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中文摘要: 目的 分析疗养院老年人的共病罹患情况、身体功能状况及其医养需求情况。方法 对2019年1—12月在江苏无锡某疗养院疗养的80位老年人按年龄分为70~79岁组和80~89岁组,由老年科医生联合多学科团队采用老年综合评估(CGA)评估老年人的共病罹患情况、身体功能状况并调查医养服务需求。结果 (1)老年人慢性病排名前5位为高血压、糖尿病、冠心病、血脂异常和脑血管病;老年综合征排名前5位为多重用药、睡眠障碍、听力下降、视力异常和焦虑抑郁。(2)98.08%的70~79岁组老年人至少患1种慢性疾病,共病中位数为3种;100.00%的80~89岁组老年人至少患1种慢性疾病,共病中位数为4种。(3)ADL评分提示, 除1.25%的老年人生活需要得到照护外,其余均可达到日常基本生活基本自理水平。(4)70~79岁组老年人功能独立评分平均为(99.12±19.01) 分。80~89岁组老年人功能独立评分平均为(90.07±13.95) 分。(5)老年人医养需求位于前3位的为疾病诊治、健康管理与健康宣教。结论 疗养院老年人健康状况尚可,大多有多病共存但症状较轻;医疗保健服务是养老的主要服务需求。应对老年患者做好老年综合评估,及时发现并干预这些老年人问题,在医养结合模式下满足老年人的健康需求。
Abstract:Objective To analyze the co-morbidity, physical function and medical needs of elderly people in sanatoriums Methods Eighty elderly people who were convalescent in H Sanatorium in Wuxi, Jiangsu from January 2019 to December 2019 were divided into 70-79-year-old and 80-89-year-old groups by age. (CGA) Assess co-morbidity and physical function of the elderly and investigate medical oxygen service needs. Results(1)The top five chronic diseases of the elderly are: hypertension, diabetes, coronary heart disease, dyslipidemia, and cerebrovascular disease; the top five of the elderly syndrome are: multiple medications,sleep disorders, hearing loss, vision abnormalities, anxiety-depression. (2)98.08% of 70 ~79-year-olds suffer from at least 1 chronic disease, with a median of 3 comorbidities; 100% of 80~89-year-olds suffer from at least 1 chronic disease, with a comorbid number 4 types. (3)The ADL score suggests that except for 1.25% of the elderly who need care, the rest can reach the basic self-care level of basic daily life. (4)The average functional independence score of the 70~79-year-old group was (99.12±19.01) points. The average functional independence score of the elderly in the 80~89 age group was (90.07±13.95) points. (5)The top three health care needs of the elderly are disease diagnosis and treatment, health management and health education. Conclusion The health status of the elderly in the elderly care institutions is acceptable, with
multiple diseases coexisting but the symptoms are mild; medical care services are the main service
needs of the elderly. Elderly patients should be comprehensively evaluated for the elderly, timely find out and intervene in these elderly problems, and meet the demand for elderly care services in the integrated medical care system.
文章编号:3202007006 中图分类号:R 197 文献标志码:
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