中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2015年
2期
207-209
,共3页
综合征%意外跌倒%尿失禁%营养不良
綜閤徵%意外跌倒%尿失禁%營養不良
종합정%의외질도%뇨실금%영양불량
Syndrome%Accidental falls%Urinary incontinence%Malnutrition
目的 调查北京社区高龄老年人老年综合征的情况,为有效地管理老年综合征、更合理地使用医疗资源提供依据. 方法 对北京市海淀区95岁及以上所有居家老年人,以及海淀区、朝阳区和西城区部分85岁及以上愿意接受调查的居家老年人进行入户调查,调查内容包括老年人一般情况、功能状况,老年综合征主要调查跌倒、尿失禁、慢性疼痛、慢性便秘和营养不良发生情况. 结果 共336例老年人接受调查,年龄85岁～108岁,平均(96.0±3.0)岁.1年内跌倒、慢性疼痛、慢性便秘的老年人比例分别为27.2％(88/324)、37.3％(122/327)和47.6％(160/336),尿失禁的患病率为37.1％(118/318),其中男性33.3％(46/138),女性40.0％(72/180),男、女性患病率差异无统计学意义(x2 =1.49、P=0.220);营养不良和营养不良风险发生比例分别为10.4％(31/299)和50.5％(151/299).功能状态较好、可户外活动者占37.2％(120/323);有营养问题和尿失禁的老年人较无营养问题和尿失禁的老年人自评健康满意度较低(40.0％比70.4％,x2=25.20,P＜0.001;34.0％比64.6％,x2=25.30,P＜0.001);受访者中26.0％(84/323)不知道有老年医学科. 结论 北京社区高龄老年人中老年综合征较常见,有必要在社区普及老年医学知识,为老年人制定合理的诊疗目标.
目的 調查北京社區高齡老年人老年綜閤徵的情況,為有效地管理老年綜閤徵、更閤理地使用醫療資源提供依據. 方法 對北京市海澱區95歲及以上所有居傢老年人,以及海澱區、朝暘區和西城區部分85歲及以上願意接受調查的居傢老年人進行入戶調查,調查內容包括老年人一般情況、功能狀況,老年綜閤徵主要調查跌倒、尿失禁、慢性疼痛、慢性便祕和營養不良髮生情況. 結果 共336例老年人接受調查,年齡85歲～108歲,平均(96.0±3.0)歲.1年內跌倒、慢性疼痛、慢性便祕的老年人比例分彆為27.2％(88/324)、37.3％(122/327)和47.6％(160/336),尿失禁的患病率為37.1％(118/318),其中男性33.3％(46/138),女性40.0％(72/180),男、女性患病率差異無統計學意義(x2 =1.49、P=0.220);營養不良和營養不良風險髮生比例分彆為10.4％(31/299)和50.5％(151/299).功能狀態較好、可戶外活動者佔37.2％(120/323);有營養問題和尿失禁的老年人較無營養問題和尿失禁的老年人自評健康滿意度較低(40.0％比70.4％,x2=25.20,P＜0.001;34.0％比64.6％,x2=25.30,P＜0.001);受訪者中26.0％(84/323)不知道有老年醫學科. 結論 北京社區高齡老年人中老年綜閤徵較常見,有必要在社區普及老年醫學知識,為老年人製定閤理的診療目標.
목적 조사북경사구고령노년인노년종합정적정황,위유효지관리노년종합정、경합리지사용의료자원제공의거. 방법 대북경시해정구95세급이상소유거가노년인,이급해정구、조양구화서성구부분85세급이상원의접수조사적거가노년인진행입호조사,조사내용포괄노년인일반정황、공능상황,노년종합정주요조사질도、뇨실금、만성동통、만성편비화영양불량발생정황. 결과 공336례노년인접수조사,년령85세～108세,평균(96.0±3.0)세.1년내질도、만성동통、만성편비적노년인비례분별위27.2％(88/324)、37.3％(122/327)화47.6％(160/336),뇨실금적환병솔위37.1％(118/318),기중남성33.3％(46/138),녀성40.0％(72/180),남、녀성환병솔차이무통계학의의(x2 =1.49、P=0.220);영양불량화영양불량풍험발생비례분별위10.4％(31/299)화50.5％(151/299).공능상태교호、가호외활동자점37.2％(120/323);유영양문제화뇨실금적노년인교무영양문제화뇨실금적노년인자평건강만의도교저(40.0％비70.4％,x2=25.20,P＜0.001;34.0％비64.6％,x2=25.30,P＜0.001);수방자중26.0％(84/323)불지도유노년의학과. 결론 북경사구고령노년인중노년종합정교상견,유필요재사구보급노년의학지식,위노년인제정합리적진료목표.
Objective To investigate the geriatric syndromes in the very elderly people in Beijing community,in order to provide the basis for management of geriatric syndromes and rational use of medical resources.Methods All community-dwelling residents aged 95 years and over living in Haidian district and some residents aged 85 years and over living in Haidian,Chaoyang and Xicheng districts were investigated in household in Beijing.The survey included the general condition,functional status and geriatric syndromes such as falls,senile urinary incontinence,chronic pain syndrome,chronic constipation and malnutrition occurrence.Results 336 seniors with the mean age of (96.0± 3.0) years were investigated.The percentage of people who had falls within 1 year,chronic pain,and chronic constipation was 27.2％ (88/324),37.3％ (122/327) and 47.6％ (160/336) respectively.The incidence of urinary incontinence was 37.1％ (118/318),with 33.3 ％ (46/138) in males and 40.0％ (72/180) in females,and there was no significant gender difference in the incidence of urinary incontinence (P=0.220).The incidences of malnutrition and malnutrition risks was 10.4％ (31/299) and 50.5％ (151/299).37.2％ of subjects could walk outdoor with a better physical function.The self-rated health satisfaction was lower in elderly people with malnutrition and urinary incontinence than in subjects without those diseases (40.0％ vs.70.4％,34.0％ vs.64.6％,x2 =25.20,25.30,both P＜0.001).26％ of them had never heard of geriatrics.Conclusions Geriatric syndromes are common in community-dwelling older seniors.It is urgent to spread the geriatric knowledge and set a reasonable goal for diagnosis and treatment in the seniors.
