目的对山东省老年人群进行健康现状调查,并在此基础上发现问题,进而提出治理策略,尽可能延长老年人生活自理期、延缓老年人发生失能的时间和延长健康预期寿命。方法采用多阶段随机分层抽样方法,按照地域位置和经济发展水平从山东省随机选择3个地级市的2 157名老年人作为调查对象,采用定性和定量相结合的方法,调查老年人包括基本情况、健康行为等在内的相关情况。结果 2 157名老年人中患慢性病1 460例(67.7%),慢性病患病顺位居前5位的依次为高血压39.6%,糖尿病16.2%,关节炎16.1%,冠心病12.5%,其他心脏类疾病4.5%。其中患1种慢性病占61.82%,患2种占28.42%,患3种及以上占9.76%。结论重视老年人健康教育,做好心理保健;加强对老年健康危险因素的干预;加强慢性病患者的健康管理,改善慢性病患者的生命质量;加强失能老年人照护制度的建立,完善基本养老服务体系;适应老年人日益增长的卫生服务需要,增强就医可及性。
Objective To investigate the health status of the elderly population in Shandong province,find problems and on this basis,and then put forward the countermeasures,as far as possible to extend the life of the elderly,the elderly care period delayed incapacitation time and extend the healthy life expectancy. Methods Multi stage stratified random sampling method was used. According to the geographical location and economic development level,2 157 elderly patients in Shandong province were randomly selected from three cities as the research object. Qualitative and quantitative methods were used to detect the elderly basic situation,health behavior,etc.Results A total of 1 460( 67.7%) people in Shandong province elderly people suffered from chronic diseases,the top 5 of the chronic diseases in the elderly were hypertension 39.6%,diabetes 16. 2%,arthritis 23. 56%,coronary heart disease 12. 5% and other heart diseases 6. 71%. Among them,1 kind of chronic diseases was 61.82%,2 kinds 28.42%,3 and more than 3 kinds 9.76%.Conclusions The health education for the elderly,mental health,the intervention of the risk factors for the health of the elderly,he health management of patients with chronic diseases,improvement the quality of life of patients with chronic diseases,establishment of elderly care system for disable elders,improvement the basic old-age service system should be strengthened,the growing elderly health service needs are to be matched,medical treatment accessibility is enhanced.