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社区老年人衰弱综合征患病现状及影响因素研究

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目的:了解上海金山区高新区社区老年人衰弱现状,并分析影响因素,为筛查和干预提供依据.方法:选取社区 65 岁及以上、符合调查要求,且自愿接受调查的老年人 2 010 名.男女性别比 1∶1.15,其中 65~69 岁占比38.51%、70~74 岁占比 28.26%、75~79 岁占比 20.75%、80 岁及以上占比 12.49%.采用Logistic回归分析社区老年人群发生衰弱的影响因素.结果:社区居民衰弱患病率 12.19%.老年人衰弱患病率随年龄增长而升高(P<0.05),低密度脂蛋白胆固醇及总胆固醇水平在男性衰弱患者和女性衰弱前期患者中较高,差异均有统计学意义(均P<0.05).在衰弱人群中合并的疾病中,较高的为高血压(86.12%)、卒中(75.51%)和呼吸系统疾病(43.67%).除恶性肿瘤外,其他合并疾病在衰弱、衰弱前期患者中较高,差异均有统计学意义(均P<0.05).Logistic分析发现,年龄段及高血糖或糖尿病是衰弱的影响因素.讨论:社区老年人群衰弱患病率较高,年龄、糖尿病等因素是其主要危险因素,在社区中应加大老年人群衰弱筛查,控制不良危险因素,及早干预,维持老年人功能,提高生活质量.
Research of the current state of debility syndrome and influencing factors in elderly people in the community
Objective:To understand the current state of debility among the community elderly population in Hi-tech Community of Jinshan District,Shanghai,and analyze the influencing factors for providing a basis for screening and intervention.Methods:A total of 2 010 elderly people aged 65 and above in the community who met the survey requirements and voluntarily accepted the survey were selected.The sex ratio of male and female was 1∶1.15,among them,65-69 years old accounted for 38.51%,70-74 years old accounted for 28.26%,75~79 years old accounted for 20.75%,and 80 years old and above accounted for 12.49% .Logistic regression was used to analyze the influencing factors of the occurrence of debility in the elderly population in the community.Results:The debilitating prevalence rate of community residents was 12.19% .The prevalence of debility in the elderly increased with age(P<0.05),and low density lipoprotein cholesterol and total cholesterol level in male debility patients and female pre debility patients were high,and the differences were statistically significant(P<0.05).Hypertension(86.12% ),stroke(75.51% )and respiratory diseases(43.67% )were higher in the debility population.Except for malignant tumors,other complication diseases were high in the debility or pre debility patients,and the difference was statistically significant(P<0.05).Logistic analysis found that age group,hyperglycemia or diabetes were the influencing factors of debility.Conclusion:The prevalence of debility among the elderly in the community is high,and age,diabetes and other factors are the main risk factors,in the community the screening of debility should be strengthened among the elderly to control adverse risk factors,and intervene as soon as possible to maintain the function of the elderly and improve the quality of life.

debility syndromeelderly peopleinfluence factor

陈磊、褚爱群、沈丹萍

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上海湾区高新技术产业开发区社区卫生服务中心办公室,上海 201506

衰弱综合征 老年人 影响因素

上海市金山区医药卫生类科技创新资金项目资助

2021-3-52

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(8)