论文部分内容阅读
目的:了解延边农村朝、汉两族留守老人慢性病患病及就诊延迟情况,探讨延边农村留守老人慢性病就诊延迟的影响因素。方法:采取分层整群抽样的方法,抽取延边地区农村312名留守老人作为研究对象。结果:延边地区农村留守老人慢性病患病率为66.7%,其中朝鲜族老人患病率为71.5%;汉族老人患病率为61.9%;汉族老人慢性病患病前六位依次为高血压(31.1%)、肺部疾病(21.6%)、心脏病(18.9%)、骨、关节病(14.3%)、脑部疾病(9.1%)、糖尿病(6.8%);朝鲜族老人慢性病患病前六位依次为高血压(38.9%)、骨、关节病(23.7%)、肝部疾病(19.3%)、肺部疾病(12.6%)、心脏病(10.9%)、胃肠疾病(7.1%);留守老人慢性病就诊延迟的病人143人,就诊延迟率为68.9%,其中汉族就诊延迟率为71.4%,朝鲜族为57.6%;多因素Logistic回归分析显示,年龄、收入、有无慢性病是留守老人慢性病就诊延迟的主要影响因素。结论:延边地区农村留守老人慢性病患病率高,就诊延迟情况严重。与汉族老人比较,朝鲜族老人慢性病患病率高,就诊延迟率低,但仍处于较高的水平。今后应根据民族文化特点,有针对性地制定慢性病就诊延迟的干预措施。
Objective: To understand the prevalence of chronic diseases and treatment of left-behind elderly people living in North Korea and Han nationality in rural areas of Yanbian, and to discuss the influencing factors of delayed treatment of left-behind elderly people living in rural areas in Yanbian. Methods: A stratified cluster sampling method was adopted to select 312 left-behind rural residents in Yanbian area as study subjects. Results: The prevalence rate of chronic left-behind elderly in rural areas in Yanbian was 66.7%, of which the prevalence rate was 71.5% for Korean elderly and 61.9% for Han nationality. The top six chronic diseases were hypertension (31.1% (21.6%), heart disease (18.9%), bone and joint disease (14.3%), brain disease (9.1%) and diabetes (6.8%). The top 6 Korean chronic diseases (38.9%), bone and joint disease (23.7%), liver disease (19.3%), pulmonary disease (12.6%), heart disease (10.9%) and gastrointestinal disease (7.1% The delayed treatment of chronic diseases was 143 and the delay rate was 68.9%. Among them, the delay rate of Han treatment was 71.4% and that of Korean was 57.6%. Multivariate logistic regression analysis showed that age, income, and chronic diseases were delayed in elderly patients with chronic leftovers The main factors. Conclusion: The prevalence rate of chronic left-behind elderly in rural areas in Yanbian is very high, and the delay in the treatment is serious. Compared with the elderly in the Han nationality, the Korean elderly have a high prevalence of chronic diseases and a low delay in treatment, but they are still at a relatively high level. In the future, according to the characteristics of ethnic cultures, targeted interventions should be formulated to delay the visits of chronic diseases.