上海市某社区老年慢性病人对日常生活功能综合影响分析

目的 研究上海市某社区老年人慢性病对日常生活功能（ＡＤＬ和ＩＡＤＬ）的影响。方法 问卷询问和体格检查相结合，对上海市某社区９６６名≥６０岁的老年人进行慢性病和日常生活功能调查。运用非条件Ｌｏｇｉｓｔｉｃ回归分析慢性病对老年人日常生活功能损害作用的大小。结果 慢性病患病率为５７．８％，ＡＤＬ损害率为９．４％，ＩＡＤＬ损害率为２３．２％。对ＡＤＬ损害影响显著的疾病依次为脑血管疾病、白内障和慢性阻塞性肺部疾患；对ＩＡＤＬ损害影响显著的疾病依次为脑血管疾病、冠心病和慢性阻塞性肺部疾患。结论 慢性病患病率高低与老年人日常生活功能损害率无对应关系，而受疾病性质、严重程度和躯体活动能力影响较大；对老年人日常生活功能损害作用显著的疾病的分布有一定地区性。

Impact of the elderly chronic diseases in ability of daily life

Objective To study the chronic diseases in the ability of daily life in the elderly of Shanghai.Methods The chronic diseases and the ability of daily life of 966 elderly people aged 60 years old or above were investigated by questionnaire and physical examination.The indexes of the ability of daily were physical activities of daily living(ADL)and instrumental activities of daily living(IADL).The non-conditioned Logistic regression model was used in analyzing the effect of some chronic diseases on the ability of daily life in the elderly.Results The prevalence rate of chronic diseases was 57 8%.The rates of function disability for ADL and IADL were 9 4% and 23 2% respectively.Cerebrovascular disease,cataract(or coronary heart disease)chronic obstructive pulmonary disease(COPD)showed a significant effect on the disability for ADL and IADL respectively.Conclusion There is no parallel relationship between the chronic diseases and the function disability of daily life among the elderly.The character and the seriousness of chronic diseases significantly effecf the funcfion disability of daily life in the elderly,and it is also affected in different areas.