社区老年人健康功能多维评价及影响因素

目的 评价福州市社区老年人的健康状况，并探讨影响健康的有关因素。方法 对1767名65岁及以上的老年人进行问卷调查，从日常生活功能、躯体健康、精神健康、社会健康和经济状况等5个基本方面对老年人健康功能状况进行多维评价。结果 研究对象中综合健康状况优良、一般和较差分别占总人数的47．1％，44．6％和8．3％。5项单维健康损害发生率介于37．7％和74％之间，其中躯体健康损害发生率最高。影响老年人健康水平的主要慢性病为高血压、心脏病和糖尿病。结论 慢性病防治、婚姻家庭生活、适度体育锻炼、科学膳食营养以及参与社会活动等均有益于社区老年人健康水平的提高。

Multidimensional functional assessment on health status of the elderly and affecting factors

Objective To evaluate the health status of community-dwe lling elderly people in Fuzhou and explore the affecting factors.Methods 1?767 residents aged 65 years and elder were selected to be interviewed and multidimensional functional assessment was carri ed out.Health evaluation in 5 dimensions included activities of daily living (AD L),physical health,mental health,social support and economic situation.Results The comprehensive assessment indicated that const ituent ratios of good,general and poor health status were 47 1%,44 6% and 8 3%, respectively.The prevalence rates of health impairment in 5 dimensions rang ed between 37 7% and 74%,and among them physical health impairment rate was t he highest.Main chronic diseases affecting health level were hypertension,heart disease and diabetes.Conclusion Prevention and treatment of chronic diseases,m arriage and family care,proper physical exercise,nutritious food,social and recr eational activities were helpful to improve the health status of the elderly.