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目的了解高龄老人身体健康、经济状况、家庭和社会保障、日常生活能力及医疗服务的需求,以便对社区高龄老人的综合健康质量作出正确评估。方法采用整群抽样方法对奉贤区按东、南、西、北、中5个区域中各抽查1个镇共1634名80岁以上老人入户调查。结果高龄老人慢性病患病率为68.05%,以高血压、慢性阻塞性肺病、心脏病为主,有17.20%的高龄老人生活能力处于半自理和完全不能自理的状态,享有医保或初级合作医疗待遇的老人占69.98%,有77.41%的老人月经济收入低于100元,对生活和健康总体满意或较满意的占90.33%。结论奉贤区高龄老人经济收入偏低,总体生活满意度较高。有必要针对不同情况采取不同的社区干预措施,以提高老年人综合健康水平。
Objectives To understand the physical health, economic status, family and social security, ability to work in daily life and medical service needs of the elderly in order to make a correct assessment of the overall health quality of the elderly in the community. Methods A cluster sampling method was used to survey 1,634 elderly people over 80 years of age in Fengxian District in each of the five regions of East, South, West, North and Central China. Results The prevalence of chronic diseases was 68.05% in senior citizens, mainly hypertension, chronic obstructive pulmonary disease, and heart disease. There was 17.20% of the elderly living in semi-self-care and completely unable to take care of themselves, enjoying medical insurance or primary cooperative medical treatment. The elderly accounted for 69.98%. 77.41% of the elderly had a monthly income of less than 100 yuan, and 90.33% were generally satisfied with or satisfied with their life and health. Conclusion The senior citizens of Fengxian District have lower economic income and higher overall life satisfaction. It is necessary to adopt different community interventions for different situations to improve the overall health of the elderly.