高龄居家老人能力现状及影响因素分析  

Analysis in status quo and influencing factors of ability of the elderly at home

作　　者：吴喻 张兰凤[2] 陈建群 严学峰 WU Yu;ZHANG Lanfeng;CHEN Jianqun;YAN Xuefeng(Medical College of Nantong University,Nantong,Jiangsu,226001;Department of Nursing,Affiliated Cancer Hospital of Nantong University,Nantong,Jiangsu,226001;Nantong North Nursing Home,Nantong,Jiangsu,226001;Nantong Gangzha District Civil Affairs Bureau,Nantong,Jiangsu,226001)

机构地区：[1]南通大学医学院,江苏南通226001 [2]南通大学附属肿瘤医院护理部,江苏南通226001 [3]江苏省南通市北护理院,江苏南通226001 [4]江苏省南通市港闸区民政局,江苏南通226001

出　　处：《实用临床医药杂志》2021年第16期120-124,共5页Journal of Clinical Medicine in Practice

基　　金：中国护理管理杂志护理管理科研基金立项(CNM-2020-10);江苏省南通市科技局基金资助项目(MS12019008,JC2018051)。

摘　　要：目的调查高龄居家老人能力现状并分析其影响因素。方法应用老年人能力评估量表,采用整群随机抽样的方法,对江苏省南通市年龄≥80岁的居家老人进行入户调查。结果共回收有效问卷1882份,其中1866例(99.15%)老人存在不同程度的失能,中度失能670例(35.60%),重度失能553例(29.38%)。纠正混杂因素的有序多因素Logistic回归分析显示,年龄、体质量指数(BMI)、慢性疾病、精神疾病、痴呆程度、听力障碍、近30 d意外事件发生情况、自评健康状况和运动是高龄居家老人综合能力等级的影响因素(P<0.05)。结论高龄居家老人能力状况不容乐观,中重度失能率较高,因此应针对高龄老人的健康状况提供相应干预措施,以提高其生活质量。Objective To investigate ability status of the elderly at home and analyze its influencing factors.Methods By using Ability Assessment Scale for the elderly and Cluster Random Sampling method,a housekeeping survey was conducted among the elderly aged≥80 years in Nantong of Jiangsu Province.Results A total of 1882 valid questionnaires were collected,including 1866(99.15%)elderly people with varying degrees of disability,670(35.60%)with moderate disability and 553(29.38%)with severe disability.Logistic regression analysis showed that age,body mass index(BMI),chronic disease,mental disease,dementia degree,hearing impairment,accidents in recent 30 days,self-rated health status and exercise were the influencing factors of the ability level of the elderly after correcting confounding factors(P<0.05).Conclusion The ability of the elderly at home is not optimistic,because they have higher rate of moderate and severe disability.Therefore,corresponding intervention measures should be provided according to the health status of the elderly to improve their quality of life.

关 键 词：高龄 老年人 居家养老 能力等级 

分 类 号：R473.2[医药卫生—护理学] R248.1[医药卫生—临床医学]