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Objective:To analyze the willingness of elderly individuals from a certain community to choose different retirement care methods and factors influencing this in the community-embedded elderly care service complex.Methods:Stratified variable ratio sampling was used to select 500 elderly people from a certain community in Guangzhou. A self-developed questionnaire regarding willingness to choose retirement care in the community-embedded elderly care service complex was administered. Data were analyzed by multi-category logistic regression analysis.Results:Among the services involved in the community-embedded elderly care service complex, 57.6%, 31.2%, and 11.2% of the elderly selected family, community home, and institution care, respectively. Logistic regression analysis showed that seniors with college degrees or above ( OR=2.514), who were cared for by family ( OR=3.345), with a monthly income of 3 000-5 000 yuan ( OR=1.891), with monthly pension payments of 1 000-3 000 yuan ( OR=2.572), or with average health status ( OR=3.716) were more willing to choose community based retirement services (all P<0.05). Meanwhile, seniors with a better occupation before retirement ( OR=9.813), a monthly income of 3 000-5 000 yuan ( OR=3.222), monthly pension payment above 3 000 yuan ( OR=6.902), poor health status ( OR=1.000), or who were unattended ( OR=4.386) were more inclined to choose community institution care (all P<0.05). Conclusion:The elderly still rely mainly on family based retirement life, but their willingness to use socialized retirement is more prevalent. Educational level, occupation, economic status, caregivers, and health status are the main factors affecting the elderly′s choice of different pension methods in the community-embedded elderly care service complex.
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Objective To investigate the differences of pre-hospital delay time in acute ST-elevation myocardial infarction (STEMI)between the advanced age group(>75 years old)and control group(≤75 years old).Methods Four hundreds patients with STEMI in the cardiology and emergency departments of the First Affiliated Hospital and Affiliated Luoyang Central Hospital of Zhengzhou University from January 2013 to March 2015 were selected and divided into two groups according to the age,the ad-vanced age group (>75 years old)and control group(≤75 years old).The patients′data were inquired and recorded for conducting the statistical analysis.Results The proportion of pre-hospital delay time < 6 h in the advanced age group was significantly lower than that in the control group and the time for conducting coronary angiography was longer than that in the control group,the differences were statistically significant(P <0.05).The mortality rates of intra-hospital,on 30 d and half a year after discharge in the advanced age group were higher than those in the control group,the differences between the two groups were statistically signif-icant (P <0.05).Conclusion The advanced age patients receiving active therapy are relatively less,which is mainly due to the wor-ry on the age related adverse reactions.
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Objective To investigate the clinical pathological features of IgA nephropathy with nephrotic syndrome and risk factors for impairment of renal pathology.Methods 121 cases of IgA nephropathy with nephrotic syndrome were selected,all patients had been diagnosed with biopsy.The clinical pathological features wer analyzed, they were divided into two groups according to different kidney disease.The minor pathological changes which Leeˊs classification grade Ⅰ and grade Ⅱ patients belong to group A,with a total of 36 cases,while Leeˊs pathology heavier grade for grade Ⅲ,Ⅳ and Ⅴ grade level in patients belonging to group B,with a total of 85 cases.Clinical character-istics and clinical laboratory indicators of two groups were compared,and risk factors for renal pathological damage were analyzed in multivariate analysis.Results The average duration of group B was significantly longer than the average duration of group A,the difference was statistically significant (t =12.74,P 5.0 ×107 /Lwere dangerous aggravating factors.Conclusion Hemoglobin protective factors for IgA nephropathy with nephrotic syndrome,the mean arterial pressure,24h urinary protein excretion and urine red blood cells are their risk aggravating factors,they can make a more accurate judgment of the patientˊs condition.
