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老年人的功能残疾:一项基于社区的横断面研究。

Functional disability among elderly: A community-based cross-sectional study.

作者信息

Vaish Kriti, Patra Somdatta, Chhabra Pragti

机构信息

Department of Community Health, St. Stephen's Hospital, Tis Hazari, New Delhi, India.

Department of Community Medicine, University College of Medical Sciences, Delhi, India.

出版信息

J Family Med Prim Care. 2020 Jan 28;9(1):253-258. doi: 10.4103/jfmpc.jfmpc_728_19. eCollection 2020 Jan.

Abstract

BACKGROUND

Old age is often associated with functional decline and physical dependence, thus compromising the ability to carry out basic tasks required for daily living. There are very few community-based studies on functional disability among elderly, especially in India. This study was done to find out the prevalence of functional disability and associated risk factors among the elderly in urbanized villages of Delhi.

METHODS

A cross-sectional study was conducted in two urbanized villages of East Delhi. A semi-structured interview schedule was used to record the socio-demographic and relevant personal details of the elderly (>60 years). Functional disability was defined as a disability in activities of daily living (ADL) or blindness or bilateral hearing impairment or a combination of these. Statistical analysis included simple descriptive analysis and tests of significance like Chi-square test. The multiple logistic regression was used to identify predictors of functional disability.

RESULTS

Data were collected from 360 study participants. Around one-fourth (25.6%) of the study participants were having a functional disability. Older age, presence of chronic disease, and having possible malnutrition were found to be significant predictors of functional disability among the elderly by applying the multiple logistic regression.

CONCLUSIONS

Functional disability needs to be identified at an early stage using appropriate tools so that proper interventions can be directed to those who need it to ensure healthy aging.

摘要

背景

老年常与功能衰退和身体依赖相关,从而损害进行日常生活所需基本任务的能力。关于老年人功能残疾的社区研究非常少,尤其是在印度。本研究旨在查明德里城市化村庄老年人中功能残疾的患病率及相关危险因素。

方法

在东德里的两个城市化村庄进行了一项横断面研究。使用半结构化访谈问卷记录老年人(>60岁)的社会人口学和相关个人详细信息。功能残疾定义为日常生活活动(ADL)残疾、失明、双侧听力障碍或这些情况的组合。统计分析包括简单描述性分析和卡方检验等显著性检验。采用多元逻辑回归来确定功能残疾的预测因素。

结果

从360名研究参与者中收集了数据。约四分之一(25.6%)的研究参与者存在功能残疾。通过多元逻辑回归发现,高龄、患有慢性病和可能存在营养不良是老年人功能残疾的显著预测因素。

结论

需要使用适当工具在早期识别功能残疾,以便能够对有需要的人进行适当干预,以确保健康老龄化。

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