广州市老年人衰弱现状及其影响因素  

Prevalence and influencing factors of frailty among elderly people in Guangzhou city

作　　者：任青卓 周静静[1] 郑雅婧 童佩 李婷 林皓嵩 廖敏怡 高钰琳[1] REN Qing-zhuo;ZHOU Jing-jing;ZHENG Ya-jing(School of Nursing,Southern Medical University, Guangzhou,Guangdong Province 510515,China)

机构地区：[1]南方医科大学护理学院,广东广州510515 [2]广州市白云区京溪街社区卫生服务中心 [3]广州市越秀区六榕街社区卫生服务中心

出　　处：《中国公共卫生》2019年第4期413-417,共5页Chinese Journal of Public Health

基　　金：全国老龄政策理论研究部级课题(QLB2018A028);2018年南方医科大学护理科研专项(Z2018003)

摘　　要：目的了解广州市老年人衰弱现状及影响因素,为衰弱管理提供依据。方法于2017年8月—2018年4月便利抽取1 217名广州市老年人开展横断面调查,采用共享型衰弱筛查工具中文版和自编一般社会人口学及健康状况与健康行为问卷收集资料。结果 1 217名老年人中处于衰弱期的占10.3%,衰弱前期占30.7%,非衰弱期占59%。有序多分类logistic回归分析结果显示,女性(OR=3.542)、高龄(OR=3.51)、收入低(OR=1.465)、独居(OR=3.404)、不能自理(OR=3.295)、患多种慢病(OR=4.718)、多重用药(OR=2.309)、尿失禁(OR=3.594)、抑郁(OR=3.27)、健康自评差(OR=2.482)是广州市老年人衰弱状况的危险因素;经常体育锻炼(OR=0.158)是广州市老年人衰弱状况的保护因素。结论广州市老年人衰弱状况应得到政策制定者和卫生保健人员的重视,应针对衰弱危险因素采取相应措施,更好地管理老年人健康。Objective To investigate the prevalence and influencing factors of frailty among older people in Guangzhou city and to provide evidences for frailty management. Methods Totally 1 217 older people were recruited with convenient sampling in two communities and one nursing home in Guangzhou city for a cross-sectional survey between August 2017 and April 2018. We adopted a face-to-face interview with the Survey of Health,Ageing and Retirement in Europe Frailty Instrument (SHARE-FI) and grip strength measurement to screen frailty. Socio-demographic and other relevant information of the participants were collected with a self-designed questionnaire. Results Of all the participants,10.3%,30.7%,and 59.0% were assessed as being frail,pre-frail,and non-frail,respectively. The results of ordinal logistic regression analysis revealed that female gender (odds ratio [OR]= 3.542),at elder age (OR = 3.51),with low income (OR = 1.465),living alone (OR = 3.404),being unable to take care of oneself (OR = 3.295),suffering from several chronic diseases (OR = 4.718), having multiple medication (OR = 2.309),with urinary incontinence (OR = 3.594),with depression (OR = 3.27),and with poor self-rated health (OR = 2.482) were the risk factors of frailty and having regular physical exercise (OR = 0.158) was a protective factor against frailty among the participants. Conclusion Policymakers and healthcare providers should pay more attentions to frailty issue among elderly people in Guangzhou city and implement proper interventions specific to relevant factors in the population.

关 键 词：衰弱 老年人 影响因素 

分 类 号：R181.37[医药卫生—流行病学]