【摘要】 目的了解高龄老人身体健康、经济状况、家庭和社会保障、日常生活能力及医疗服务的需求,以便对社区高龄老人的综合健康质量作出正确评估。方法采用整群抽样方法对奉贤区按东、南、西、北、中5个区域中各抽查1个镇共1634名80岁以上老人入户调查。结果高龄老人慢性病患病率为68.05%,以高血压、慢性阻塞性肺病、心脏病为主,有17.20%的高龄老人生活能力处于半自理和完全不能自理的状态,享有医保或初级合作医疗待遇的老人占69.98%,有77.41%的老人月经济收入低于100元,对生活和健康总体满意或较满意的占90.33%。结论奉贤区高龄老人经济收入偏低,总体生活满意度较高。有必要针对不同情况采取不同的社区干预措施,以提高老年人综合健康水平。更多还原

【Abstract】 Objective In order to evaluate the quality of general health and economic status,family and social security,routine living activity and the demands to the medical service of the aged people in the countryside.Methods 1 634 of aged people(over eighties) were selected in the eastern,southern,western,northern and central area of Fengxian district with cluster sampling and investigated in person.Results Their prevalence of the chronic disease was 68.05%,which were mainly hypertension,COPD(Chronic Obstructive Pulmonary Disease) and cardiopathy.17.20% of them partially or completely can’t manage their daily life by themselves;69.98% of them had medical insurance or primary cooperative medical services;the income in 77.41% of them was less than 100 Yuan;90.33% cases were satisfied or comparatively satisfied with their life.The healthy issue,family and society insurance and loneliness were the main factors which can affect the general health status.Conclusion The prevalence of chronic disease in the aged people was relatively higher in Fengxian district,and their income was low.However,the satisfaction degree for life was higher.So it should adopt different community interventions for different cases in order to raise the general health level of the aged people.更多还原