CAJ | 학술논문

目的：探讨居家养老和机构养老的老年女性健康状况的差异及其影响因素.方法2012年7－9月,采取方便抽样法选取济南市部分城乡居家养老的170名和7所养老机构(养老院、老年公寓、敬老院)的115名老年女性为调查对象,采用自行设计的人口学资料调查表、健康状况问卷、日常生活功能指数评价量表(activities of daily living,ADL)、功能性日常生活能力量表(instrumental activities of daily living,IADL)、简易智能状态检查量表(mini-mental state examination,MMSE)、老年抑郁量表(geriatric depression scale,GDS)及 APGAR家庭功能评估表(APGAR family questionair on family function)对其进行调查.结果居家养老和机构养老的老年女性慢性疾病患病率分别为84．5％、89．6％；机构养老的老年女性 ADL 障碍、认知功能障碍及家庭功能障碍发生率明显高于居家老年女性,差异均有统计学意义(P＜0．05或P＜0．01)；机构养老的老年女性ADL、认知功能、家庭功能状态互为影响因素,且年龄、ADL 是机构养老老年女性认知功能、家庭功能状态的共同影响因素.结论与居家老年女性相比,机构养老老年女性的 ADL障碍、认知障碍及家庭功能障碍发生率较高,因此,提高机构养老老年女性的 ADL、认知功能及家庭功能状态有助于改善老年女性的健康状况.
목적：탐토거가양로화궤구양로적노년녀성건강상황적차이급기영향인소.방법2012년7－9월,채취방편추양법선취제남시부분성향거가양로적170명화7소양로궤구(양로원、노년공우、경로원)적115명노년녀성위조사대상,채용자행설계적인구학자료조사표、건강상황문권、일상생활공능지수평개량표(activities of daily living,ADL)、공능성일상생활능역량표(instrumental activities of daily living,IADL)、간역지능상태검사량표(mini-mental state examination,MMSE)、노년억욱량표(geriatric depression scale,GDS)급 APGAR가정공능평고표(APGAR family questionair on family function)대기진행조사.결과거가양로화궤구양로적노년녀성만성질병환병솔분별위84．5％、89．6％；궤구양로적노년녀성 ADL 장애、인지공능장애급가정공능장애발생솔명현고우거가노년녀성,차이균유통계학의의(P＜0．05혹P＜0．01)；궤구양로적노년녀성ADL、인지공능、가정공능상태호위영향인소,차년령、ADL 시궤구양로노년녀성인지공능、가정공능상태적공동영향인소.결론여거가노년녀성상비,궤구양로노년녀성적 ADL장애、인지장애급가정공능장애발생솔교고,인차,제고궤구양로노년녀성적 ADL、인지공능급가정공능상태유조우개선노년녀성적건강상황.
Objective To discuss the difference in health status between elderly female living at home and in institutions as well as its influential factors.Methods By convenience sampling,170 home-dwelling eld-erly female and 1 1 5 institutionalized aged women were selected and investigated by using self-designed questionnaire,activities of daily living scale (ADL),instrumental activities of daily living scale (IADL), mini-mental state examination (MMSE),geriatric depression scale (GDS)and family APGAR question-naire.Results The prevalence of chronic disease in elderly female living at home and in institutions was 84.5% and 89.6% respectively.The proportion of aged women with ADL impairment,cognitive function deficit and family dysfunction in institutions was significantly higher than that of aged women at home (P<0.05or P<0.01).ADL,cognitive function and family function were related with each other in elderly female living in institutions.Age and ADL were the common influential factors of cognitive function and family function in aged women in institutions.Conclusion Compared to elderly female at home,aged women in institutions were with high incidence of ADL impairment,cognitive deficit and family dysfunc-tion.It is constructive to improve ADL,cognitive function and family function for the health of elderly women in institutions.