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目的 探讨影响高龄老人生活自理能力的因素 ,为高龄老人慢性病的防治和康复工作提供科学依据。方法 采用入户问卷对成都市小天竺辖区 2 0 4位 80岁以上高龄老人的一般情况、慢性病患病情况、ADL (日常生活能力 )和IADL (工具性日常生活能力 )进行调查。结果 高龄老人的慢性病患病率为 83 8% ,其中患两种以上慢性病者占 5 1 3%。 9 6 %的高龄老人ADL得分与 37 7%的高龄老人IADL得分均低于平均值。ADL与高龄老人的婚姻状况和照顾者间有相关关系 (P <0 0 5 )。IADL与高龄老人的年龄、照顾者和家庭功能间有相关关系 (P <0 0 5 )。结论高龄老年人群是一个高危人群 ,年龄、婚姻状况和照顾者是影响高龄老人日常生活能力的主要因素
Objective To explore the factors that affect the ability of the elderly to take care of themselves and provide a scientific basis for the prevention and rehabilitation of the elderly with chronic diseases. Methods The questionnaire was used to investigate the general situation, prevalence of chronic diseases, ADL (daily living ability) and IADL (instrumental daily living ability) of 204 elderly people over the age of 80 in Xiaotianzuo area of Chengdu city. Results The prevalence of chronic diseases among the elderly was 83.8%, of which 51.3% were those with more than two kinds of chronic diseases. 9 6% of ADL scores of the elderly and 37 7% of the elderly IADL scores were lower than the average. There was a correlation between ADL and elderly people’s marital status and caregivers (P <0 05). There was a correlation between IADL and the age, caregivers and family functions of the elderly (P <0.05). Conclusion The elderly elderly population is a high-risk group. Age, marital status and caregivers are the main factors influencing the daily living ability of the elderly