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目的 探索成功老龄的判别标准及其相关因素。方法 1调查对象为上海市静安区社区老人 ,年龄在 60岁以上 ,5年间进行两次调查。 2调查工具包括中文版 MMSE、ADL (1 4项 )、心境及情绪的自我评价、伤残情况评价等。结果 1第 1次查访 4 0 75人 ,平均年龄 70 .92± 6.73岁 ;第 2次调查 3 0 50人 ,平均年龄 72 .49± 7.54。 2经过多种分界值的组合 ,以 MMSE总分大于分界值 4分 ,ADL总分小于、等于 1 5分 ,目前心境及情绪的自我评价尚好至极好 ,躯体无伤残这四项指标作为成功老龄的评价标准。 60岁以上社区老人成功老龄的检出率 :第 1次调查为 53.60 % (95% CI:52 .0 7%～ 55.1 3% ) ,第 2次调查为 49.57% (95% CI:47.80 %～ 51 .34% )。 3 Logistic回归分析 ,发现男性、较低年龄组、受教育程度高者是成功老龄的可能性高。结论 成功老龄以智力状况、日常生活活动能力、心境和情绪状态、躯体有无伤残等四个维度的判别标准较为全面 ,与高生活质量的健康准则相符。
Objective To explore the criterion of successful aging and its related factors. Method 1 The survey was conducted on elderly people in the community in Shanghai’s Jing’an District, aged above 60 years. Two surveys were conducted in five years. 2 survey tools include the Chinese version of MMSE, ADL (14), self-evaluation of mood and emotions, disability assessment. Results 1 The first visit was 4 0 75 people, with an average age of 70.92 ± 6.73 years; the second survey of 3050 people, the average age of 72.49 ± 7.54. 2 After a combination of multiple demarcation values, MMSE total score greater than the demarcation value of 4 points, ADL total score less than or equal to 1 5 points, the current self-evaluation of mood and emotion is still as good as the body without disability, these four indicators as a success Aging evaluation criteria. The prevalence of successful seniors in the community over the age of 60 was 53.60% (95% CI: 52.07% -55.1%) in the first survey and 49.57% (95% CI: 47.80% 51.34%). 3 Logistic regression analysis found that men, the lower age group, those with higher education are highly likely to be successful. Conclusion The criteria of successful aging in four dimensions of intelligence status, daily living activity, mood and emotional status, physical disability or not are more comprehensive and consistent with high quality of life health criteria.