Transitions in health status among community-dwelling elderly people with arthritis. A national, longitudinal study.
Transitions in health status among community-dwelling elderly people with arthritis. A national, longitudinal study.
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社区居住的患有关节炎的老年人健康状况的转变。
DOI：
10.1002/art.1780330822
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发表时间：
1990
影响因子：
--
通讯作者：
Katz,PP
中科院分区：
文献类型：
--
作者：
Yelin,EH;Katz,PP
我们使用了老龄化纵向研究，这是一项针对社区老年人的全国性研究，目的是1)估计1984年居住在社区的患有关节炎、有或没有其他慢性病的老年人的人数，他们报告在体力活动、日常生活能力(ADL)和日常生活工具能力(IADL)方面受到限制；2)统计在ADL或IADL方面接受帮助或付费帮助的患有关节炎的老年人的人口；以及3)估计在接下来的两年里健康状况发生变化的这类人的数量。1984年，居住在社区的1560万老年人中有14%患有关节炎，没有其他慢性病；41%的人同时患有关节炎和其他慢性病。在前一组中，66%的人经历了体力活动的限制，但只有大约25%的人在1984年报告了ADL或IADL的限制。在患有关节炎和其他慢性病的人群中，82%的人限制了至少一次体力活动，41%的人限制了ADL。随着两年的过去，2%患有关节炎且没有其他情况的老年人进入疗养院，7%死亡，报告无限制的百分比显著下降。在患有关节炎和其他疾病的老年人中，4%进入养老院，12%死亡，各种形式的限制率上升。必须收集这类数据，了解患关节炎的老年人的患病率和发病率，以确保为日益增长的老年人口提供适当的长期护理服务。
We used the Longitudinal Study on Aging, a national study of community‐dwelling elderly people, to 1) estimate the number of elderly persons with arthritis, with and without other chronic conditions, living in the community in 1984, who reported limitations in physical activities, activities of daily living (ADL), and instrumental activities of daily living (IADL); 2) enumerate the population of the elderly with arthritis who were receiving help or paid help with ADL or IADL; and 3) estimate the number of such persons experiencing a change in health status in the ensuing 2 years. In 1984, 14% of all 15.6 million community‐dwelling elderly people had arthritis and no other chronic conditions; 41% had arthritis concurrently with other chronic conditions. Of the former group, 66% experienced limitations in physical activities, but only approximately 25% reported limitations in ADL or IADL in 1984. Among the group with arthritis and other chronic conditions, 82% were limited in at least 1 physical activity, and 41% were limited in ADL. With the passage of 2 years, 2% of elderly persons with arthritis and no other conditions had entered a nursing home, 7% had died, and the percentage reporting no limitation declined significantly. Among elderly persons with arthritis and other conditions, 4% entered a nursing home, 12% died, and the rates of all forms of limitation increased. It is essential to gather data such as these, on the prevalence and incidence of limitation among the elderly with arthritis, to ensure adequate long‐term care services for an increasing aged population.