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目的评价老年(≥60岁)住院患者日常生活能力状况及相关影响因素。方法采用横断面调查方法,对重庆市某三甲医院老年科375名老年住院患者使用日常生活能力(ADL)量表进行健康状况及日常生活能力调查,并分析其影响因素。结果 375名老年患者中,女性ADL受损率为59.60%(93/156),男性为75.90%(166/219),不同性别间差异具有统计学意义(χ2=11.169,P=0.001)。各年龄段ADL受损率分别为:60~69岁95.40%,70~79岁91.40%,80~89岁87.20%,≥90岁98.55%,不同年龄阶段间差异具有统计学意义(χ2=8.575,P=0.036)。logistic回归分析结果显示,年龄是ADL受损的危险因素[OR=0.188,95%CI(0.085,0.416),P=0.000]。ADL评价项目中,以上下楼梯困难所占比例最高(68.80%)。结论老年住院患者应配备专门的照理人员,最大限度减少老年住院患者日常生活困难,进一步提升老年住院患者的日常生活能力,保障其生活质量。
Objective To evaluate the daily living ability of hospitalized elderly patients (≥60 years old) and related factors. Methods A cross-sectional survey was conducted to investigate the health status and daily living ability of 375 elder inpatients in a senior care unit of a senior in Chongqing using the daily living ability (ADL) scale. The influencing factors were analyzed. Results Among 375 elderly patients, the ADLs were 59.60% (93/156) in women and 75.90% (166/219) in men. There was significant difference between genders (χ2 = 11.169, P = 0.001). The ADL damage rates of all ages were 95.40% in 60-69 years, 91.40% in 70-79 years, 87.20% in 80-89 years and 98.55% in 90-90 years, with significant difference between different age groups (χ2 = 8.575 , P = 0.036). Logistic regression analysis showed that age was a risk factor for ADL impairment [OR = 0.188, 95% CI (0.085, 0.416), P = 0.000]. ADL evaluation project, the highest proportion of down stairs difficulty (68.80%). Conclusion Elderly inpatients should be equipped with special care staff to minimize the daily living difficulties of elderly inpatients, to further enhance the daily living ability of elderly inpatients to ensure their quality of life.