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无法出门的老年人的生活质量、健康状况及社交联系

[Quality of life, health and social contacts in elderly people unable to go out-of-doors].

作者信息

Due P

出版信息

Ugeskr Laeger. 1989 Oct 30;151(44):2879-82.

PMID:2531487
Abstract

The study includes 1,261 individuals aged 70-95 years old selected at random in four Danish communes with varying degree of urbanization. In October-November, 1986 they answered a mailed questionnaire on health and, social situation, quality of life, and utilization of health and social services. The object of the article is to describe elderly persons with reduced ability to leave their homes. The proportion with difficulty in leaving their home is 13% and 7% need help to get outdoors. The proportion with mobility problems is larger among women and increases with increasing age. Mobility is not associated with urbanization, household composition, housing situation, floor, stairs and social class. Mobility problems are more frequent among elderly with the lowest incomes and the most extensive health problems. Mobility problems are associated with reduced quality of life, negative self-esteem reduced social network and poor "means of communication" (hearing and sight). Elderly persons with mobility problems use more health and social services than those with unrestricted mobility. However, the use of services from the primary health services are more frequent among those who can get outdoors with some difficulty than among those who cannot get outdoors on their own. Lack of engagement toward the problems of this group of elderly must be anticipated to lead to great health and social requirements in this group in the years to come.

摘要

该研究纳入了1261名年龄在70至95岁之间的个体,他们是在丹麦四个城市化程度不同的社区中随机选取的。1986年10月至11月,他们通过邮寄问卷的方式回答了有关健康、社会状况、生活质量以及健康和社会服务利用情况的问题。本文的目的是描述那些离家能力下降的老年人。难以离家的比例为13%,7%的人外出需要帮助。女性中存在行动不便问题的比例更高,且随着年龄增长而增加。行动能力与城市化、家庭构成、住房状况、楼层、楼梯和社会阶层无关。在收入最低且健康问题最严重的老年人中,行动不便问题更为常见。行动不便问题与生活质量下降、自尊降低、社交网络减少以及“沟通方式”(听力和视力)不佳有关。有行动不便问题的老年人比行动不受限的老年人使用更多的健康和社会服务。然而,在那些外出有些困难的人中,初级卫生服务的使用频率高于那些无法自行外出的人。预计对这组老年人群体问题缺乏关注,将在未来几年导致该群体产生巨大的健康和社会需求。

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