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[目的]了解济宁市老年人基本日常生活活动能力和工具性日常生活活动能力,为社区及乡镇卫生服务机构有效开展老年卫生服务和健康维护提供参考。[方法]2011年3～4月,采用多阶段随机抽样方法,在济宁市城区抽取≥65岁常住户口的老年504人应用Katz日常生活活动量表(Katz-ADL)和工具性日常生活活动量表(Lawton-IADL)进行调查。[结果]测评人504人,Katz-ADL得分为5.66±0.91分。6项功能均保持的占80.95%,6项功能均丧失的占0.79%。6项功能均保持者所占比例,男性为86.67%,女性为74.36%(P<0.01)。测试的504人中,Lawton-IADL得分:男性为3.72±1.59分,女性为5.06±2.83分。其中,男女相同的5项功能均保持者所占比例为33.53%,男性为44.08%,女性为21.37%(P<0.01);5项功能均丧失者所占比例为11.31%,男性为7.78%,女性为15.38%(P<0.01)。[结论]济宁市城区老年人日常生活活动能力和工具使用生活能力较高,多项生活活动能力保持率男性高于女性。
[Objective] To understand the basic daily living activities and instrumental activities of daily living in the elderly in Jining, and provide references for the community and township health service agencies to effectively carry out elderly health services and health maintenance. [Methods] From March to April 2011, 504 elderly people aged 65 years or older in the urban area of Jining City were enrolled in this study. The Katz daily living activity scale (Katz-ADL) and instrumental daily living activity Table (Lawton-IADL) to investigate. [Results] There were 504 evaluators and the Katz-ADL score was 5.66 ± 0.91 points. Six functions are maintained accounted for 80.95%, 6 features were lost 0.79%. The proportion of 6 function holders was 86.67% in males and 74.36% in females (P <0.01). Of the 504 people tested, Lawton-IADL scores were 3.72 ± 1.59 for men and 5.06 ± 2.83 for women. Among them, the percentage of five functionally identical males and females was 33.53%, 44.08% for males and 21.37% for females (P <0.01). The percentage of those with loss of all five functions was 11.31% and that of males was 7.78% And 15.38% in women (P <0.01). [Conclusion] The daily living ability and tool life ability of the elderly in Jining urban area are higher than those in the urban area of Jining. The retention rate of many living activities is higher than that of the female.