北京医学
北京醫學
북경의학
BEIJING MEDICAL JOURNAL
2014年
10期
792-795
,共4页
王建平%汤哲%孙菲%刁丽君%何士大
王建平%湯哲%孫菲%刁麗君%何士大
왕건평%탕철%손비%조려군%하사대
老年人%失能%照护
老年人%失能%照護
노년인%실능%조호
Elderly%Disability%Care
目的了解北京社区失能老年人与照护现状。方法采取分层、随机、整群的抽样方法，入户调查西城区（城区）、大兴区（郊区农村）和怀柔区（山区农村）60岁及以上老年人2776例。采用日常生活活动能力量表评估老年人的失能状况。结果调查的老年人中失能老年人为324例，占11.7%，农村失能老年人构成比（16.8%）高于城区（7.4%）；随年龄增长失能率增高。10.8%的失能老年人为独居，无照料人同住，尤其农村及女性失能老年人独居比例高。失能老年人的照护人主要是子女（56.6%），其次是配偶（31.1%）。62.7%的失能老年人月均收入在500元以下，农村低收入比例明显高于城区。失能老年人家庭认为目前医药负担较重的占67.6%，其中28.7%的失能老年人家庭认为承受困难。结论老年人失能比例高，家庭与社会照护现状不能满足需求的增长，应探索和建立失能老年人长期照护的有效模式。
目的瞭解北京社區失能老年人與照護現狀。方法採取分層、隨機、整群的抽樣方法，入戶調查西城區（城區）、大興區（郊區農村）和懷柔區（山區農村）60歲及以上老年人2776例。採用日常生活活動能力量錶評估老年人的失能狀況。結果調查的老年人中失能老年人為324例，佔11.7%，農村失能老年人構成比（16.8%）高于城區（7.4%）；隨年齡增長失能率增高。10.8%的失能老年人為獨居，無照料人同住，尤其農村及女性失能老年人獨居比例高。失能老年人的照護人主要是子女（56.6%），其次是配偶（31.1%）。62.7%的失能老年人月均收入在500元以下，農村低收入比例明顯高于城區。失能老年人傢庭認為目前醫藥負擔較重的佔67.6%，其中28.7%的失能老年人傢庭認為承受睏難。結論老年人失能比例高，傢庭與社會照護現狀不能滿足需求的增長，應探索和建立失能老年人長期照護的有效模式。
목적료해북경사구실능노년인여조호현상。방법채취분층、수궤、정군적추양방법，입호조사서성구（성구）、대흥구（교구농촌）화부유구（산구농촌）60세급이상노년인2776례。채용일상생활활동능역량표평고노년인적실능상황。결과조사적노년인중실능노년인위324례，점11.7%，농촌실능노년인구성비（16.8%）고우성구（7.4%）；수년령증장실능솔증고。10.8%적실능노년인위독거，무조료인동주，우기농촌급녀성실능노년인독거비례고。실능노년인적조호인주요시자녀（56.6%），기차시배우（31.1%）。62.7%적실능노년인월균수입재500원이하，농촌저수입비례명현고우성구。실능노년인가정인위목전의약부담교중적점67.6%，기중28.7%적실능노년인가정인위승수곤난。결론노년인실능비례고，가정여사회조호현상불능만족수구적증장，응탐색화건립실능노년인장기조호적유효모식。
Objective To understand the disabled elderly in Beijing and the current status of caring of them. Methods Stratified, random and cluster sampling methods were used, and household surveys were taken among 2776 cases of elderly aged 60 and above in Xicheng District (city), Daxing District (rural outskirts) and Huairou District (moun-tainous countryside). ADL (Activity of Daily Living Scale) was used to assess the elderly disability status. Results In the investigation, 324 elderly were disabled; accounting for 11.7%, the number of disabled elderly in rural areas was signifi-cantly higher than that in urban area, and the disability ratio increaseed along with the age growth. 10.8% of disabled el-derly live alone, not living with caregivers; the ratio was especially higher in rural area and for elderly women. Children of the elderly were mainly the caregivers for the disabled elderly, followed by the spouse. The average monthly income of 67.7% of the disabled was below 500 Yuan, and the low income ratio in rural area was obviously higher than in urban area. 67.6%of the elderly thought that the current medical burden was heavy, among which 28.7%of the disabled elderly considered that they could hardly bearing the burden. Conclusion High proportion of the disabled elderly, the present status of family and social care can not meet the demand growth. An effective mode of long-term care for disabled elderly should be explored and established.
