目的 了解我市城区老年人健康状况及卫生服务需求,为福州市社区老年人卫生服务的开展和完善提供科学依据.方法 采用分层随机抽样方法,选取福州市城区3285例60岁及以上老年人进行问卷调查.结果 城区老年人的平均生活质量中等偏上,但社区老人受教育程度偏低,老年人慢性病患病率较高,患1种及以上慢性病者2134例(65.0%),且年龄越大,同时患多种慢性病的老年人所占的比例越高(P＜0.01),慢性病患病率前5位依次为:高血压、糖尿病、冠心病、骨关节病、脑卒中;老年人抑郁症状发生率高达60.3%;该区老年人对社区卫生服务总需求率为75.2%,年龄越大,所需求项目越多(P＜0.05),老年人对卫生服务需求排在前5位的是定期体检、健康教育、定期家访、保健指导、饮食指导.结论 福州市城区老年人存在不同程度的健康问题和多种卫生服务需求,应整合资源,为老年人提供多形式、多途径的社区卫生保健服务,以提高老年人的生活质量.%Objective To find out the health status and community health care requirement of the elderly in urban Fuzhou and to provide suggestions on how to develop and consummate the community health care for elderly. Methods With the method of stratified random sampling, 3285 elderly people aged 60 years and over were surveyed by a questionnaire. Results The average quality of life of elderly people in urban Fuzhou was above the moderate level. But education level of the elderly was low. And the prevalence rate of chronic diseases was high. There were 2134 elderly people (65.0%) who had more than one chronic disease. The older the people, the higher proportion the coincidence of multiple diseases (P＜0.01). The first five chronic diseases in the elderly were hypertension, diabetes, coronary heart disease, arthropathy and stroke. The incidence rate of depression was high up to 60%. The requirement rate of community health care was 75.2%, and the older the people, the more items they needed(P＜0.05). The requirement of community health care at the first 5 rank position were regular physical examination, health education, regular home visiting, health direction and diet direction. Conclusions Elderly people have many health problems and requirements of community health care.We should provide more and more community health care, in order to improve the quality of life of elderly people.
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