所上海市卫生发展研究中心,上海200040 [2]上海财经大学统计与管理学院,上海200433

出　　处：《中国卫生资源》2016年第1期61-64,69,共5页Chinese Health Resources

基　　金：国家自然科学基金项目(71073104);上海市公共卫生三年行动计划基金项目

摘　　要：目的 :从日常生活活动能力角度了解上海市老年照护需求,为应对老龄化问题提供参考依据。方法 :采用整群抽样方式抽取上海市静安区某街道60岁及以上居家老年人8 218人,采用日常生活活动能力来推测上海市老年人的照护需求,运用SAS统计软件进行卡方检验、logistic回归等分析。结果 :随着年龄的增长,老年人的日常生活活动能力呈现逐年下降趋势。年龄的增长、患有慢性病、缺乏亲人的照护都是日常生活活动能力的危险因素,独居和亲属的照护是保护性因素,推算2014年上海需要照护的老年人数量为20.04万人。结论 :上海市老年照护服务需求大,老年照护资源不足与浪费共存。建议加强老年照护能力建设,呼吁亲属和社会增加对老人的关爱。Objective： To survey the needs of the elderly care in Shanghai from the perspective of activities of daily living and provide reference cater to the aged people＇s needs. Methods： Cluster sampling method was used to sample 8 218 elderly people, who were 60 years old and above, and living in one certain community of Shanghai Jing＇an District. Activities of daily living were used to evaluate the care needs of the elderly people in Shanghai. SAS was used to do Chi-square test and logistic regression analysis. Reslilts： Activities of daily living in elderly presented a declining trend with increasing age. Increasing age, chronic diseases and lack of care from their family were risk factors for activities of daily living, while living alone and caring from relatives were protective factors. Estimated numbers of elderly care needs in Shanghai in 2014 was 200.4 thousand. Conclusion： Elderly people＇s care needs in Shanghai are very large. Insufficiency of care resource and waste are coexisting. It is suggested to strengthen capacity of elderly care. It is also proposed to call on relatives and community to increase care for the elderly.

关 键 词：日常生活活动能力 老年人 照护需求 

分 类 号：R1[医药卫生—公共卫生与预防医学]