Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras 56000, Kuala Lumpur, Malaysia.
Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras 56000, Kuala Lumpur, Malaysia.
Int J Environ Res Public Health. 2021 Jan 15;18(2):730. doi: 10.3390/ijerph18020730.
The need for assistance among the elderly is rising, which poses challenges for healthcare systems. Thus, this study aims to determine the factors associated with the need for assistance in the daily living activities of Malaysia's elderly population. A total of 1204 elderly individuals, aged 60 years and above, were recruited. An interview was conducted using the Bahasa Malaysia version of the Japan Gerontological Evaluation Study (JAGES-BM) questionnaire. Overall, 7.7% of the elderly participants required assistance. A logistic regression model showed that difficult financial statuses (aOR 4.56), hearing difficulties (aOR 1.78), and severe limitations in daily activity over the past 6 months (aOR 11.99) were associated with a higher likelihood of needing assistance. In addition, daily activities such as an inability to feed (aOR 8.46), stand without support (aOR 2.06), or walk for 15 min without stopping (aOR 1.99) were significantly associated with the need for assistance. Factors associated with the need for assistance are health status, disability, and the financial status of the elderly. Preventive measures should be included in policies to ensure the sustainability of the care provided to the elderly in terms of promoting healthy ageing and a good quality of life.
老年人对援助的需求不断增加，这给医疗保健系统带来了挑战。因此，本研究旨在确定与马来西亚老年人口日常生活活动中需要援助相关的因素。共招募了 1204 名 60 岁及以上的老年人。使用马来西亚语版日本老年评估研究（JAGES-BM）问卷进行了访谈。总体而言，7.7%的老年人需要援助。逻辑回归模型显示，经济困难（aOR 4.56）、听力困难（aOR 1.78）和过去 6 个月严重限制日常活动（aOR 11.99）与需要援助的可能性更高相关。此外，日常生活活动，如无法进食（aOR 8.46）、无支撑站立（aOR 2.06）或行走 15 分钟不停歇（aOR 1.99）与需要援助显著相关。与需要援助相关的因素是老年人的健康状况、残疾和经济状况。应在政策中纳入预防措施，以确保为老年人提供的护理的可持续性，促进健康老龄化和良好的生活质量。
