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.	石学英, 毛华, 向菲, 等. 离退休干部个性特征及幸福度探讨. 健康心理学杂志, 1998, 6(4): 440-442.
2.	白玉虾, 程海林. 人性化护理在离退休老干部护理中的应用效果分析. 中西医结合心血管病电子杂志, 2019, 7(4): 143.
3.	姚美燕. 老年离退休患者生存质量的调查分析. 中国实用护理杂志, 2011, 27(6): 54-55.
4.	高亚南, 许永利, 陈雪丽. 老年综合评估在老年康复中的应用. 中国康复理论与实践, 2013, 19(5): 452-456.
5.	金冬梅, 燕铁斌. Berg 平衡量表及其临床应用. 中国康复理论与实践, 2002, 8(3): 155-157.
6.	金冬梅, 燕铁斌, 曾海辉. Berg 平衡量表的效度和信度研究. 中国康复医学杂志, 2003, 18(1): 25-27.
7.	周君桂, 范建中. Morse 跌倒评估量表与 Berg 平衡量表应用于老年患者预测跌倒风险的效果分析. 中国康复医学杂志, 2012, 27(2): 130-133.
8.	金景, 蒋苏, 潘晓励, 等. 经颅直流电刺激联合康复训练对脑卒中偏瘫患者认知功能及肢体运动功能的影响. 中华物理医学与康复杂志, 2019, 41(6): 415-417.
9.	闵瑜, 吴媛媛, 燕铁斌. 改良 Barthel 指数 (简体中文版)量表评定脑卒中患者日常生活活动能力的效度和信度研究. 中华物理医学与康复杂志, 2008, 30(3): 185-188.
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11.	中国老年保健医学研究会老龄健康服务与标准化分会, 《中国老年保健医学》杂志编辑委员会, 北京小汤山康复医院. 中国社区平衡功能障碍评定与康复治疗技术专家共识. 中国老年保健医学, 2019, 17(4): 27-36.
12.	张少军, 刘杨, 杨海, 等. 绵竹地区后遗症期脑卒中患者抑郁状况的调查分析. 中华物理医学与康复杂志, 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.	杨春凤. 社区离休干部健康状况及日常生活能力调查. 中华全科医学, 2010, 8(12): 1581-1582.
16.	刘学员, 赵蕾, 谢岳云, 等. 老年人日常生活能力与心理健康的相互影响. 中国健康心理学杂志, 2009, 17(2): 201-203.
17.	廖红. 老年人日常生活能力与抑郁的关系. 中国老年学杂志, 2011, 31(13): 2539-2540.
18.	吴燕, 徐勇. 苏州市城区老年人日常生活能力调查. 中国老年学杂志, 2014, 34(3): 745-746.
19.	刘学员, 阳丽华, 赵蕾, 等. 日常生活能力对老年人身心健康的影响. 中国老年学杂志, 2009, 29(1): 92-94.
20.	常晓明, 陈长香, 李淑杏, 等. 老年人参加活动情况与日常生活能力的相关性分析. 河北医药, 2014, 36(17): 2686-2687.
21.	刘祚燕, 杜春萍, 王凤英, 等. 多科协作小组工作模式在老年康复医学中的应用. 华西医学, 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. 石学英, 毛华, 向菲, 等. 离退休干部个性特征及幸福度探讨. 健康心理学杂志, 1998, 6(4): 440-442.
2. 白玉虾, 程海林. 人性化护理在离退休老干部护理中的应用效果分析. 中西医结合心血管病电子杂志, 2019, 7(4): 143.
3. 姚美燕. 老年离退休患者生存质量的调查分析. 中国实用护理杂志, 2011, 27(6): 54-55.
4. 高亚南, 许永利, 陈雪丽. 老年综合评估在老年康复中的应用. 中国康复理论与实践, 2013, 19(5): 452-456.
5. 金冬梅, 燕铁斌. Berg 平衡量表及其临床应用. 中国康复理论与实践, 2002, 8(3): 155-157.
6. 金冬梅, 燕铁斌, 曾海辉. Berg 平衡量表的效度和信度研究. 中国康复医学杂志, 2003, 18(1): 25-27.
7. 周君桂, 范建中. Morse 跌倒评估量表与 Berg 平衡量表应用于老年患者预测跌倒风险的效果分析. 中国康复医学杂志, 2012, 27(2): 130-133.
8. 金景, 蒋苏, 潘晓励, 等. 经颅直流电刺激联合康复训练对脑卒中偏瘫患者认知功能及肢体运动功能的影响. 中华物理医学与康复杂志, 2019, 41(6): 415-417.
9. 闵瑜, 吴媛媛, 燕铁斌. 改良 Barthel 指数 (简体中文版)量表评定脑卒中患者日常生活活动能力的效度和信度研究. 中华物理医学与康复杂志, 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. 中国老年保健医学研究会老龄健康服务与标准化分会, 《中国老年保健医学》杂志编辑委员会, 北京小汤山康复医院. 中国社区平衡功能障碍评定与康复治疗技术专家共识. 中国老年保健医学, 2019, 17(4): 27-36.
12. 张少军, 刘杨, 杨海, 等. 绵竹地区后遗症期脑卒中患者抑郁状况的调查分析. 中华物理医学与康复杂志, 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. 杨春凤. 社区离休干部健康状况及日常生活能力调查. 中华全科医学, 2010, 8(12): 1581-1582.
16. 刘学员, 赵蕾, 谢岳云, 等. 老年人日常生活能力与心理健康的相互影响. 中国健康心理学杂志, 2009, 17(2): 201-203.
17. 廖红. 老年人日常生活能力与抑郁的关系. 中国老年学杂志, 2011, 31(13): 2539-2540.
18. 吴燕, 徐勇. 苏州市城区老年人日常生活能力调查. 中国老年学杂志, 2014, 34(3): 745-746.
19. 刘学员, 阳丽华, 赵蕾, 等. 日常生活能力对老年人身心健康的影响. 中国老年学杂志, 2009, 29(1): 92-94.
20. 常晓明, 陈长香, 李淑杏, 等. 老年人参加活动情况与日常生活能力的相关性分析. 河北医药, 2014, 36(17): 2686-2687.
21. 刘祚燕, 杜春萍, 王凤英, 等. 多科协作小组工作模式在老年康复医学中的应用. 华西医学, 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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