摘要
目的了解北京市养老机构老年人的健康状况及其卫生服务需求,为提高养老机构老年人的健康水平,优化卫生资源提供依据。方法通过现场问卷调查的方法,对北京市某区3家不同性质养老机构内的60岁及以上、头脑清楚能自主回答问题的老年人进行调查,内容主要包括老人依赖照顾程度(Barthel index)、精神健康状况(GDS)、简易智力状况(MMSE)、社会功能状况等。结果养老机构中,老年人健康状况较差,不能完全自理老年人53.1%,慢性病患病率96.5%,老年人抑郁发生率高达44.9%,老年人的2周患病率较高(72.7%),但就诊率较低(42.9%),老年人对医疗服务需求较高,主要表现为急症救治、慢病管理、健康体检和协助转院方面,希望养老机构提供更多更方便的医疗服务。结论养老机构老年人健康状况较差,老人的医疗服务需求较高,应开展更为方便的医疗保健服务。
Objective To improve the health status of the elderly in nursing home and optimize the health resource allocation by investigating their health status and demands for health services. Methods The questionnaire survey was carried out in the elder- ly people aged 60 or more whose consciousness was clear in different nature nursing home,including Barthdl Activity of Daily Liv- ing Index, mental health （ The geriatric depression Scale ）, mini-mental state examination （ MMSE ） and social health, etc. Results The health status of the aged people was not so good and about 53.1% of them failed to do the daily living completely by themselves;the prevalence rate of the chronic diseases was 96.5% ;the prevalence of depression was as high as 44.8% ;the two weeks morbidity was high （72.7%） than their outpatient rate （42.9%）, their medical demands was mainly for emergency medical treatment, chronic disease management, physical examination and the transfer to hospital. So the demand on Health serv- ices was higher and they hoped the nursing home can afford more health care. Conclusion The health status of the aged people was not so good;their demand for Health services is higher. We should afford more convenient medical care service to them.
出处
《中华全科医学》
2012年第11期1763-1764,共2页
Chinese Journal of General Practice
关键词
养老机构
老年人
健康状况
卫生服务需求
Nursing home
The elderly
Health status
Demand for health services
