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中国全科医学 ›› 2018, Vol. 21 ›› Issue (16): 2009-2012.DOI: 10.3969/j.issn.1007-9572.2018.16.021

• 专题研究 • 上一篇    下一篇

深圳市城中村老年人多种慢性病共存的现状研究

黄文静1，2，邱珊娇2，龚卫红2，黄泽君2，王家骥1*，杨辉1，3，4   

  1. 1.510182广东省广州市，广州医科大学公共卫生学院　2.518003广东省深圳市，罗湖医院集团黄贝岭社区健康服务中心　3.3168 Faculty of Medicine，Nursing and Health Sciences，Monash University，Melbourne，Australia　4.518020广东省深圳市，深圳国际全科医学和社区卫生研究中心
    *通信作者：王家骥，教授，博士生导师；E-mail：wjiaji@163.com
  • 出版日期:2018-06-05 发布日期:2018-06-05

Prevalence and Severity of Chronic Multimorbidity among Older People in an Urban-village of Shenzhen City：a Preliminary Study　

  1. 1.School of Public Health，Guangzhou Medical University，Guangzhou 510182，China
    2.Huangbeiling Community Health Service Centre，Luohu Hospital Group，Shenzhen 518003，China
    3.Faculty of Medicine，Nursing and Health Sciences，Monash University，Melbourne 3168，Australia
    4.Shenzhen International Primary Health Care Research Institute，Shenzhen 518020，China
    *Corresponding author：WANG Jia-ji，Professor，Doctoral supervisor；E-mail：wjiaji@163.com
  • Published:2018-06-05 Online:2018-06-05

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摘要： 目的　探讨深圳市城中村老年人多种慢性病共存情况，以期为深圳市老龄化社区的医疗资源配置、完善基层医疗的老年人管理模式提供依据。方法　选取在2016年5月—2017年7月到黄贝岭社区健康服务中心体检/全科医生上门巡诊的黄贝岭村老年人共100例。采用综合健康评估（CHA）量表评价其慢性病患病种数，采用累计疾病计分量表（CIRS）评价其多种慢性病共存的发生情况和严重程度。结果　100例老年人均患有慢性病，其中92例（92.0%）为多种慢性病共存。男、女性老年人的多种慢性病共存发生率分别为96.9%（31/32）、95.6%（65/68）；年龄为60~69、70~79、≥80岁老年人的多种慢性病共存发生率分别为91.7%（44/48）、100.0%（27/27）、100.0%（25/25）。100例老年人平均CIRS评分为（6.6±4.1）分，其中70~79岁男性、女性老年人，≥80岁男性老年人的平均CIRS评分≥5分；≥80岁女性老年人的平均CIRS评分≥10分。60~69岁男性老年人多病共存评分高于女性，差异有统计学意义（P<0.05）；严重性指数、CIRS评分与女性比较，差异无统计学意义（P>0.05）。70~79、≥80岁男性老年人多病共存、严重性指数、CIRS评分与女性比较，差异无统计学意义（P>0.05）。结论　慢性病多病并存情况主要集中在70岁及以上的老年人，且慢性病多病并存情况的性别差异不大。

关键词: 慢性病, 共病现象, 老年人, 深圳

Abstract: Objective　To investigate the prevalence and severity of chronic multimorbidity among the elderly people from an urban-village of Shenzhen，providing evidence for the allocation of medical resource in aging communities in Shenzhen，and for the improvement of management of elderly people in primary care.Methods　This preliminary study was conducted in Shenzhen.A random sample of 100 elderly people from Huangbeiling village who underwent physical examination in Huangbeiling Health Service Center or received home-based primary care from May 2016 to July 2017 participated.Assessment tools used include the Comprehensive Health Assessment（CHA） scale for identifying the number of chronic diseases，and Cumulative Illness Rating Scale（CIRS） for evaluating the prevalence and severity of multiple chronic diseases.Results　All the elderly people were found with one or more chronic diseases，in particular，92（92.0%） had multiple chronic diseases.The prevalence of chronic multimorbidity was 96.9%（31/32） for females，95.6%（65/68） for males，91.7%（44/48） for those aged 60-69，100.0%（27/27） for those aged 70-79 and 100.0%（25/25） for those aged ≥80.All the participants achieved an average CIRS score of（6.6±4.1）．Males aged 70-79，females aged 70-79，males aged ≥80，and femalesaged≥80，were found with the same average CIRS score of≥5，while those females aged ≥80 with an average CIRS score of ≥10.Compared with females aged 60-69，males of the same age group had much higher average comorbidity score（P<0.05），but similar average severity index and average CIRS score（P>0.05）．However，for age groups of 70-79 and≥80，the average co-morbidity score，average severity index and average CIRS score did not differ significantly by sex（P>0.05）．Conclusion　Chronic multimorbidity is mainly found in people aged 70 or over.Moreover，its prevalence does not vary significantly by sex.

 

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