Investigation on activities of daily living of “50630” retired cadres in Mianzhu_West China Medical Journal

Authors：

ZHANG Shaojun ¹ , LIU Yang ² , DENG Peilin ¹ , YANG Hai ¹ , ZHAO Zheng’en ¹ , XIAO Ting ¹ , XU Xu ¹ ,  ZHANG Chi ³

1. Department of Rehabilitation Medicine, Mianzhu People’s Hospital, Mianzhu, Sichuan 618200, P. R. China;
2. Operation Management Department, Mianzhu People’s Hospital, Mianzhu, Sichuan 618200, P. R. China;
3. Department of Rehabilitation Medicine, the Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P. R. China;

Corresponding?author：

ZHANG Chi, Email: 593042376@qq.com

Keywords：

Mianzhu; “50630” retired cadres; activities of daily living; status survey

DOI：

10.7507/1002-0179.202003199

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Objective To investigate the status of health condition and activities of daily living of “50630” retired cadres in Mianzhu, and analyze the related factors affecting their activities of daily living. Methods According to the registration information of Mianzhu administration of elderly cadres in Sichuan, the method of cluster sampling was adopted in March 2019 to select retired cadres who participated in work between October 1st, 1949 and June 30th, 1950 in urban and rural areas respectively. The survey and analysis were carried out using the self-designed general condition questionnaire, Berg balance scale, Hoffer walking ability rating scale, and modified Barthel Index, to understand the activities of daily living ability of retired cadres and analyze the relevant factors affecting their self-care ability of daily life. Results A total of 64 “50630” retired cadres were investigated, with an average age of (86.39±3.37) years. 64.06% of the patients with poor balance function needed wheelchair, 10.94% could not walk, and 56.25% were heavily dependent on activities of daily living. Age (r=?0.421, P=0.001) and underlying diseases (r=?0.060, P=0.032) were negatively correlated with activities of daily living. Balance ability (r=0.658, P<0.001), walking ability (r=0.393, P=0.001), spouse status (r=0.669, P<0.001), care status (r=0.830, P<0.001), place of residence (r=0.706, P<0.001) were positively correlated with activities of daily living. Education level (r=0.096, P=0.380) and gender (r=0.122, P=0.265) had no correlation with activities of daily living. Multiple linear regression analysis showed that the main influencing factors of daily living activities of “50630” retired cadres in Mianzhu were balance function, walking ability, spouse or not and type of care. Conclusions There are many related factors affecting the activities of daily living of “50630” retired cadres, which can be intervened according to basic diseases, balance function and walking ability. Through multi-disciplinary and multi-sectoral cooperation, integrating community health service resources, providing all-round health care services, formulating personalized rehabilitation measures, and organizing community group activities, it is possible to improve their social participation, psychological status, and ability of daily living activities, and reduce the disability, so as to further improve the quality of life of veteran cadres.

Citation： ZHANG Shaojun, LIU Yang, DENG Peilin, YANG Hai, ZHAO Zheng’en, XIAO Ting, XU Xu, ZHANG Chi. Investigation on activities of daily living of “50630” retired cadres in Mianzhu. West China Medical Journal, 2022, 37(5): 728-732. doi: 10.7507/1002-0179.202003199 Copy

