《中国康复理论与实践》

《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (8): 980-983.doi: 10.3969/j.issn.1006-9771.2017.08.023

• 社区康复 • 上一篇    下一篇

社区中老年人四项身体功能评估及相关因素分析

宋雅云1，蔡毅1,2   

  1. 1.武汉大学健康学院，湖北武汉市 430071；
    2.武汉大学全球健康研究中心，湖北武汉市 430071。
  • 收稿日期:2017-01-17 修回日期:2017-05-11 出版日期:2017-08-25 发布日期:2017-08-24
  • 通讯作者: 蔡毅，女，博士，讲师，中医师。E-mail: yc131@whu.edu.cn。
  • 作者简介:宋雅云(1993-)，女，汉族，湖北鄂州市人，硕士研究生，主要研究方向：社区护理。

Assessments of Physical Function and Related Factors among Community-dwelling Aged People　

SONG Ya-yun1, CAI Yi1,2   

  1. 1. School of Health Sciences, Wuhan University, Wuhan, Hubei 430071, China;
    2. Global Health Institute, Wuhan University, Wuhan, Hubei 430071, China
  • Received:2017-01-17 Revised:2017-05-11 Published:2017-08-25 Online:2017-08-24
  • Contact: CAI Yi. E-mail: yc131@whu.edu.cn

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摘要： 目的 测量社区中老年人四项身体功能评估指标，并分析其与一般人口学特征和健康状况间的相关性。方法 2016年9月至10月，采用方便抽样的方法，选取武汉市某社区55岁及以上中老年人80名，问卷调查法收集一般情况，并测量握力、5次坐立试验(FTSST)、改良感觉整合平衡测试(mCTSIB)及“起立-行走”计时测试(TUGT)。分析测量结果的相关性。结果 80名全部完成问卷和测试。平均握力值为(27.46±9.66) kg，FTSST平均用时(11.58±4.03) s，mCTSIB异常1人(1.25%)，TUGT平均用时(9.05±3.47) s。握力与性别(r=-0.669)、教育水平(r=0.238)、简易精神状态检查(MMSE)评分(r=-0.302)和日常生活活动能力(ADL) (r=-0.344)相关(P<0.05)。FTSST用时与性别(r=0.274)、MMSE评分(r=0.243)和ADL(r=0.321)相关(P<0.05)。TUGT用时与性别(r=0.255)、教育水平(r=-0.362)、家庭人均月收入(r=-0.245)、抑郁自评量表评分(r=0.223)、MMSE评分(r=0.328)、日常生活活动能力(r=0.354)相关(P<0.05)。结论 中老年人的握力、FTSST、TUGT三项身体功能水平均与人口学特征存在相关性。一般社区中老年人群中，mCTSIB测试几乎无异常。

关键词: 中年人, 老年人, 握力, 5次坐立试验, 改良感觉整合平衡测试, “起立-行走”计时试验

Abstract: Objective To evaluate the physical functions of community-dwelling older adults, and analyze the related factors. Methods From September to October, 2016, 80 adults over 55-year-old in one community in Wuhan, Hubei, China were selected with convenience sampling. General situation was collected through questionnaires. Physical functions were measured by tests of grip strength, Five-Times-Sit-to-Stand Test (FTSST), modified Clinical Test of Sensory Interaction and Balance (mCTSIB) and Timed "Up and Go" Test (TUGT). Their correlation was analyzed. Results The average grip strength of the participants was (27.46±9.66) kg; the average time of FTSST was (11.58±4.03) s; there was only one (1.25%) participant observed with an impairment in mCTSIB; the average time of TUGT was (9.05±3.47) s. Grip strength was correlated with gender (r=-0.669), education level (r=0.238), the score of Mini-Mental State Examination (MMSE) (r=-0.302) and activities of daily living (ADL) (r=-0.344) (P<0.05). The time of FTSST was correlated to gender (r=0.274), the score of MMSE (r=0.243) and ADL (r=0.321) (P<0.05). The time of TUGT was correlated to gender (r=0.255), education level (r=-0.362), income level (r=-0.245), the score of Self-rating Depression Scale (r=0.223), the score of MMSE (r=0.328) and ADL (r=0.354) (P<0.05). Conclusion The levels of grip strength, FTSST and TUGT are related to the demographic characters in community-dwelling older adults. Little abnormity has been found in mCTSIB.

Key words: middle aged people, aged people, grip strength, Five-Times-Sit-to-Stand Test, modified Clinical Test of Sensory Interaction and Balance, Timed "Up and Go" Test

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