老年痴呆患者直接经济负担影响因素分析

Influencing factors of direct economic burden of Alzheimer's patients

目的了解老年痴呆患者直接经济负担的影响因素,为减轻患者、家庭及社会的经济负担提供依据。方法选取青岛市市内四区的26家养老院的244名老年痴呆患者,对其家属、护理员及相关的管理者进行问卷调查,对获得的数据进行单因素和多因素统计学分析。结果单因素分析发现,性别、婚姻、家庭收入、职业、文化及高血压、糖尿病和疾病严重程度等对直接经济负担的影响具有统计学意义(P<0.05);多因素分析发现,性别、家庭收入、文化、高血压、吸烟史及疾病严重程度对直接经济负担的影响更显著。结论影响老年痴呆患者直接经济负担的因素有很多方面,应完善医疗保险政策,重视高血压、糖尿病等慢性病的预防和治疗,减轻其经济负担。

Objective To understand the influencing factors of the direct economic burden of Alzheimer disease, and to provide the basis for reducing the economic burden of themselves, family and society. Methods Two hundred and fortyfour elderly patients with Alzheimer in 26 nursing homes in four districts of Qingdao city were investigated by questionnaire. The data were analyzed by single factor and multi-factor statistical analysis. Results Single factor analysis showed that gender, marriage, family income, occupation, culture and hypertension, diabetes, severity of the disease had statistical significance（P〈0.05）; Multi-factor analysis showed that gender, family income, culture, hypertension, smoking history and the severity of the disease had more significant impacts on the direct economic burden. Conclusion There are many factors influencing the direct economic burden of Alzheimer＇s disease patients. We should improve the medical insurance policies and pay more attention to the prevention and treatment of hypertension, diabetes and other chronic disease to reduce the economic burden.