Yelin E H, Katz P P
Rosalind Russell Arthritis Center, Department of Medicine, University of California, San Francisco.
Arthritis Rheum. 1990 Aug;33(8):1205-15. doi: 10.1002/art.1780330822.
We used the Longitudinal Study on Aging, a national study of community-dwelling elderly people, to 1) estimate the number of elderly persons with arthritis, with and without other chronic conditions, living in the community in 1984, who reported limitations in physical activities, activities of daily living (ADL), and instrumental activities of daily living (IADL); 2) enumerate the population of the elderly with arthritis who were receiving help or paid help with ADL or IADL; and 3) estimate the number of such persons experiencing a change in health status in the ensuing 2 years. In 1984, 14% of all 15.6 million community-dwelling elderly people had arthritis and no other chronic conditions; 41% had arthritis concurrently with other chronic conditions. Of the former group, 66% experienced limitations in physical activities, but only approximately 25% reported limitations in ADL or IADL in 1984. Among the group with arthritis and other chronic conditions, 82% were limited in at least 1 physical activity, and 41% were limited in ADL. With the passage of 2 years, 2% of elderly persons with arthritis and no other conditions had entered a nursing home, 7% had died, and the percentage reporting no limitation declined significantly. Among elderly persons with arthritis and other conditions, 4% entered a nursing home, 12% died, and the rates of all forms of limitation increased. It is essential to gather data such as these, on the prevalence and incidence of limitation among the elderly with arthritis, to ensure adequate long-term care services for an increasing aged population.
我们利用“老龄化纵向研究”（一项针对社区居住老年人的全国性研究）来：1）估计1984年居住在社区中患有关节炎且有或没有其他慢性病、报告身体活动、日常生活活动（ADL）和工具性日常生活活动（IADL）受限的老年人数量；2）统计接受ADL或IADL帮助或付费帮助的患有关节炎的老年人群体；3）估计在随后两年中健康状况发生变化的此类人群数量。1984年，在所有1560万社区居住老年人中，14%患有关节炎且无其他慢性病；41%患有关节炎同时伴有其他慢性病。在前一组中，66%在身体活动方面受限，但在1984年只有约25%报告在ADL或IADL方面受限。在患有关节炎和其他慢性病的群体中，82%至少在一项身体活动方面受限，41%在ADL方面受限。经过两年时间，患有关节炎且无其他疾病的老年人中有2%进入了养老院，7%死亡，报告无受限的比例显著下降。在患有关节炎和其他疾病的老年人中，4%进入了养老院，12%死亡，所有形式受限的比例都有所增加。收集这些关于患有关节炎老年人受限患病率和发病率的数据，对于确保为不断增加的老年人口提供足够的长期护理服务至关重要。
