中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
4期
361-363
,共3页
程颖莲%陈渊青%张雪%莫端豪%马超伦%谭淑萍
程穎蓮%陳淵青%張雪%莫耑豪%馬超倫%譚淑萍
정영련%진연청%장설%막단호%마초륜%담숙평
社区%老年人%全科医学保健%社区诊断
社區%老年人%全科醫學保健%社區診斷
사구%노년인%전과의학보건%사구진단
Community%Aged%General practice health care%Community diagnosis
目的 进行深圳市皇岗社区老年人群全科医学保健的社区诊断,为开展社区老年人群全科医学保健和生存质量研究提供依据.方法 根据社区老年人周期性体检报告,老年功能量表评估、家庭功能量表评估、世界卫生组织生存质量测定量表测评结果及个人健康档案,进行回顾性流行病学调查.结果 该社区老年人群的慢性病患病率为49.7%.多因素Logistic回归分析显示,社区老年人群慢性病的主要影响因素为经济状况、遗传因素、与家人同住、社区健康服务满意度、年龄、心理健康、健康行为、体育活动和社会医疗保险等.结论 社区老年人群是多种慢性病的高发人群,应采用生物-心理-社会的全科医学保健措施进行干预,以提高其健康水平,同时为社会和家庭节约医疗开支.
目的 進行深圳市皇崗社區老年人群全科醫學保健的社區診斷,為開展社區老年人群全科醫學保健和生存質量研究提供依據.方法 根據社區老年人週期性體檢報告,老年功能量錶評估、傢庭功能量錶評估、世界衛生組織生存質量測定量錶測評結果及箇人健康檔案,進行迴顧性流行病學調查.結果 該社區老年人群的慢性病患病率為49.7%.多因素Logistic迴歸分析顯示,社區老年人群慢性病的主要影響因素為經濟狀況、遺傳因素、與傢人同住、社區健康服務滿意度、年齡、心理健康、健康行為、體育活動和社會醫療保險等.結論 社區老年人群是多種慢性病的高髮人群,應採用生物-心理-社會的全科醫學保健措施進行榦預,以提高其健康水平,同時為社會和傢庭節約醫療開支.
목적 진행심수시황강사구노년인군전과의학보건적사구진단,위개전사구노년인군전과의학보건화생존질량연구제공의거.방법 근거사구노년인주기성체검보고,노년공능량표평고、가정공능량표평고、세계위생조직생존질량측정량표측평결과급개인건강당안,진행회고성류행병학조사.결과 해사구노년인군적만성병환병솔위49.7%.다인소Logistic회귀분석현시,사구노년인군만성병적주요영향인소위경제상황、유전인소、여가인동주、사구건강복무만의도、년령、심리건강、건강행위、체육활동화사회의료보험등.결론 사구노년인군시다충만성병적고발인군,응채용생물-심리-사회적전과의학보건조시진행간예,이제고기건강수평,동시위사회화가정절약의료개지.
Objective To provide the basis for the research on general practice health care and quality of life of the senior citizens in community by conducting community diagnosis on the general practice health care of senior citizens in Huanggang community of Shenzhen city.Methods A retrospective epidemiological investigation was conducted according to the results of physical examination,chronic disease screening,assessment of functionality,assessment of family functionality,evaluation of WHO QOL-BREF,and the health archives of the senior citizens. Results The chronic diseases prevalence rate of the senior citizens was 49.7%. The multiple Logistic regression analysis indicated that the main influencing factors of their chronic diseases were their economic status,heredity,living with their families,satisfaction at community health services,age,mental health,health behaviors,physical exercise and social medical insurance.Conclusion Senior citizens in community are high risk group of chronic diseases. The intervention by measures of biological-psychological-social general practice health care should be applied to improve their health level,and to reduce medical expenses for their families and the society.