CAJ | 학술논문

　　目的了解北京市太阳宫、香河园地区老年人群的健康状况及卫生服务需求，为进一步工作提供信息。方法自行设计问卷对相关辖区内做免费体检的60岁以上老年人进行问卷调查。结果老年人对健康自我评价为一般和差的比例分别为76.5%和7.2%。老年人慢性病患病率达74.6%，其中患有两种及以上慢性病老年人达38.0%。老年人对健康体检的需求为72.4%，对健康指导、上门医疗及家庭病床的需求分别为45.5%，35.2%及21.2%，并且不同年龄、不同文化程度的老年人需求不同。结论慢性病已成为这两个地区的主要健康问题，今后应加强做好防控工作。应针对老年人群的不同需求，开展多种形式与层次的服务。
　　목적료해북경시태양궁、향하완지구노년인군적건강상황급위생복무수구，위진일보공작제공신식。방법자행설계문권대상관할구내주면비체검적60세이상노년인진행문권조사。결과노년인대건강자아평개위일반화차적비례분별위76.5%화7.2%。노년인만성병환병솔체74.6%，기중환유량충급이상만성병노년인체38.0%。노년인대건강체검적수구위72.4%，대건강지도、상문의료급가정병상적수구분별위45.5%，35.2%급21.2%，병차불동년령、불동문화정도적노년인수구불동。결론만성병이성위저량개지구적주요건강문제，금후응가강주호방공공작。응침대노년인군적불동수구，개전다충형식여층차적복무。
Objective To explore the health status and the health care demands in senior inhabitants from the communities of Taiyanggong and Xiangheyuan in Beijing in order to provide information for better services. Methods The community residents who were over 60 years old were surveyed by our self-designed questionnaires when they received free physical examination. Results Most of the participants had moderate self-rated health status (76.5%), and few had poor self-rated health status(7.2%). The prevalence of chronic diseases was 74.6%, while participants with two or more chronic diseases accounted for 38.0%. The elderly had the following health-care demands:health examination (72.4%), health guidance (45.5%), home-visit care (35.2%) and home hospitalization service (21.2%). Those at different ages or with different educational background had different health care demands. Conclusion Chronic disease is the major problem in the two communities. We should strengthen the prevention and control of chronic diseases in the future. The key to meet different demands of the elderly is to organize and provide a demand-oriented, diversified and multi-leveled health service.