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  • 王佳,贾音,王慧丽.北京市海淀区社区老年慢性病多病共存状况的调查研究[J].同济大学学报(医学版),2021,42(5):692-697.    [点击复制]
  • WANG Jia,JIA Yin,WANG Hui-li.Survey on comorbid chronic diseases among community-dwelling elderly in Beijing Haidian district[J].同济大学学报(医学版),2021,42(5):692-697.   [点击复制]
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北京市海淀区社区老年慢性病多病共存状况的调查研究
王佳,贾音,王慧丽
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(首都医科大学全科医学与继续教育学院,北京100069; 北京市昌平区医院呼吸内科,北京102200)
摘要:
目的调查分析北京市海淀区社区老年慢性病患者多病共存模式,为社区制定慢性病多病共存管理措施及资源配置提供参考依据。方法采用目的抽样的方法抽取北京市海淀区3家社区卫生服务中心自2019年10月—2020年4月就诊的517名60岁以上慢性病患者进行问卷调查,了解老年慢性病患者多病共存的患病情况,分析慢性病的共病模式。结果慢性病中最常见的3种疾病分别是高血压(66.8%)、心脏病(44.2%)以及糖尿病(41.0%);76.6%的老年慢性病患者存在多病共存情况,绝大多数患者患慢性病的数量为1~4种。2种慢性病共病模式主要为高血压+心脏病(37.1%)、高血压+糖尿病(34.2%)和高血压+骨关节病(27.4%),3种慢病共病模式最常见的是高血压+心脏病+糖尿病(14.1%)。中心城区和城乡结合部的共病模式略有不同。结论社区老年慢性病患者多病共存情况较为严重,需了解社区慢性病共病模式,提升全科医师对于常见共病的管理水平,进而提高社区慢病患者的整体健康水平。
关键词:  老年人  慢性病  多病共存
DOI:10.12289/j.issn.1008-0392.21242
投稿时间:2021-06-15
基金项目:北京市教委人文社科一般项目(SM201810025004)
Survey on comorbid chronic diseases among community-dwelling elderly in Beijing Haidian district
WANG Jia,JIA Yin,WANG Hui-li
(School of General Practice and Continuing Education, Capital Medical University, Beijing 100069; ept. of Respiratory Medicine, Changping District Hospital, Beijing 102200)
Abstract:
ObjectiveTo survey the status of comorbid chronic diseases among community-dwelling elderly in Beijing district. MethodsA questionnaire survey was conducted among 517 chronic disease patients aged over 60 years selected through purpose sampling, who visited 3 community health service centers in Haidian District of Beijing from October 2019 to April 2020. The status and pattern of comorbid chronic diseases were analyzed. ResultsThe three most common chronic diseases were hypertension, heart disease and diabetes with a prevalence of 66.8%, 44.2% and 41.0%, respectively. Among elderly patients with chronic diseases, 76.6% of were multimorbidity, and most of them suffered from 1 to 4 chronic diseases. The most prevalent combination of 2 chronic diseases were hypertension+heart disease(37.1%), hypertension+diabetes(34.2%) and hypertension+osteoarthrosis(27.4%); the most prevalent combination of 3 chronic diseases were hypertension+heart disease+diabetes(14.1%). There were little difference of combinations of multimorbidity between patients living in urban and rural-urban junction areas. ConclusionAmong the patients aged 60 years and over with chronic disease, the prevalence of multimorbidity is high. It is necessary for general practitioners to understand the chronic comorbidities in the community in order to improve the chronic disease management and to promote the health of community-dwelling elderly.
Key words:  elderly  chronic disease  multimorbidity

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