1.	石學英, 毛華, 向菲, 等. 離退休干部個性特征及幸福度探討. 健康心理學雜志, 1998, 6(4): 440-442.
2.	白玉蝦, 程海林. 人性化護理在離退休老干部護理中的應用效果分析. 中西醫結合心血管病電子雜志, 2019, 7(4): 143.
3.	姚美燕. 老年離退休患者生存質量的調查分析. 中國實用護理雜志, 2011, 27(6): 54-55.
4.	高亞南, 許永利, 陳雪麗. 老年綜合評估在老年康復中的應用. 中國康復理論與實踐, 2013, 19(5): 452-456.
5.	金冬梅, 燕鐵斌. Berg 平衡量表及其臨床應用. 中國康復理論與實踐, 2002, 8(3): 155-157.
6.	金冬梅, 燕鐵斌, 曾海輝. Berg 平衡量表的效度和信度研究. 中國康復醫學雜志, 2003, 18(1): 25-27.
7.	周君桂, 范建中. Morse 跌倒評估量表與 Berg 平衡量表應用于老年患者預測跌倒風險的效果分析. 中國康復醫學雜志, 2012, 27(2): 130-133.
8.	金景, 蔣蘇, 潘曉勵, 等. 經顱直流電刺激聯合康復訓練對腦卒中偏癱患者認知功能及肢體運動功能的影響. 中華物理醫學與康復雜志, 2019, 41(6): 415-417.
9.	閔瑜, 吳媛媛, 燕鐵斌. 改良 Barthel 指數 (簡體中文版)量表評定腦卒中患者日常生活活動能力的效度和信度研究. 中華物理醫學與康復雜志, 2008, 30(3): 185-188.
10.	Lima CA, Ricci NA, Nogueira EC, et al. The Berg Balance Scale as a clinical screening tool to predict fall risk in older adults: a systematic review. Physiotherapy, 2018, 104(4): 383-394.
11.	中國老年保健醫學研究會老齡健康服務與標準化分會, 《中國老年保健醫學》雜志編輯委員會, 北京小湯山康復醫院. 中國社區平衡功能障礙評定與康復治療技術專家共識. 中國老年保健醫學, 2019, 17(4): 27-36.
12.	張少軍, 劉楊, 楊海, 等. 綿竹地區后遺癥期腦卒中患者抑郁狀況的調查分析. 中華物理醫學與康復雜志, 2022, 44(2): 171-175.
13.	Vest BM, Kulak JA, Homish GG. Caring for veterans in US civilian primary care: qualitative interviews with primary care providers. Fam Pract, 2019, 36(3): 343-350.
14.	Shen Y, Findley PA, Maney M, et al. Department of veterans affairs-medicare dual beneficiaries with stroke: where do they get care?. J Rehabil Res Dev, 2008, 45(1): 43-51.
15.	楊春鳳. 社區離休干部健康狀況及日常生活能力調查. 中華全科醫學, 2010, 8(12): 1581-1582.
16.	劉學員, 趙蕾, 謝岳云, 等. 老年人日常生活能力與心理健康的相互影響. 中國健康心理學雜志, 2009, 17(2): 201-203.
17.	廖紅. 老年人日常生活能力與抑郁的關系. 中國老年學雜志, 2011, 31(13): 2539-2540.
18.	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.
19.	劉學員, 陽麗華, 趙蕾, 等. 日常生活能力對老年人身心健康的影響. 中國老年學雜志, 2009, 29(1): 92-94.
20.	常曉明, 陳長香, 李淑杏, 等. 老年人參加活動情況與日常生活能力的相關性分析. 河北醫藥, 2014, 36(17): 2686-2687.
21.	劉祚燕, 杜春萍, 王鳳英, 等. 多科協作小組工作模式在老年康復醫學中的應用. 華西醫學, 2016, 31(2): 388-391.
22.	Chen Z, Ding Z, Chen C, et al. Effectiveness of comprehensive geriatric assessment intervention on quality of life, caregiver burden and length of hospital stay: a systematic review and meta-analysis of randomised controlled trials. BMC Geriatr, 2021, 21(1): 377.
23.	Phillips BR, Shahoumian TA, Backus LI. Surveyed enrollees in veterans affairs health care: how they differ from eligible veterans surveyed by BRFSS. Mil Med, 2015, 180(11): 1161-1169.

