中文摘要：

目的采用模糊综合评价法对社区老年人的健康管理效果进行评价。方法于2013年3—11月,采用随机整群抽样的方法,在南京市某社区医院抽取体检老年人261例。以2∶1的比例,将纳入老年人随机分为对照组（n=174）和管理组（n=87）。对照组不进行干预,管理组进行为期18个月的健康管理。收集两组的基本情况和管理前后的《老年人口健康评价量表》得分,采用模糊综合评价法对社区老年人的健康管理效果进行评价。结果两组患者性别、平均年龄、受教育程度、婚姻状况、居住状况及慢性病患病情况比较,差异无统计学意义（P〉0.05）。两组管理前量表各维度得分比较,差异无统计学意义（P〉0.05）。模糊综合评价结果显示,判别结果 B_（管理组D1）=（0.25,0.27,0.25,0.06,0.17）;B_（管理组D2）=（0.49,0.25,0.25,0,0.01）;B_（管理组D3）=（0.38,0.38,0.17,0.07,0）;B_（管理组D4）=（0.44,0.44,0.07,0.04,0.01）;B_（管理组D5）=（0.22,0.34,0.34,0.09,0.01）;B_（对照组D1）=（0.17,0.27,0.27,0.12,0.17）;B_（对照组D2）=（0.48,0.24,0.24,0.24,0.04）;B_（对照组D3）=（0.20,0.38,0.38,0.04,0）;B_（对照组D4）=（0.39,0.39,0.18,0.04,0）;B_（对照组D5）=（0.18,0.31,0.32,0.18,0.01）。结论以社区为依托的老年人健康管理对改善老年人健康状况具有积极作用。

英文摘要：

Objective To evaluate the health management of elders based on fuzzy comprehensive evaluation method. Methods From March to November 2013,using ramdom cluster sample method,we enrolled 261 elders who received physical examination in a community hospital in Beijing. By the ratio of 2∶ 1,patients were divided into control group（ n = 174）and management group（ n = 87）. No intervention was conducted on the control group,and the management group received 18-month health management. The basic data and the scores of aging population health assessment scale before and after management were collected. Using fuzzy comprehensive evaluation method,we evaluated the effect of health management on elders. Results The two groups were not significantly different in gender,average age,educational level,marital status,residential status and chronic diseases（ P〈0. 05）. The two groups were not significantly different in the score of each dimension of the scale before management（ P〈0. 05）. Fuzzy comprehensive evaluation showed the following results： Bmanagement group D1=（ 0. 25,0. 27,0. 25,0. 06,0. 17）; B_（management group D2）=（ 0. 49,0. 25,0. 25,0,0. 01）; B_（management group D3）=（ 0. 38,0. 38,0. 17,0. 07,0）; B_（management group D4）=（ 0. 44, 0. 44, 0. 07, 0. 04, 0. 01）; B_（management group D5）=（ 0. 22, 0. 34, 0. 34, 0. 09, 0. 01）;B_（control group D1）=（ 0. 17, 0. 27, 0. 27, 0. 12, 0. 17）; B_（control group D2）=（ 0. 48, 0. 24, 0. 24, 0. 24, 0. 04）; B_（control group D3）=（ 0. 20,0. 38,0. 38,0. 04,0）; B_（control group D4）=（ 0. 39,0. 39,0. 18,0. 04,0）; B_（control group D5）=（ 0. 18,0. 31,0. 32,0. 18,0. 01）. Conclusion The health management of elders with community as base plays a positive role in the improvement of the health status of elders.