论文部分内容阅读
目的调查上海市老人日常生活能力（ＡＤＬ）状况及各类疾病发生率，分析痴呆综合征与其他疾病对老人ＡＤＬ的影响。方法采用我国修订版ＡＤＬ量表与疾病检询清单，经筛查和确诊，以３７４５名≥６５岁社区老人为分析样本，对６５～７４岁及≥７５岁两组分别予Ｌｏｇｉｓｔｉｃ多元回归分析，观察年龄、性别、文化程度及各类疾病变量对ＡＤＬ依赖的作用。结果ＡＤＬ依赖发生率达８．２８％，随年龄每增递１０岁，依赖发生成倍增长。疾病发生率（＞２０％）居前者的有高血压、心脏病、眼及关节疾病，痴呆为４．６１％。对两组老人影响最甚的疾病为脑卒中、震颤麻痹、痴呆、糖尿病及肺气肿。≥７５岁高龄组还析出癌症、动脉硬化、高血压等风险因子，痴呆的影响仍很显著。结论以Ａｌｚｈｅｉｍｅｒ′ｓ病为主的痴呆综合征是影响老人ＡＤＬ的严重疾病之一，亟待引起全社会的关注，应加强社区康复及医疗保健措施，以改进社区老人的生活质量。
Objective To investigate the status of ADL and the incidence of various diseases in the elderly in Shanghai, and analyze the effects of dementia syndrome and other diseases on ADL in the elderly. Methods A revised version of the ADL scale and a list of disease inquiries were used. After screening and diagnosis, 3745 elderly people aged 65 or older were selected as the analysis samples. Logistic regression analysis was performed on the 65-74-year-old and ≥75-year-old groups. Observe the effects of age, gender, education level, and various disease variables on ADL dependence. Results The incidence of ADL dependence was 8.28%, with age increasing by 10 years, dependence recurred. The prevalence of the disease (>20%) was high blood pressure, heart disease, eye and joint diseases, and dementia was 4.61%. The two diseases most affected by the elderly were stroke, paralysis, dementia, diabetes, and emphysema. The risk factors for cancer, arteriosclerosis, hypertension, and other risk factors also existed in the ≥75-year-old group, and the effect of dementia was still significant. Conclusion Alzheimer’s disease-related dementia syndrome is one of the serious diseases affecting the elderly ADL. It needs to arouse the attention of the whole society. Community rehabilitation and medical care measures should be strengthened to improve the quality of life for the elderly in the community.