摘要
目的 调查绵竹地区“50630”退休干部的健康状况及日常生活活动能力,分析影响其日常生活活动能力的相关因素。方法 根据四川省绵竹市老年干部管理局登记信息,2019年3月采用整群抽样的方法,在城市和农村分别抽取1949年10月1日—1950年6月30日参加工作的退休干部。采用自制评估量表,包括一般情况调查表、Berg平衡量表、Hoffer步行能力分级评定量表、改良Barthel指数评定量表进行调查分析,以了解退休干部的日常生活活动能力,分析影响其日常生活自理能力的相关因素。结果 共调查“50630”退休干部64人,平均年龄(86.39±3.37)岁。平衡功能差需要乘坐轮椅者占64.06%,不能步行者占10.94%,日常生活活动能力严重依赖者占56.25%。年龄(r=-0.421,P=0.001)、基础疾病(r=-0.060,P=0.032)与日常生活活动能力呈负相关;平衡功能(r=0.658,P<0.001)、步行功能(r=0.393,P=0.001)、配偶状况(r=0.669,P<0.001)、照护情况(r=0.830,P<0.001)、居住环境(r=0.706,P<0.001)与日常生活活动能力均呈正相关;文化程度(r=0.096,P=0.380)、性别(r=0.122,P=0.265)与日常生活活动能力无相关性。多重线性回归分析显示绵竹地区“50630”退休干部日常生活活动能力的主要影响因素为:平衡功能、步行功能、配偶状况和照护情况。结论 影响“50630”退休干部日常生活活动能力相关因素多,可针对基础疾病、平衡功能、步行功能对相关因素进行干预。通过多学科、多部门协作,整合社区卫生服务资源,提供全方位医疗保健服务,制定个性化的康复措施同时组织开展社区小组活动,可以提高“50630”退休干部社会参与度,改善心理状况,提高其日常生活活动能力,减少失能,以进一步提高生存质量。
Objective To investigate the status of health condition and activities of daily living of “50630”retired cadres in Mianzhu,and analyze the related factors affecting their activities of daily living.Methods According to the registration information of Mianzhu administration of elderly cadres in Sichuan,the method of cluster sampling was adopted in March 2019 to select retired cadres who participated in work between October 1st,1949 and June 30th,1950 in urban and rural areas respectively.The survey and analysis were carried out using the self-designed general condition questionnaire,Berg balance scale,Hoffer walking ability rating scale,and modified Barthel Index,to understand the activities of daily living ability of retired cadres and analyze the relevant factors affecting their self-care ability of daily life.Results A total of 64 “50630” retired cadres were investigated,with an average age of(86.39±3.37) years.64.06% of the patients with poor balance function needed wheelchair,10.94% could not walk,and 56.25% were heavily dependent on activities of daily living.Age(r=-0.421,P=0.001) and underlying diseases(r=-0.060,P=0.032) were negatively correlated with activities of daily living.Balance ability(r=0.658,P<0.001),walking ability(r=0.393,P=0.001),spouse status(r=0.669,P<0.001),care status(r=0.830,P<0.001),place of residence(r=0.706,P<0.001) were positively correlated with activities of daily living.Education level(r=0.096,P=0.380) and gender(r=0.122,P=0.265) had no correlation with activities of daily living.Multiple linear regression analysis showed that the main influencing factors of daily living activities of “50630” retired cadres in Mianzhu were balance function,walking ability,spouse or not and type of care.Conclusions There are many related factors affecting the activities of daily living of “50630” retired cadres,which can be intervened according to basic diseases,balance function and walking ability.Through multidisciplinary and multi-sectoral cooperation,integrating community health
作者
张少军
刘杨
邓佩琳
杨海
赵正恩
肖婷
徐旭
张驰
ZHANG Shaojun;LIU Yang;DENG Peilin;YANG Hang;ZHAO Zheng’en;XIAO Ting;XU Xu;ZHANG Chi(Department of Rehabilitation Medicine,Mianzhu People’s Hospital,Mianzhu,sichuan 618200,P.R.China;Operation Management Department,Mianzhu People’s Hospital,Mianzhu,sichuan 618200,P.R.China;Department of Rehabilitation Medicine,the Affiliated Hospital of Southwest Medical University,Luzhou,Sichuan 646000,P.R.China)
出处
《华西医学》
CAS
2022年第5期728-732,共5页
West China Medical Journal