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Objective To analyze the influence factors of lower extremities deep venous thrombosis after hip replacement,and provide guidance for perioperative prevention.Methods 52 cases of patients underwent total hip replacement were selected,who were given color doppler ultrasound examination for lower limb venous thrombosis after hip replacement.And analyzed risk factors of lower extremity deep vein thrombosis from patient's gender,age,blood lipid,D -dimer,complications and surgical index.Results During the 52 cases,16 cases were found with postopera-tive lower limb deep vein thrombosis (30.8%);Single factor analysis showed that patients with age ≥65 years,over-weight or obese (BMI≥25kg/m2 ),high triglycerides (TG ≥ 1.7mmol/L)and high D -dimer level (≥500μg/L), diabetes or high blood pressure,large blood transfusion combined with a greater incidence of postoperative deep vein thrombosis (P <0.05).Further multiple factors regression analysis showed that age ≥65 years,overweight or obesity, high triglycerides,high D -dimer,diabetes,large blood transfusions were independent risk factors of lower extremity deep vein thrombosis (OR =15.693,1.278,9.832,3.053,1.855,1.014,all P <0.05).Conclusion Patients with total hip replacement should be given preoperative vein thrombosis risk assessment,patients with age ≥65,overweight or obese,high triglycerides,D -dimer level,diabetes,large number of blood transfusions have higher risk of deep vein thrombosis,we should focus on perioperative monitoring,application of low molecular heparin,lower limb vein pump, etc.early postoperative lower limb rehabilitation exercise,to reduce the occurrence of deep vein thrombosis.
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Objective To study the nutritional risks in elderly patients with prostate cancer and explore its related factors.Methods 346 elderly patients with prostate cancer in Wuhan area from May 2013 to May 2014 were chosen as the objects in this study.Nutritional risk screening 2002 was used to evaluate nutritional risk.The sleep quality,anxiety,lower urinary tract symptoms,differentiation and other data of patients were collected.The influencing factors for nutritional risk in the patients were analyzed.Results The ratio of nutritional risk in elderly advanced prostate cancer patients was 35.3％ (122/346).The nutritional risk was increased with age (P＜0.05).The prostate cancer patients with nutritional risk had a higher international prostate symptom score (IPSS) (P＜ 0.05).Monovariate factor analysis showed that sleep quality,operation,pathology staging,radiotherapy,chemotherapy,lower urinary tract symptoms (LUTS) were the impact factors for nutritional status in elderly patients with prostate cancer (P＜0.05).Logistic regression analysis showed that age (OR=0.29),sleep quality (OR=0.25) were the protective factors for the nutritional status,while surgery (OR=12.67),pathological staging (OR=1.65),radiotherapy (OR=2.65),SPSS (OR=1.55),chemotherapy (OR=1.85) were the risk factors for nutritional status (P＜ 0.05).Conclusions The incidence of nutritional risk is high in elderly prostate cancer patients.Age,sleep quality are the protective factors,and operation,pathology staging,SPSS,chemotherapy,and radiotherapy are the risk factors for nutritional status.
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Objective To investigate psychologically healthy condition of traumatic inpatients in orthopedics and analyze its in-fluence factors .Methods Cross-sectional study was conducted in Xi′an city .The mental health questionnaires for traumatic patients which include the Symptom Check List-90(SCL-90)and the related items were used .Results The results showed that 82 .7% of patients suffered from mild and moderate mental discomfort .The positive rate of mental problem was 14 .7% .The main mental rep-resentations of traumatic inpatients were depression ,hostility ,interpersonal relationship senstivity ,anxiety and somatization .The re-sults of single factor analysis showed that the bad mental health had the following characteristics :female ,low educational level ,little knowledge about disease ,bad interpersonal relationship ,introverted character ,cost ,dissatisfied with hospital ,severe disease and bad treatment .Logistic regression analysis revealed that the interpersonal relationship ,the degree of disease and gender were the main factors influencing patients′mental health .Conclusion The mental problem exists among traumatic inpatients in orthopedics .The degree of disease ,the interpersonal relationship and gender are the main factors affecting their mental health .
