云南省瑞丽傣族农村老人日常生活活动能力初步研究

张开宁; 高矗群; 莫国芳; 刘丹; 姜旭昌; 李俊杰; 唐佳; 王莉; 贾贤杰

doi:10.16766/j.cnki.issn.1674-4152.2016.11.001

云南省瑞丽傣族农村老人日常生活活动能力初步研究

doi: 10.16766/j.cnki.issn.1674-4152.2016.11.001

张开宁^1, ,,
高矗群²,
莫国芳³,
刘丹⁴,
姜旭昌⁵,
李俊杰⁶,
唐佳⁵,
王莉⁶,
贾贤杰⁷

1. 云南经济管理学院健康与社区发展研究中心, 云南昆明 650000;
2. 云南中医学院人文与管理学院, 云南昆明 650000;
3. 云南师范大学旅游与地理科学学院, 云南昆明 650000;
4. 云南经济管理学院发展规划部;
5. 云南经济管理学院人文学院;
6. 云南省健康与发展研究会健康老龄化中心, 云南昆明 650000;
7. 蚌埠医学院预防医学系流行病与卫生统计学教研室, 安徽蚌埠 233000

基金项目:

国家社会科学基金项目(15BRK029)

详细信息

通讯作者:
张开宁,E-mail:knzhang49@139.com

中图分类号: R592;R197.7
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- 被引次数: 0
出版历程
- 收稿日期: 2016-05-22

A preliminary study on the activities of daily living of the Dai elderly in rural Ruili,Yunnan province

Research Center for Health and Community Development, Yunnan College of Business Management, Kunming, Yunnan 650000, China

摘要

摘要: 目的对云南省德宏州瑞丽市傣族农村老人失能情况进行调查研究，为边疆地区评估老年人养老服务需求、规划养老事业发展提供有参考价值的建议与意见。方法运用多阶段随机整群抽样方法进行样本抽取，采用国际通用的老年人日常生活活动能力(ADL)标准化评定量表-Barthel指数，对瑞丽市12个村民小组的187名傣族农村老人(≥60岁)失能情况进行评定。结果傣族农村老人失能率点估计及其95%置信区间分别为:重度失能率为6.95%(6.02%，7.88%)，中度失能率为4.28%(3.69%，4.87%)，轻度失能率为77.01%(74.47%，79.54%)，无失能率为11.76%(10.28%，13.25%)，合并重度与中度失能即中重度的失能率为11.23%(9.80%，12.66%)。分年龄段的ADL比较，呈现出明显的趋势：随着年龄的增加，失能越严重(P＜0.001)；65岁前女性老人的失能状况比男性老人严重(P＜0.01)。65岁及以上，失能状况的性别差异无统计学意义(P＞0.05)。结论本文在国内首次报道了瑞丽傣族农村老人的失能率情况估计及其95%置信区间，为评估民族地区老年人长期照护服务需求和养老事业发展规划决策提供依据。瑞丽傣族农村老人随着年龄的增长，其日常生活活动能力(ADL)逐渐下降，失能率随之升高。女性年幼老人(≥60岁,≤65岁)日常生活活动能力低于男性老人。瑞丽傣族农村老人的中重度失能状况低于全国平均水平。
- 日常生活活动能力 /
- 失能 /
- 傣族 /
- 农村老人 /
- 长期照护
Abstract: Objective To investigate disability of the Dai elderly in traditional rural communities in Ruili,Dehong Prefecture in Yunnan province,in order to well evaluate the needs of the increasing elderly for long-term care services in remote and border area in China,and provide reference for the long term strategic planning for elderly among EMGs in China. Methods The multi-stage random cluster sampling method was used to sample 187 Dai elderly from 12 traditional villages in Ruili.Barthel index was used to evaluate the activities of daily living(ADL)of of the Dai elderly aged over 60 years. Results Based on the ADL measures on 187 elderly in Dai villages,the disability rates of Dai elderly were estimated statistically in terms of point estimation and 95% confidence interval(CI) estimation.The severe disability rate and its 95%CI were 6.95%(6.02%,7.88%),and moderate disability rate and its 95%CI were 4.28%(3.69%,4.87%),while mild disability rate 77.01%(74.47%,79.54%).Meanwhile,the rate of non-disability and its 95% CI were 11.76%(10.28%,13.25%).The disability rate,defined as severe and moderate disability,of Dai elderly and its 95%CI were 11.23%(9.80%,12.66%).Age was found closely associated with disability:the older,the lower the ADL,meaning more serious disability(P<0.001).High-significantly higher disability was found for the young elderly women than men(P<0.01),but no significant difference was identified between women and men among those groups aged 65 years old and above(P>0.05). Conclusion s This paper reports,as the first time in China,the disability rates of elderly in Dai villages.The disability rates gradually have been increasing by age for the Dai elderly in traditional rural communities in Ruili.Among the rural elderly Dai villagers younger than 65 years old,women show a higher disability rate.No significant difference has been identified between men and women among the age groups older than 65 years old.The disability rates of the Dai elderly in traditional rural communities are relatively lower than the national average ones stated by other studies in China.
- Activities of daily living /
- Disability /
- Dai ethnic group /
- The rural elderly /
- Long-term care