Department of Health Care Management, Chang Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Tao-Yuan 333, Taiwan.
Arch Gerontol Geriatr. 2011 Mar-Apr;52(2):147-52. doi: 10.1016/j.archger.2010.03.004. Epub 2010 Mar 24.
The aims of the present study were to determine the relationships among diabetes, functional ability and self-rated health, and whether they predict subsequent hospital admission in a representative sample of older adults. We conducted a prospective study on persons aged 65 and above (N=2064) who participated in the National Health Interview Survey in Taiwan, 2001. A total of 1609 participants consented to data linkage and were successfully linked to 2002 National Health Insurance claims data. Functional ability was defined as the ability to perform six activities of daily living (ADL). After adjustment for potential confounders, older adults with diabetes were significantly more likely to have ADL limitation and worse self-rated health and had an increased risk of hospitalization. Diabetes, ADL limitation and worse self-rated health all independently predicted hospital admission within one year. Older adults with diabetes, ADL limitation and worse self-rated health are important target populations for interventions aimed at preventing hospitalization.
本研究旨在确定糖尿病、功能能力和自我评估健康之间的关系，并探讨它们是否能预测老年人群中随后的住院情况。我们对 2001 年参加台湾全国健康访谈调查的 65 岁及以上人群进行了一项前瞻性研究（N=2064）。共有 1609 名参与者同意进行数据链接，并成功链接到 2002 年的国民健康保险理赔数据。功能能力定义为完成六项日常生活活动（ADL）的能力。调整潜在混杂因素后，患有糖尿病的老年人更有可能出现日常生活活动受限和自我评估健康状况较差的情况，并且住院的风险增加。糖尿病、ADL 受限和自我评估健康状况较差均独立预测一年内的住院情况。患有糖尿病、ADL 受限和自我评估健康状况较差的老年人是预防住院的干预措施的重要目标人群。
