参加全科医疗的老年人发病模式:阿曼老年患者的健康需求评估

S. Naeem, F. Jahan, Muhammad Siddiqui, Muhammad Moazzam Khan
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引用次数: 3

摘要

本研究的主要目的是确定老年人常见的具体问题和发病模式。在选定的初级卫生保健门诊环境中进行了一项横断面研究,调查了目标人群的健康状况和需求。所有60岁及以上的知情人士访问了选定的初级保健诊所。根据结构化的、预先测试的问卷,通过面对面访谈收集信息。本研究共对185人进行了评估。约75%的参与者年龄在60-70岁之间。总体而言,男性占主导地位的有137名(74.1%)男性,其中80%的参与者已婚。平均BMI为26.47±4.98 kg/m2,平均腰围为90.16±12.97 cm。参与者中吸烟、糖尿病、HTN、血脂异常和IHD病史的患病率分别为7.6%、37.8%、49.7%、27.6%和8.1%,男性吸烟和高血压患病率明显高于女性(p<0.05)。高血压是60-70岁年龄组常见的合并症,I期占29.2%,II期占19.5%。大多数参与者正在洗澡;独立如厕、独立进食、独立穿衣的比例分别为88.6%、87.6%、87%和87.6%。这些发现为老年人超重、高血压、糖尿病、吸烟和血脂异常的高患病率提供了重要信息。其他常见疾病包括视力受损、行走困难和听力问题。大多数老年人保留了日常生活活动(洗澡、穿衣、如厕、喂食)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pattern of morbidity among elders attending general practice: health needs assessment of geriatric patients in Oman
The main purpose of this study was to identify specific problems and pattern of morbidities that is common in the elderly. A cross sectional study surveying the health status and needs of targeted population was conducted in selected primary health care (PHC) outpatient settings. All consenting individuals aged 60 years and above who visited the selected PHC clinics were interviewed. Information was collected using face-to-face interviews based on a structured, pre-tested questionnaire. A total of 185 people were evaluated in this study. About 75% of participants were age 60-70 years. Overall, male predominance was noted with 137 (74.1%) males and among all participant’s 80% were married. The mean BMI was 26.47±4.98 kg/m2 and mean waist circumference was 90.16±12.97 cm. The prevalence of smoking, DM, HTN, dyslipidaemia and history of IHD among participants were 7.6%, 37.8%, 49.7%, 27.6% and 8.1%, respectively and males showed a significantly higher prevalence than females in smoking and HTN (p<0.05). Hypertension was common comorbid ailment with 29.2% of stage I and 19.5% of stage II hypertension among 60-70 age groups. The majority of the participants were taking shower; using toilet, feeding and get dressed independently, 88.6%, 87.6%, 87% and 87.6% respectively. These findings provide important information on high prevalence of overweight, hypertension, diabetes, smoking and dyslipidaemia among elders. The other common morbidities were impaired vision, walking difficulty, and hearing problems. The activity of daily living (bathing dressing toileting feeding) is preserved in most of older people.
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