武汉市社区老年人生命质量及影响因素分析

发布时间：2018-06-07 11:32

本文选题：老年人 + 生活质量　；参考：《中华疾病控制杂志》2017年10期

【摘要】：目的了解武汉市社区老年人的生命质量及其相关影响因素。方法采用现况研究方法,对抽取的1 272例老年人采用欧洲五维度健康量表(Euro Qol five dimensions questionnaire,EQ-5D)进行生命质量评价和问卷调查。数据采用多元线性逐步回归模型分析。结果武汉市社区老年人生命质量总体评价较好,其EQ-5D指数评分为(0.79±0.25)分,通过视觉模拟量表(visual analogue scale,VAS)的评分为(60.76±23.53)分。在行动能力、自我照顾能力、日常活动能力、身体疼痛或不适、焦虑或沮丧五个维度中没有问题的占比分别为86.00%、91.03%、87.18%、75.53%、90.17%。多因素分析显示与老年人生命质量相关的因素有慢性病、体育锻炼、社会网络规模,标准化偏回归系数β'分别为:慢性病(-0.068 3)、锻炼3~4次/周(0.056 6)、锻炼5~7次/周(0.078 2)、日接触10~19人(0.106 5)、日接触20人及以上(0.099 7)。慢性病中与老年人生命质量有关的主要有高血压、糖尿病、缺血性心脏病、胃肠炎,其标准化偏回归系数β'为:-0.085 5、-0.137 2、-0.144 6、-0.065 7(均有P0.05)。结论患有慢性病、缺乏锻炼、社会网络少会导致老年人生命质量得分下降。
[Abstract]:Objective to investigate the quality of life (QOL) of the elderly in Wuhan community and its related influencing factors. Methods the quality of life (QOL) of 1 272 elderly patients was assessed with Euro Qol five dimensions questionnaire (EQ-5D). The data were analyzed by multiple linear stepwise regression model. Results the overall evaluation of the quality of life of the elderly in the community in Wuhan was better, the EQ-5D index score was 0.79 卤0.25, and the visual analogue scale score was 60.76 卤23.53 by visual analogue scale. In the five dimensions of mobility, self-care ability, daily activity ability, physical pain or discomfort, anxiety or depression, the proportions of no problems were 86.00 and 91.03, respectively. Multivariate analysis showed that the factors related to the quality of life of the elderly were chronic diseases, physical exercise, social network scale, The normalized partial regression coefficients (尾') were: chronic disease was 0.0683 / week, exercise was 4 / week (0.056 6), exercise was 57 / week (0.078 2 / week), daily exposure was 1019 (0.106 5), daily exposure was 20 or more (0.099 7 / week). Among the chronic diseases, hypertension, diabetes, ischemic heart disease and gastroenteritis were mainly related to the quality of life of the elderly. The standardized partial regression coefficient 尾 'was: -0.085 5U -0.1372U -0.1446U -0.0657 (all P 0.05). Conclusion chronic disease, lack of exercise and less social network may lead to the decline of quality of life in the elderly.
【作者单位】：武汉大学健康学院社会医学系;
【基金】：武汉大学研究生自主科研项目基金(20120141110052)
【分类号】：R161.7

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