首页> 中文期刊> 《中国临床保健杂志》 >老年保健对象共存疾病与衰弱情况调查分析

老年保健对象共存疾病与衰弱情况调查分析

         

摘要

Objective To investigate the status of multimorbidity and frailty among elderly cadres and explore the correlation between age and prevalence.Methods Elder cadres aged over 65 years who visited a certain hospital for physical examination and willing to take part in this research were investigated by questionnaires from October 2015 to July 2016.Questionnaire included general health conditions and chronic disease etc.Frailty status was evaluated by CSF-09.Result A totally of 123 elder adults were enrolled.The mean age was (79.9 ± 8.10)years old,including 117 males and 6 females.The most common chronic diseases were cataract (91,74.0%),benign prostatic hyperplasia(88,71.5 %),hypertension (77,62.6%),hyperlipidemia (56,45.5 %),and diabetes mellitus (36,29.3 %).They have 3.5 ± 1.5 chronic diseases on average.The numbers of chronic disease between young-old and old-old had no statistic difference,there were significant statistic difference between young-old and very-old (P < 0.01),old-old and very-old (P < 0.01).There was significant different of frailty levels between very-old and old-old (P < 0.05),very-old and young-old (P < 0.05).And there was a significant positive correlation between number of chronic disease and frailty level,r =0.362.Conclusion The status of multimorbidity and frailty among elderly cadres become more serious with age.%目的 调查老年共存疾病及衰弱在老年干部人群中的分布情况并分析其随年龄变化的规律及两者之间的相关性.方法 对2015年10月至2016年7月在北京市某医院查体并自愿参加此项研究的老年干部进行问卷调查及衰弱评估.问卷内容包括一般情况、所患疾病等;衰弱评估临床衰弱分级量表-09(CSF-09).对老年共存疾病患病情况及衰弱评级进行描述性分析与相关性分析.结果 共123例老年人接受调查,平均年龄(79.9±8.10)岁;其中男性117例,女性6例.最常见的前5种慢病为白内障(91例,74.0%)、前列腺增生(88例,71.5%)、高血压病(77例,62.6%)、高脂血症(56例,45.5%)和糖尿病(36例,29.3%).调查对象平均患有慢病(3.5±1.5)种.青老年组患病数量与中老年组差异无统计学意义,而老老年组患病数显著多于青老年组(P<0.01)和中老年组(P<0.01).老老年组在衰弱严重程度上显著性高于青老年组(P<0.05)与中老年组(P<0.05).调查对象共存慢性疾病与衰弱等级存在显著线性正相关性,相关系数r=0.362.结论 进入老老年阶段后,保健对象的共存疾病数与衰弱程度均呈现上升趋势.

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