《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (4): 372-375.

• 论文 • 上一篇    下一篇

居家养老老年人日常生活活动能力及其影响因素

汤军克，陈林利，陈建平   

  1. 上海市闵行区疾病预防控制中心信息科，上海市 201101。
  • 收稿日期:2012-01-30 修回日期:1900-01-01 出版日期:2012-04-25 发布日期:2012-04-25

Activities of Daily Living and Related Factors of the Elderly Homecare Receivers

TANG Jun-ke, CHEN Lin-li, CHEN Jian-ping.   

  1. Department of Information, Minhang District Center for Disease Control and Prevention, Shanghai 201100, China
  • Received:2012-01-30 Revised:1900-01-01 Published:2012-04-25 Online:2012-04-25

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摘要： 目的了解居家养老老年人日常生活活动能力(ADL)及其影响因素。方法采用分层整群抽样方法抽取上海市闵行区3 个镇1 个街道的830 名居家养老老年人，采用ADL 量表进行调查。结果居家养老老年人ADL 得分情况为：人均ADL 总分为(25.59±11.16)分，其中躯体生活自理能力(PSMS)得分为(8.74±4.29)分，工具性日常生活活动能力(IADL)得分为(16.85±7.53)分。830名老年人中，PSMS、IADL 受损或功能下降的分别占55.19%，79.64%。ADL 总分>16 分的有593(71.45%)人，≥22 分的有458(55.18%)人。结论居家养老老年人ADL 较差；影响居家养老老年人ADL 的因素有：是否每天外出散步、每月收入、是否患有脑血管意外、医疗保险、文化程度、糖尿病、对目前生活满意度、有无疾病、是否丧偶。

关键词: 居家养老, 老年人, 日常生活活动能力, 影响因素

Abstract: Objective To understand the activities of daily living and related factors of the elderly homecare receivers. Methods The elderlyhomecare receivers in 3 towns and 1 street of Shanghai Minhang District were enrolled by stratified cluster sampling, 830 elderly personswere investigated with Activities of Daily Living Scale (ADL). Results The score of the elderly in local areas was as following: ADLscore was (25.59 ± 11.16), Physical Self-maintenance Scale (PSMS) score was (8.74 ± 4.29), Instrumental Activity of Daily Living Scale(IADL) score was (16.85±7.53). PSMS impairment or dysfunction accounted for 55.19%, and IADL accounted for 79.64%. ADL score >16points had 593 people, accounting for 71.45%, ≥22 points had 458 people, accounting for 55.18%. Conclusion The elderly homecare receivershave relatively poor ability of daily living. Related factors were whether to go out for a walk every day, monthly income, cerebrovascularaccident, medical insurance, educational level, diabetes, the current life satisfaction, disease and loss of spouse.

Key words: homecare for the aged, the elderly, activities of daily living, related factors