摘要
目的了解居家老年慢性病患者生活质量，探讨相关影响因素。方法采用随机整群抽样的方法，利用中文版SF-36量表及自编的一般资料问卷对抽取的2个社区1856例符合调查标准的居家老年慢性病患者进行问卷调查。结果社区居家老年慢性病患者生活质量总分平均为（63．8±16．1）分，SF-36各维度评分为：生理功能（67．8±22．6）分，生理职能（47．3±39．4）分，躯体疼痛（90．2±14．3）分，总体健康（62．3±11．9）分，活力（64．1±17．1）分，社会功能（74．0±20．9）分，情感功能（49．7土39．5）分，精神健康（65．0±16．9）分；≥75岁患者SF_36各维度均低于60～74岁（P〈0．05），≥75岁男性患者生理职能、躯体疼痛、活力、社会功能和精神健康维度得分均低于女性（P〈0．05）；多元逐步回归分析显示，影响居家老年慢性病患者生活质量的主要因素有运动情况、兴趣爱好、年龄、家庭照顾、家庭支持、患病数量、文化程度、饮酒（均P〈O．05）。结论影响居家老年慢性病患者生活质量的因素包括人口学、行为和家庭等多种因素，社区干预应采取综合措施以提高该人群的生活质量。
Objective To investigate the quality of life （QOL） in elderly patients with chronic diseases living at home and its influencing factors. Methods 1856 elderly patients with chronic diseases living at home were selected by random cluster sampling from two communities. All patients were investigated by SF-36 questionnaire and self-made questionnaire. Results The average QOL scores were （63.8~15.1） in elderly patients with chronic diseases living at home. Scores of SF-36＂s eight dimensions were respectively （67.8~ 22.6） in physiological function, （47.3~ 39.4） in rote physical, （90.2＋14.3） in bodily pain, （52.3~ 11.9） in general health, （64. l! 17.1） in vitality, （74.0 ＋--- 20.9） in social function, （49.7 --4-_ 39.5） in emotional function, （65.0 ~ 16.9） in mental health. Scores of SF-36 in each dimension were lower in patients aged 75 years and above than in patients aged 60-74 years （all P^0.05）. Scores of SF-36＂s dimensions including physical function, bodily pain, vitality, social function and mental health in patients aged 75 years and above were lower in males than females （all P%0.05）. Multiple stepwise regression analysis showed that the major influencing factors for the QOL in elderly patients with chronic diseases living at home were movement, hobbies, age, earegiver, family support, number of chronic diseases, education status, and alcohol consumption （all P^0.05）. Conclusions The major influencing factors for quality of life in elderly patients with chronic diseases living at home are included demographic, behavior and family factors, etc. Comprehensive community interventions should be taken to improve the quality of life in this elderly population.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2013年第12期1361-1364,共4页
Chinese Journal of Geriatrics
基金
福建省自然科学基金项目（2013J01288）
关键词
慢性病
生活质量
Chronic diseases Quality oF life
