Objective To evaluate the disability status of the elderly people with policy arrangement, support and in nursing facility in Dongcheng District of Beijing by the Health Assessment Scale for disabled elderly people.
Methods The elderly people from 9 streets and 4 nursing facilities in Dongcheng District of Beijing were selected and assessed at home by questionnaire in October 2019, and the results of the Health Assessment Scale for Disabled Elderly People were analyzed.
Results A total of 526 elderly patients were evaluated, and 507 of them were effective in evaluation, with an average age of (85.96±5.92) years. The score of Activities of Daily Living was (23.08±20.73) points, the total score of Scale for Mental State and Social Participation Capacity was (10.53±9.26) points, and the total score of Scale for Perception and Communication Ability was (3.01±2.51) points. The number of geriatric syndromes was (2.38±1.54). Assessment of disability were classified into 5 grades, including 45 cases (8.87%) with grade 0 (normal capability), 123 cases (24.26%) with grade 1 (mild disability), 131 cases (25.84%) with grade 2 (moderate disability), 110 cases (21.70%) with grade 3 (severe disability) and 98 cases (19.33%) with grade 4 (extremely severe disability). The more the number of items of geriatric syndrome was, the higher the disability grade would be, and there was a significant difference (P < 0.05). Multivariate analysis showed that the severity of disability was positively correlated with falling (OR=3.40), delirium (OR=4.32), multiple drug use (OR=1.82), carrying pipeline (OR=5.26), chronic pain (OR=2.68), sleep disorder (OR=1.92) and dysphagia (OR=5.69).
Conclusion It is suggested to integrate regional resources, develop community-based home care, improve the service ability of nursing facility for elderly people, identify and intervene geriatric syndrome as soon as possible, and provide accurate services for the disabled elderly people.
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