SONG Qingyang, XU Yanjie, LIU Jingjing, CAO Hongjing, LU Yanli. Assessment and analysis of disability status of elderly people in Dongcheng District of Beijing[J]. Journal of Clinical Medicine in Practice, 2021, 25(5): 61-64, 73. DOI: 10.7619/jcmp.20210126
Citation: SONG Qingyang, XU Yanjie, LIU Jingjing, CAO Hongjing, LU Yanli. Assessment and analysis of disability status of elderly people in Dongcheng District of Beijing[J]. Journal of Clinical Medicine in Practice, 2021, 25(5): 61-64, 73. DOI: 10.7619/jcmp.20210126

Assessment and analysis of disability status of elderly people in Dongcheng District of Beijing

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  • Received Date: January 06, 2021
  • Available Online: March 22, 2021
  • Published Date: March 14, 2021
  •   Objective  To evaluate the disability status of the elderly people with policy arrangement, support and in nursing facility in Dongcheng District of Beijing by the Health Assessment Scale for disabled elderly people.
      Methods  The elderly people from 9 streets and 4 nursing facilities in Dongcheng District of Beijing were selected and assessed at home by questionnaire in October 2019, and the results of the Health Assessment Scale for Disabled Elderly People were analyzed.
      Results  A total of 526 elderly patients were evaluated, and 507 of them were effective in evaluation, with an average age of (85.96±5.92) years. The score of Activities of Daily Living was (23.08±20.73) points, the total score of Scale for Mental State and Social Participation Capacity was (10.53±9.26) points, and the total score of Scale for Perception and Communication Ability was (3.01±2.51) points. The number of geriatric syndromes was (2.38±1.54). Assessment of disability were classified into 5 grades, including 45 cases (8.87%) with grade 0 (normal capability), 123 cases (24.26%) with grade 1 (mild disability), 131 cases (25.84%) with grade 2 (moderate disability), 110 cases (21.70%) with grade 3 (severe disability) and 98 cases (19.33%) with grade 4 (extremely severe disability). The more the number of items of geriatric syndrome was, the higher the disability grade would be, and there was a significant difference (P < 0.05). Multivariate analysis showed that the severity of disability was positively correlated with falling (OR=3.40), delirium (OR=4.32), multiple drug use (OR=1.82), carrying pipeline (OR=5.26), chronic pain (OR=2.68), sleep disorder (OR=1.92) and dysphagia (OR=5.69).
      Conclusion  It is suggested to integrate regional resources, develop community-based home care, improve the service ability of nursing facility for elderly people, identify and intervene geriatric syndrome as soon as possible, and provide accurate services for the disabled elderly people.
  • [1]
    陆杰华, 张莉. 中国老年人的照料需求模式及其影响因素研究: 基于中国老年社会追踪调查数据的验证[J]. 人口学刊, 2018, 40(2): 22-33. https://www.cnki.com.cn/Article/CJFDTOTAL-RKXK201802002.htm
    [2]
    刘晓楚, 杨良琴, 罗玉茹, 等. 基于Andersen行为模型的社区老年人医养结合养老需求分析[J]. 中国全科医学, 2019, 22(2): 180-187. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201902018.htm
    [3]
    上海市人力资源与社会保障局. 市政府关于印发《上海市长期护理保险试点办法》的通知[EB/OL]. [2016-12-29].
    [4]
    张玉强. 失能老人医养结合服务的创新研究: 以青岛长期医疗护理保险制度为例证[J]. 中国卫生事业管理, 2017, 34(3): 176-176. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWSG201703004.htm
    [5]
    沈妍交, 曹立, 董碧蓉. 老年医学国际新视角: 老年人急性期快速恢复病房[J]. 中华老年医学杂志, 2018, 37(2): 232-235. doi: 10.3760/cma.j.issn.0254-9026.2018.02.027
    [6]
    AVELINO-SILVA T J, FARFEL J M, CURIATI J A, et al. Comprehensive geriatric assessment predicts mortality and adverse outcomes in hospitalized older adults[J]. BMC Geriatr, 2014, 14: 129-137. doi: 10.1186/1471-2318-14-129
    [7]
    李春玲, 万曜, 田晓洁, 等. 上海市部分城区养老机构发展现状和对策研究[J]. 中华医院管理杂志, 2018, 34(6): 441-444. doi: 10.3760/cma.j.issn.1000-6672.2018.06.001
    [8]
    周丽平, 孙建萍, 杨支兰, 等. 养老机构老年人营养管理研究进展[J]. 中国老年学杂志, 2016, 36(3): 753-755. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLXZ201603108.htm
    [9]
    孙昊欣. 江苏三县(市)民办养老机构运营的困境与突破[J]. 中国老年学杂志, 2018, 38(23): 5884-5887. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLXZ201823096.htm
    [10]
    马丽娜, 陈彪. 老年人衰弱综合征的研究现状及发展趋势[J]. 中华老年医学杂志, 2020, 39(4): 369-372. http://med.wanfangdata.com.cn/Paper/Detail?dbid=WF_QK&id=PeriodicalPaper_zhlnyx202004003
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