贵州某民族地区农村留守老年人慢性病与日常生活功能受损现状及影响因素分析  

Analysis of the relationship between chronic disease and impaired daily living activities among the left-behind elderly in rural minority areas of Guizhou Province

作　　者：周全湘 杨敬源 佘福强[1] 赵倩[1] 曹显明[1] 余跃生[1] ZHOU Quan-xiang;YANG Jing-yuan;SHE Fu-qiang;ZHAO Qian;CAO Xian-ming;YU Yue-sheng(Qiannan Medical Technology College for Nationalities, Duyun 558000, Chin)

机构地区：[1]黔南民族医学高等专科学校,贵州都匀558000 [2]贵州医科大学公共卫生学院流行病学教研室,贵州贵阳550004

出　　处：《中国健康教育》2017年第10期910-914,共5页Chinese Journal of Health Education

基　　金：贵州省教育厅基金(黔教研合JG字[2014]015);黔南民族医学高等专科学校校基金项目(QNYZ201513)

摘　　要：目的研究贵州某民族地区农村留守老年人慢性病与日常生活功能现状及影响因素。方法采取多阶段分层随机抽样方法,采用自制问卷及日常生活功能量表,以贵州黔南民族农村地区为调查点,对1260例60岁以上留守老年人进行入户问卷调查,调查内容包括一般情况、慢性病和日常生活功能等。结果该民族地区农村留守老年人慢性病患病率69.13%,留守老年人ADL损害率20.24%,IADL损害率47.86%。对ADL损害影响显著的疾病依次为慢性阻塞性肺疾病(OR=2.305,95%CI:1.461~3.636)、风湿性关节炎(OR=1.447,95%CI:1.085~1.929);对IADL损害影响显著的疾病依次为慢性阻塞性肺疾病(OR=1.630,95%CI:1.043~2.546)、风湿性关节炎(OR=1.472,95%CI:1.152~1.882)、高血压(OR=1.441,95%CI:1.070~1.943)。结论慢性阻塞性肺疾病、风湿性关节炎、高血压是民族地区农村留守老年人日常生活功能受损的重要因素,应在留守老年人中针对性地开展重点慢性病防治的健康教育活动。Objective To analysis the status of chronic disease and daily living activities among the left-behind elderly in rural minority areas of Guizhou. Methods 1260 people aged above 60 years old were surveyed by using multilevel sampling investigation with self-designed and Activities daily living （ADL） questionnaire in Qiannan rural minority are- as. Results The prevalence of the chronic disease was 69. 13%. The rate of function impaired for ADL and instrumental ac- tivities of daily of living （IADL） were 20. 24% and 47.86%. The chronic diseases influenced functions of ADL in the left- behind elderly were： chronic obstructive pulmonary disease （COPD） （ OR = 2. 305, 95 % CI： 1. 461 - 3. 636）, rheumat- ic arthritis （OR = 1. 447, 95% CI： 1. 085 -1. 929）. The chronic diseases influenced functions of IADL in the left-behind elderly： C OPD （ OR = 1. 530, 95 % CI： 1. 043 -2. 546）, rheumatic arthritis （ OR = 1. 472, 95% CI： 1. 152 - 1. 882）, hypertension （ OR = 1. 441, 95% CI： 1. 070 - 1. 943 ）. Conclusion The prevalence of chronic disease is high. Chronic obstructive pulmonary disease, rheumatic arthritis and hypertension have great impact on daily living activities of the left-be- hind elderly. Appropriate health education should be taken to strengthen and intervene priority chronic disease among left be- hind elderly in order to improve their ability of daily life.

关 键 词：老年人 慢性病 日常生活活动 影响因素 

分 类 号：R193[医药卫生—卫生事业管理]