郑州大学学报（医学版）2024，Vol.59Issue(3)：325-330,6.DOI:10.13705/j.issn.1671-6825.2023.06.045
社区居家医养结合服务老年人常见慢性病共病影响因素分析
Analysis of influencing factors of common chronic diseases in the elderly received integrated community home medical and nursing care services
摘要
Abstract
Aim:To analyze influencing factors of common chronic diseases in the elderly in China,and to provide a basis for formulating prevention and treatment strategies.Methods:A questionnaire survey was conducted among the elderly(≥60 years)who received integrated community home medical and nursing care services in 3 demonstration application bases for the integration of medical and nursing care services in Guangzhou,Suzhou,and Qingdao.General demographic in-formation,living habits,and chronic disease status were collected.The comorbidity patterns of chronic diseases with high prevalence rates were explored.The ordered Logistic regression analysis was employed to analyze the influencing factors of chronic disease comorbidity.Results:A total of 1 310 elderly individuals were included in the study.The prevalence rates of chronicdiseasesandcomorbidityamongtheelderly were81.76%and52.29%,respectively.The top3 diseases with the highest prevalence rates were hypertension,diabetes,and lumbar disc herniation.The common binary comorbidity patterns were hypertension+diabetes,hypertension+lumbar disc herniation,and hypertension+stroke,and the common ternary co-morbidity patterns were hypertension+diabetes+stroke,hypertension+diabetes+lumbar disc herniation,and hypertension+diabetes+rheumatoid arthritis.Younger age(60-<70 years)(OR=0.563,95%CI:0.354-0.896),higher frequency of going out(daily)(OR=0.395,95%CI:0.294-0.531),and higher frequency of children visiting(once a week)(OR=0.709,95%CI:0.546-0.920)were protective factors for chronic disease comorbidity among the elderly,while non-drink-ing was a risk factor(OR=1.294,95%CI:1.014-1.651).Conclusion:The prevalence rates of chronic diseases and co-morbidity among the elderly receiving integrated community home medical and nursing care services are relatively high,and comorbidity of chronic diseases is common.It is recommended to strengthen the management of chronic diseases comorbidi-ties among the elderly residents in the community by considering the influencing factors of chronic disease comorbidities.关键词
老年人/慢性病共病/医养结合/影响因素Key words
the elderly/chronic disease comorbidity/integration of medical and nursing care/influencing factor分类
医药卫生引用本文复制引用
李国鑫,刘安琪,周俊阁,贾蕙冰,原田甜,张浩,史明哲,田庆丰..社区居家医养结合服务老年人常见慢性病共病影响因素分析[J].郑州大学学报（医学版）,2024,59(3):325-330,6.基金项目
国家重点研发计划项目(2020YFC2006100) （2020YFC2006100）
