The activities of daily living status and influencing factors for the elderly of long-term care in Shangrao City_Chinese Journal of Evidence-Based Medicine

Authors：

XU Rudan ,  ZHOU Xiaojun , HUANG Boshu , SHI Lu , ZHOU Haixia , KANG Xu

School of Public Health, Jiangxi Province Key Laboratory of Preventive Medicine, Nanchang University, Nanchang, 330006, P.R.China;

Corresponding?author：

ZHOU Xiaojun, Email: zxj12zxj@sohu.com

Keywords：

Activity of daily living; The elderly; Long-term care; Influencing factor

DOI：

10.7507/1672-2531.201809057

Video：

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Objectives To investigate and analyze the activities of daily living status and influencing factors for the elderly of long-term care in Shangrao City of Jiangxi Province, and provide a basis for Shangrao City to carry out long-term care insurance for the elderly. Methods Cluster sampling was used to investigate the elderly aged 60 and over in 12 counties (cities, districts)of Shangrao, including the elderly general demographic characteristics and activity of daily living survey. Results A total of 1 087 elderly people were surveyed, with an average age of 77.75±8.12 and a total 70.6±21.4 score of activity of daily living. Comparing different age groups, the elder age group had a worse activity of daily living (P<0.001). Those with a higher education level had relatively poor activity of daily living (P<0.001), and those with spouse also had poor activity of daily living (P<0.05). Multiple linear regression analysis showed that age (P<0.001), education level (P<0.001), marital status (P<0.05) and income level (P<0.05) were important factors affecting the scores of activity of daily living of the elderly. Conclusions Age, education level, marital status, low-income situation, chronic disease, and household registration are the main risk factors affecting the score of the long-term care of the elderly in daily life. The establishment of a long-term care insurance system should be based on chronic diseases, age, marital status and other factors to determine the corresponding long-term care standard scoring system and compensation standards.

Citation： XU Rudan, ZHOU Xiaojun, HUANG Boshu, SHI Lu, ZHOU Haixia, KANG Xu. The activities of daily living status and influencing factors for the elderly of long-term care in Shangrao City. Chinese Journal of Evidence-Based Medicine, 2019, 19(2): 135-139. doi: 10.7507/1672-2531.201809057 Copy

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2. 中華人民共和國國家統計局. 2015 年全國 1% 人口抽樣調查主要數據公報. Available at: http://www.stats.gov.cn/tjsj/zxfb/201604/t20160420_1346151.html.
3. 何清蓮. 人口老齡化背景下江西省老年人再就業問題研究. 南昌: 江西財經大學, 2016.
4. 中華人民共和國人力資源社會保障部辦公廳. 人力資源社會保障部辦公廳關于開展長期護理保險制度試點的指導意見. Available at: http://www.mohrss.gov.cn/gkml/xxgk/201607/t20160705_242951.html.
5. 劉淼, 王建華, 楊姍姍, 等. 北京市社區老年人群日常活動能力狀況及城鄉比較. 中華流行病學雜志, 2018, 39(3): 268-272.
6. 丁漢升. 長期照護服務需求評估調查及其分級實踐. 北京: 新華出版社, 2017.
7. Katz S, Downs TD, Cash HR, et al. Progress in development of the index of ADL. Gerontologist, 1970, 10(1): 20-30.
8. Katz S, Akpom CA. A measure of primary sociobiological functions. Int J Health Serv, 1976, 6(3): 493-508.
9. Katz S, Ford AB, Moskowitz RW, et al. Studies of illness in the aged. JAMA, 1963, (12): 185: 914-919.
10. 紀經海. 老年人日常活動能力影響因素調查及研究. 影像研究與醫學應用, 2017, (11): 250-251.
11. 江西省上饒市統計局. 2015 年上饒市國民經濟和社會發展統計公報. Available at: http://www.srtj.gov.cn/tjnr.asp?id=10211.
12. Jopp DS, Boerner K, Cimarolli V, et al. Challenges experienced at age 100: findings from the fordham centenarian study. J Aging Soc Policy, 2016, 28(3): 187-207.
13. 陳晶, 段曹輝. 中國老年人日常活動能力的影響因素-基于 CHARLS 數據的分析. 公共衛生與預防醫學, 2017, 28(3): 68-71.
14. 王黎, 郭紅艷, 謝紅. 養老機構老年人總體健康狀況及影響因素. 中國老年學雜志, 2016, 36(8): 1975-1976.
15. Kim BJ, Choi Y. The relationship between activities of daily living (ADL), chronic diseases, and depression among older Korean immigrants. Educational Gerontology, 2015, 41(6): 417-427.
16. 吳燕, 徐勇. 蘇州市城區老年人日常生活能力調查. 中國老年學雜志, 2014, 34(3): 745-746.
17. Gong C, Cui B, Lei Z. Study on the prevention and strategy of disability in China. 北京: 北京論壇, 2007: 6906-6913.
18. 馮玉如, 陳長香. 河北省城鄉老年人青光眼患病及其身心健康現狀調查. 中國公共衛生, 2016, 32(2): 141-144.

Chinese Journal of Evidence-Based Medicine

The activities of daily living status and influencing factors for the elderly of long-term care in Shangrao City

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