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目的 :从日常生活活动能力角度了解上海市老年照护需求,为应对老龄化问题提供参考依据。方法 :采用整群抽样方式抽取上海市静安区某街道60岁及以上居家老年人8 218人,采用日常生活活动能力来推测上海市老年人的照护需求,运用SAS统计软件进行卡方检验、logistic回归等分析。结果 :随着年龄的增长,老年人的日常生活活动能力呈现逐年下降趋势。年龄的增长、患有慢性病、缺乏亲人的照护都是日常生活活动能力的危险因素,独居和亲属的照护是保护性因素,推算2014年上海需要照护的老年人数量为20.04万人。结论 :上海市老年照护服务需求大,老年照护资源不足与浪费共存。建议加强老年照护能力建设,呼吁亲属和社会增加对老人的关爱。
OBJECTIVE: To understand the needs of elderly care in Shanghai from the perspective of daily living activities and to provide a reference for coping with the aging problem. Methods: A total of 8 218 elderly people aged 60 years old and above in a street of Jing’an District of Shanghai were sampled by cluster sampling method. The daily living ability was used to estimate the care needs of the elderly in Shanghai. The SAS test was used to analyze the logistic Regression analysis. Results: With the increase of age, the activities of daily living in the elderly showed a declining trend year by year. The increasing age, the chronic diseases and the lack of family members’ care are the risk factors of the activities of daily living. The care of the living alone and relatives is a protective factor. It is estimated that the number of the elderly in need of care in Shanghai in 2014 was 200,400. Conclusion: The demand for elderly care services in Shanghai is high, and the shortage of elderly care resources coexists with the waste. It is proposed to step up the construction of elderly care capacity and urge relatives and the community to increase their love for the elderly.