摘要
目的 探讨乌鲁木齐市社区老年人衰弱现状及其影响因素.方法 采用便利抽样法,选取新疆乌鲁木齐市水磨沟区的223例老年人作为研究对象,采用基本信息资料调查问卷、ADLs量表、MMSE量表、GDS-15量表、SSRS量表和SF-36量表进行问卷调查,应用单因素分析和二分类logistic回归分析老年衰弱人群的影响因素.结果 社区老年人群衰弱发生率为12.11%(27/223).单因素分析结果显示:衰弱与非衰弱患者年龄、家庭收入、医疗费用支付方式、患疾病种类、SSRS得分、GDS-15得分及SF-36量表中的情感职能、社会功能得分比较差异有统计学意义(P均<0.05).二分类logistic回归分析结果显示,年龄、患疾病种类(≥2种)、抑郁是衰弱发生的危险因素(P均<0.05),家庭收入(≥2 000元)、医保、社会支持(客观支持、主观支持和对社会支持的利用度)、情感职能、社会功能是衰弱发生的保护因素(P均<0.05).结论 乌鲁木齐市社区老年人衰弱发生率较高,年龄、患疾病种类、抑郁、家庭收入、医保、社会支持、情感职能、社会功能是衰弱发生的影响因素.
Abstract
Objective To explore the status quo of frailty of elderly people in community and its influencing factors.Methods A total of 223 elderly patients in Shuimogou District of Urumqi,Xinjiang were selected by convenience sam-pling method.Basic information questionnaire,ADLs scale,MMSE scale,GDS-15 scale,SSRS scale and SF-36 scale were used for questionnaire investigation.Univariate analysis and binary logistic regression were used to analyze the influ-encing factors of senile patients.Results The incidence of frailty was 12.11%(27/223).The results of univariate analy-sis showed that there were significant differences in age,family income,payment method of medical expenses,diseases type,SSRS score,GDS-15 score and emotional function and social function scores in SF-36 scale between frailty and non-frailty patients(all P<0.05).Binary logistic regression analysis showed that age,disease type(≥2 kinds)and depression were risk factors for frailty(all P<0.05).Family income(≥2 000 yuan),medical insurance,social support(objective support,subjective support and utilization of social support),emotional function and social function were the protective factors(all P<0.05).Conclusions The incidence of frailty in the elderly in Urumqi community is high.Age,disease type,depression,family income,medical insurance,social support,emotional function and social function are the influ-encing factors.
基金项目
新疆维吾尔自治区重点实验室开放课题(XJDX1711-2109)
NETL
NSTL
维普
万方数据