1. 石學英, 毛華, 向菲, 等. 離退休干部個性特征及幸福度探討. 健康心理學雜志, 1998, 6(4): 440-442.
2. 白玉蝦, 程海林. 人性化護理在離退休老干部護理中的應用效果分析. 中西醫結合心血管病電子雜志, 2019, 7(4): 143.
3. 姚美燕. 老年離退休患者生存質量的調查分析. 中國實用護理雜志, 2011, 27(6): 54-55.
4. 高亞南, 許永利, 陳雪麗. 老年綜合評估在老年康復中的應用. 中國康復理論與實踐, 2013, 19(5): 452-456.
5. 金冬梅, 燕鐵斌. Berg 平衡量表及其臨床應用. 中國康復理論與實踐, 2002, 8(3): 155-157.
6. 金冬梅, 燕鐵斌, 曾海輝. Berg 平衡量表的效度和信度研究. 中國康復醫學雜志, 2003, 18(1): 25-27.
7. 周君桂, 范建中. Morse 跌倒評估量表與 Berg 平衡量表應用于老年患者預測跌倒風險的效果分析. 中國康復醫學雜志, 2012, 27(2): 130-133.
8. 金景, 蔣蘇, 潘曉勵, 等. 經顱直流電刺激聯合康復訓練對腦卒中偏癱患者認知功能及肢體運動功能的影響. 中華物理醫學與康復雜志, 2019, 41(6): 415-417.
9. 閔瑜, 吳媛媛, 燕鐵斌. 改良 Barthel 指數 (簡體中文版)量表評定腦卒中患者日常生活活動能力的效度和信度研究. 中華物理醫學與康復雜志, 2008, 30(3): 185-188.
10. Lima CA, Ricci NA, Nogueira EC, et al. The Berg Balance Scale as a clinical screening tool to predict fall risk in older adults: a systematic review. Physiotherapy, 2018, 104(4): 383-394.
11. 中國老年保健醫學研究會老齡健康服務與標準化分會, 《中國老年保健醫學》雜志編輯委員會, 北京小湯山康復醫院. 中國社區平衡功能障礙評定與康復治療技術專家共識. 中國老年保健醫學, 2019, 17(4): 27-36.
12. 張少軍, 劉楊, 楊海, 等. 綿竹地區后遺癥期腦卒中患者抑郁狀況的調查分析. 中華物理醫學與康復雜志, 2022, 44(2): 171-175.
13. Vest BM, Kulak JA, Homish GG. Caring for veterans in US civilian primary care: qualitative interviews with primary care providers. Fam Pract, 2019, 36(3): 343-350.
14. Shen Y, Findley PA, Maney M, et al. Department of veterans affairs-medicare dual beneficiaries with stroke: where do they get care?. J Rehabil Res Dev, 2008, 45(1): 43-51.
15. 楊春鳳. 社區離休干部健康狀況及日常生活能力調查. 中華全科醫學, 2010, 8(12): 1581-1582.
16. 劉學員, 趙蕾, 謝岳云, 等. 老年人日常生活能力與心理健康的相互影響. 中國健康心理學雜志, 2009, 17(2): 201-203.
17. 廖紅. 老年人日常生活能力與抑郁的關系. 中國老年學雜志, 2011, 31(13): 2539-2540.
18. 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.
19. 劉學員, 陽麗華, 趙蕾, 等. 日常生活能力對老年人身心健康的影響. 中國老年學雜志, 2009, 29(1): 92-94.
20. 常曉明, 陳長香, 李淑杏, 等. 老年人參加活動情況與日常生活能力的相關性分析. 河北醫藥, 2014, 36(17): 2686-2687.
21. 劉祚燕, 杜春萍, 王鳳英, 等. 多科協作小組工作模式在老年康復醫學中的應用. 華西醫學, 2016, 31(2): 388-391.
22. Chen Z, Ding Z, Chen C, et al. Effectiveness of comprehensive geriatric assessment intervention on quality of life, caregiver burden and length of hospital stay: a systematic review and meta-analysis of randomised controlled trials. BMC Geriatr, 2021, 21(1): 377.
23. Phillips BR, Shahoumian TA, Backus LI. Surveyed enrollees in veterans affairs health care: how they differ from eligible veterans surveyed by BRFSS. Mil Med, 2015, 180(11): 1161-1169.

West China Medical Journal

Investigation on activities of daily living of “50630” retired cadres in Mianzhu

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