摘要
目的 探索社区不同认知功能状况老年人群的生命质量及其相关因素。方法 采用截断面调查 ,以社区 6 5岁以上人口构成为基准 ,按居民里委为单位进行整群随机抽样。应用“上海市社区老年人群健康问卷VER2 0 0 0”(包括健康状况调查问卷和简易智能状态检查等 ) ;按照认知功能、日常生活能力、目前心境和有无躯体残疾 4个维度分成 3个等级的健康状况水平 ,共计 14 5 5名纳入分析 ,采用单因素及多因素等统计方法完成有关分析。结果 在控制年龄、教育程度和性别因素后 ,3组健康状况调查问卷 (SF 36 )的 8个因子分仍具有显著性差异。简易智能状态检查总分与躯体功能、躯体健康所致角色限制、躯体疼痛、总体健康感、生命活力、社交功能、情绪问题所致角色限制和精神健康分量表的偏相关系数分别是 0 31、0 12、0 16、0 2 3、0 2 5、0 32、0 14、0 11,具有显著性相关。结论 本研究提供了社区老年人群生命质量的基线数据 ;发现社区老人认知功能与生命质量密切相关 ,通过成功老龄化干预、提高认知功能水平有望提升老年人的生命质量。
Objectives To explore quality of life in the elderly with different levels of cognitive function and its related factors in community. Methods A cross-sectional survey was conducted in community with neighborhood-based cluster sampling from the elderly aged 65 years or over in two subdistricts of Putuo District, Shanghai, with a questionnaire “Shanghai Health Survey for the Elderly(VER2000)”, which includes information of demographics, health status, cognitive function, activity of daily living, current mood, disability status, etc., based on international standardized instruments (such as Mini-mental Status Examination, Activity of Daily Living, The Short-Form-36 Health Survey, etc.). Health ststus was divided into three categories, according to measurements of cognitive function, activity of daily living, current mood and disablity in the elderly. Totally, 1 455 elderly people were enrolled into the study. Univariate and multivariate analyses were employed for the data with SPSS version 6.1 software. ResultsThere was significant difference in scores of eight scales of SF-36 at three different levels of health status, adjusted for age, education level and gender. There existed significant correlation between scores of MMSE and eight scales of SF-36, adjusted for the possible confounding factors, with partial coefficients of correlation of 0.31,0.12,0.16,0.23,0.25,0.32,0.14 and 0.11 for physical function, restriction of role caused by physical health, physical pain, overall health, vital activity, social activity, restriction of role caused by mood issues and mental health, respectively. Conclusions The study provided baseline data of quality of life in the elderly people of community. Cognitive function in the elderly of community had a significant association with their quality of life. Quality of life in the elderly is expected to be improved with the effective intervention of successful aging and the increase in their cognitive function in community.
出处
《中华全科医师杂志》
2004年第1期25-28,共4页
Chinese Journal of General Practitioners
基金
国家自然科学基金资助项目 (3 0 170 3 2 7)
上海市医学领先专业老年精神医学重点学科基金资助项目 (993 0 3 0 )
