摘要
目的了解唐山市社区老年人的身心健康状况演变轨迹,为老年人的健康管理提供依据。方法于2016年7月至2017年1月采用一般情况调查表、衰弱综合评估量表(CFAI)、简明健康调查量表(SF-36)对唐山市10个社区服务中心的3448例社区老年人进行问卷调查,并对调查结果进行分析。结果社区老年人的身心总体健康处于中等水平。随着年龄增长,老年人的身心健康呈下降趋势。75~<80岁老年人SF-36总分和各维度得分最高,80~<85岁SF-36总分和生理机能、生理职能、精力维度与85~98岁组比较,差异有统计学意义(P<0.05)。随着衰弱程度加重,老年人的身心健康呈大幅下降趋势。轻、中、重度衰弱SF-36总分和各维度存在差异,中度衰弱与重度衰弱也存在差异(P<0.05)。多因素分析显示,性别、婚姻状况、文化程度、年龄、衰弱程度与老年人的总体身心健康状况有关(P<0.05)。结论应根据老年人的年龄阶段和衰弱程度及早开展筛查和干预,提升其生活质量。
Objective To investigate the developmental trajectory of physical and mental health of the elderly in different age stages and frailty state in Tangshan,in order to provide a basis for promoting the healthy aging of the elderly.Methods From July 2016 to January 2017,a total of 3448 elders in 10 communities in Tangshan were surveyed by means of general condition questionnaire,the comprehensive frailty assessment questionnaire(CFAI)and 36-item short form health survey(SF-36),and analyzed the survey results.Results The physical and mental health of the elderly in communities was at a medium level.The physical and mental health of the elderly decreased with age.The elderly with 75—<80 years old had the highest score in SF-36 total score and sub-dimensions,while SF-36 total score,physiological function,physiological function and energy sub-dimensions of the 80—<85 years old were different from those of the 85-98 years old(P<0.05).With increasing frailty,the physical and mental health of the elderly showed a significant decline.There were differences in SF-36 total score and sub-dimensions among mild,moderate and severe frailty,while there were also differences between moderate and severe frailty(P<0.05).Multivariate analysis showed that gender,marital status,education level,age,and frailty were related to the overall physical and mental health of the elderly(P<0.05).Conclusion Early screening and intervention should be carried out to improve the quality of life of the elderly according to their age stage and the trajectory of their frailty.
作者
张圆圆
张馨月
陈长香
ZHANG Yuanyuan;ZHANG Xinyue;CHEN Changxiang(College of Nursing and Rehabilitation,North China University of Science and Technology,Tangshan,Hebei 063210,China)
出处
《重庆医学》
CAS
2021年第18期3194-3199,共6页
Chongqing medicine
基金
国家社会科学基金项目(16BRK028)。
