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目的:了解门头沟区大台社区老年人综合健康状况,探讨老年健康保健工作的内容及模式。方法:采取入户问卷调查的方法,对五个居委会204例60岁以上老年人进行问卷调查,并进行综合评分。结果:在老年人中认知功能正常占48.5%,认知功能障碍占51.5%;无抑郁占84.3%,有抑郁占15.7%;随着年龄的增大,老年人抑郁程度越大,认知功能障碍也增加。年龄越大,所患疾病病越多,参加社会活动越少,体育锻炼越少,老年人健康状况越差。结论:建立健全老年人健康评估体系很有必要。从社区家庭医生式服务入手,鼓励社区医生主动走进社区和家庭,开展“六位一体”的综合服务;针对老年人进行健康促进与慢性病干预,增加服务项目。建议政府建立多个老年人日托所,按照老年人生活自理的能力提供服务。
OBJECTIVE: To understand the general health of the elderly in Datai community in Mentougou District and to explore the contents and patterns of elderly health care. Methods: Taking the method of household questionnaire survey, 204 elderly people over 60 years old in five neighborhood committees were surveyed and scored. Results: The cognitive function in the elderly accounted for 48.5% of normal cognitive impairment accounted for 51.5%; no depression accounted for 84.3%, with depression accounted for 15.7%; with age, the older the greater degree of depression, cognitive Dysfunction also increases. The older, the more disease disease, the less social participation, physical exercise less, the worse the health of the elderly. Conclusion: It is necessary to establish and improve the health assessment system for the elderly. Start with community-based family physician services and encourage community doctors to take the initiative to walk into the community and families to carry out integrated services of “six in one” and to provide health care and chronic diseases intervention for the elderly and increase service items. It is recommended that the government establish a number of day care centers for the elderly to provide services in accordance with the ability of the elderly to take care of themselves.