贵州黔南民族地区农村留守与非留守老年人慢性病及日常生活功能受损情况调查  

Investigation of chronic disease and daily living activities of the left-behind elderly and un-left-behind elderly in Qiannan rural minority areas of Guizhou

作　　者：周全湘 杨敬源[1] 佘福强[2] 赵倩[2] 曹显明[2] 余跃生[2] 许成飞 范宇 

机构地区：[1]贵州医科大学公共卫生学院流行病学教研室,贵州贵阳550004 [2]黔南民族医学高等专科学校,贵州都匀558000 [3]贵州省龙里县谷脚镇卫生院,贵州龙里551200 [4]贵州省龙里县草原乡卫生院,贵州龙里551200

出　　处：《现代预防医学》2017年第5期793-796,共4页Modern Preventive Medicine

基　　金：黔南医专校基金项目(QNYZ201513)

摘　　要：目的比较贵州黔南民族地区农村留守与非留守老年人慢性病情况及日常生活功能受损情况。方法在贵州黔南民族农村地区,采用多阶段整群抽样方法,抽取符合要求的老年人进行调查,内容包括一般情况、慢性病患病情况及日常生活功能情况等。结果贵州黔南民族地区农村留守与非留守老年人慢性病患病率分别为69.13%、64.25%(P<0.05),两者慢性病患病率前3位的疾病从高到低均为风湿性关节炎、颈腰椎等骨骼肌肉病、高血压。留守老年人ADL和IADL的受损率分别为20.24%、47.86%,非留守老年人ADL和IADL受损率分别为22.03%、44.99%,差异均无统计学意义(P>0.05)。结论贵州黔南民族地区老年人慢性病患病率高,尤其是留守老年人;留守与非留守老年人日常生活功能受损分布大致相同,慢性病与日常生活功能受损共患情况突出;在民族地区应因地制宜制定慢性疾病防治对策和提供合理的养老服务、老年人健康照护服务,从而预防或减缓老年人慢性病流行和日常生活功能损害。Objective To compare chronic disease prevalence and impaired daily living activities between the left-behind and un-left-behind elderly in Qiannan rural minority areas of Guizhou. Methods The status of their general situation,chronic disease and the ability of daily life of elderly were surveyed by using multilevel sampling investigation in Qiannan rural minority areas. Results The Prevalence rates of the chronic disease of left-behind and un-left-behind elderly were 69. 13% and64. 25%. There was a significant difference（ P 0. 05） in chronic disease prevalence between left-behind and un-left-behind elderly. The prevalence rates of chronic disease could be ordered as rheumatic arthritis,lumbar spine disease,hypertension. The rate of impaired function for physical activities of daily living（ ADL） and instrumental activities of daily living（ IADL） were 20. 24% and 47. 86% in left-behind elderly and were 22. 03% and 44. 99% in un-left-behind elderly. There was not significantly different（ P 0. 05） in the rate of impaired function for ADL and IADL between left-behind and un-left-behind elderly. Conclusion Compared with the un-left-behind elderly,the prevalence rates of the chronic disease is higher in the left-behind elderly in rural minority areas of Guizhou. There is the same distribution of chronic disease and impaired daily living activities between left behind and un-left-behind elderly. The status of Chronic disease cooperated with the impaired function of daily life is outstanding. We should take appropriate measure to prevent chronic disease and provide reasonable health care services for the elderly.

关 键 词：民族地区 留守老年人 慢性病 日常生活功能 

分 类 号：R161.17[医药卫生—公共卫生与预防医学]