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Objective To explore the more than 80-year-old age patients laparoscopic cholecystectomy clinical curative effects and complications.Methods More than 260 cases of 80-year-old require cholecystectomy older patients,patients with detailed records related history,select one of the 200 patients with laparoscopic cholecystectomy to treatment,the rest of the 60 patients to do open cholecystectomy treatment,to observe the clinical curative effect of the two groups ; For patients with laparoscopic group in postoperative patients according to whether there was the occurrence of complications were divided into two groups,using multiple factors regression analysis the factors caused by complications.Results Laparoscopic surgery group blood loss,operative time,length of hospital stay,drainage time,lead flow,the surgical incision length were (62.7 ± 60.3) ml,(62.7 ± 21.4) ml,(5.6 ± 1.3) d,(3.6 ± 0.7) d,(174.4 ± 121.4)ml,(4.9 ± 1.2)cm,open group were (210.4 ± 120.4)ml,(115.7 ±30.4)ml,(8.8 ±3.4)d,(6.2 ± 2.5) d,(318.2 ± 132.5) ml,(12.2 ± 1.4) cm,two groups of various observation indexes were statistically significant differences (t =3.16,4.16,2.18,3.16,2,56,5.18,P ＜ 0.05).Laparoscopic cholecystectomy patients in 200 cases of 6 patients with complications (3.0％),single factor analysis results showed that:age,diabetes history,operation time and blood loss,drainage laparoecopic cholecystectomy complications had a correlation (P ＜ 0.05) ;Multiple factors analysis results showed that:with the age increasing,diabetes history was laparoscopic cholecystectomy complications independent risk factor (P ＜ 0.05).Conclusion For age more than 80 years patients,laparoscopic cholecystectomy down than open surgery has good curative effect,its complications are the main factors for increased age and always have diabetes history.
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Objective To find out the prevalence of periodontitis in a petrochemical industry community in Ningbo ; to identify the possible factors of the prevalence; to evaluate the impact of the polluted environment on the oral health of the employees;and to provide information to the enterprises in oral diseases prevention.Methods 2 108 peoples who received regular physical examination in a petrochemical industry community in Ningbo was included.To each subject,a periodontal examination according to the principles and fundamental methods which were used in the third national oral health epidemical survey was carried out,the fast blood was phlebotomized,total cholesterol(TC),triglyceride (TG),uric acid,blood glucose and other serum indexes levels were recorded.These subjects were stratified into two age groups.Data was analyzed with x2 test and multiple regression.Results In the group of 2 108 selected subjects,the periodontitis rate was 52.3 ％ [95 ％ CI:(52.3 ± 2.1) ％].In the multivariable logistic regression model,the old-age groap age(OR =4.783,P =0.000),blood pressure (OR =1.526,P =0.001) and blood glucose (OR =1.560,P =0.045) were the risk factors of periodontitis,while the environmental factor(OR =0.661) was excluded.In the young and middle-age group,blood pressure (OR =2.184,P =0.000),blood glucose (OR =2.314,P =0.001),TC(OR =1.356,P =0.003),and alcohol (OR =1.382,P =0.02) were the risk factors of periodontitis.Conclusion The levels of blood glucose,TC,blood pressure and alcohol should be considered in periodontitis prevention and the sulfureted hydrogen-based environment factor had no adverse impact on periodontitis.
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Objective: To investigate the risk factors for pancreatic cancer. Methods: The clinicaldata including gender, age, hypertension, smoking, family history of cancer, gastrointestinal surgery,biliary disease, chronic pancreatitis, serum total cholesterol level, serum triglyceride level, hepatitis B surface antigen (HBsAg), hepatitis C virus antibody (anti-HCV) and diabetes mellitus from 290 patientswith pancreatic cancer and 312 controls without cancer and metabolic diseases between June 2000 andJune 2010 were retrospectively analyzed. The univariate and multivariate analyses were performed to determine the risk factors for pancreatic cancer. Results: The univariate analysis indicated that diabetes mellitus, hypertension, smoking, family histroy of cancer, gastrointestinal surgery, biliary disease, chronic pancreatitis, serum total cholesterol level and serum triglyceride level were different between the twogroups (P <0.05). The multivariate analysis revealed that smoking [odds ratio (OR )= 1.66, 95% confidence interval (CI )= 1.08-2.56], diabetes mellitus (OR= 11.14, 95%CI= 5.07-24.49), hypertension (OR= 1.64, 95%CI= 1.07-2.51), biliary disease (OR= 4.19, 95%CI= 2.74-6.40) and serum triglyceride level (OR= 1.83, 95%CI= 1.44-2.32) were independent risk factors for pancreatic cancer (P <0.05). Conclusion: Smoking, diabetes mellitus, hypertension, biliary disease and serum triglyceride level may be independent risk factors for pancreatic cancer. Copyright© 2011 by TUMOR.