Maintaining optimal quality of life(QoL)is a pivotal for“successful aging”.Understanding how the QoL of the elderly develops and what role psychological factors play in its development will help improve QoL from a p...Maintaining optimal quality of life(QoL)is a pivotal for“successful aging”.Understanding how the QoL of the elderly develops and what role psychological factors play in its development will help improve QoL from a psychological perspective.Embedded within the lifespan theory of control,this longitudinal study aimed to(1)map the temporal trajectory of QoL among Chinese older adults,(2)examine differential effects of tripartite negative emotions(stress,anxiety,depression),and(3)test themoderating role of control strategies(goal engagement,goal disengagement,self-protection)in emotion-QoL dynamics.A prospective cohort of 345 community-dwelling older adults(Mage=83.84±8.49 years;55.1%female)completed validated measures-SF-36 for QoL,DASS-21 for negative emotions,and an adapted Control Strategies Questionnaire(CAS)-at three waves spanning 12 months.Hierarchical linear modeling(HLM)with time-nested structure analyzed intraindividual changes and interindividual differences.QoL exhibited a significant linear decline over time(β=−4.75,p<0.001).Stress(β=−14.12,p<0.001)and anxiety(β=−11.24,p<0.001)robustly predicted QoL decline,whereas depression showed no significant effect.Control strategies had divergent associations:goal engagement(β=3.51,p<0.001)and self-protection(β=2.38,p=0.015)predicted higher baseline QoL,while goal disengagement accelerated decline(β=−7.00,p<0.001;interaction with time:β=−2.46,p<0.001).Contrary to hypotheses,control strategies did not moderate emotion-QoL associations(ΔR2=0.02,p=0.21).The results showed that stress and anxiety played an important role in the QoL of the elderly.At the same time,goal engagement and self-protection were beneficial to the QoL of the elderly,while goal disengagement was not conducive to QoL and its development among the elderly.Meanwhile,the negative effect of anxiety and stress on the QoL of the elderly was not affected by the control strategies.展开更多
目的分析高血压患者生命质量(quality of life,QOL)的影响因素。方法应用SF-36量表(中文版)调查213例原发性高血压患者的QOL情况,以单因素方差分析、多元逐步线性回归对12种因素进行分析,寻找主要影响因素。结果年龄、居住地区、婚姻状...目的分析高血压患者生命质量(quality of life,QOL)的影响因素。方法应用SF-36量表(中文版)调查213例原发性高血压患者的QOL情况,以单因素方差分析、多元逐步线性回归对12种因素进行分析,寻找主要影响因素。结果年龄、居住地区、婚姻状况、在岗情况、血压控制情况、心功能、心血管系统合并症及家庭人均月收入对患者QOL总得分有显著影响。多元逐步线性回归分析显示,年龄、血压控制情况、心功能、心血管系统合并症及家庭人均月收入是主要影响因素,偏回归系数分别为-4.266、86.237、-48.048、-45.071和36.011。结论关注老龄及低收入高血压患者,积极控制血压、改善心功能、治疗心血管系统合并症对提高患者QOL有重要意义。展开更多
目的探讨由美国国家医学中心和贝克曼研究所研制的癌症患者照顾者生活质量量表(Quality of LifeFamily Version,QOLScale-FAMILY)用于中国喉癌患者照顾者生活质量测量的可能性,为喉癌患者照顾者生活质量的评定提供一个量化工具。方法通...目的探讨由美国国家医学中心和贝克曼研究所研制的癌症患者照顾者生活质量量表(Quality of LifeFamily Version,QOLScale-FAMILY)用于中国喉癌患者照顾者生活质量测量的可能性,为喉癌患者照顾者生活质量的评定提供一个量化工具。方法通过对QOLScale-FAMILY量表的翻译、回译、文化调试制定出中文版的QOL Scale-FAMILY量表,并采用信访、电话访谈、面对面问卷访谈的方法,对100例喉癌患者照顾者(主要是患者配偶和子女)的生活质量进行测定,考核QOL Scale-FAMILY的可行性以及信度与效度。结果中文版的QOL Scale-FAMILY具有良好的内部一致性,总量表的Cronbach′sα系数为0.794,除了精神健康维度α=0.649外,其他3个维度满足群组比较的要求;重测信度γ=0.841。因子分析产生的4个公共因子与理论结构基本一致,结构效度的累积方差贡献率为60.2%。结论QOLScale-FAMILY中文版具有较好的信度和效度,对部分条目进行调整后,可以应用于喉癌患者照顾者生活质量的测定。展开更多
目的:应用UW-QOL第4版评价口腔鳞癌患者的生存质量(quality of life,QOL)。方法:采用直接翻译并经过适当修改的UW-QOL第4版,对97例确诊为口腔鳞癌的连续患者的术前QOL进行测量,术后3个月对其中55例患者的QOL作重复测量。采用SPSS12.0软...目的:应用UW-QOL第4版评价口腔鳞癌患者的生存质量(quality of life,QOL)。方法:采用直接翻译并经过适当修改的UW-QOL第4版,对97例确诊为口腔鳞癌的连续患者的术前QOL进行测量,术后3个月对其中55例患者的QOL作重复测量。采用SPSS12.0软件包分析量表的信度、效度和反应度。结果:量表总的克朗巴赫系数和分半信度分别为0.725和0.701;12个条目可提取4个因子,累计方差贡献率为65.4%;以SF-36中文版和FACT-H&N的头颈特异性子量表FACT-HN为效标,其效标效度分别为0.543和0.738;量表能敏感地区分已知的2组口腔癌患者术前QOL的差异及口腔癌患者QOL随时间的变化。结论:UW-QOL第4版具有良好的信度和反应度,其测定结构呈多维性,可用于中国人口腔癌患者生存质量的测量。展开更多
生活质量(Quality of life,QOL)从概念提出到今天在医学界各学科广泛应用已有20多年的历史。不少学者认为,在评价慢性疾病的结局变量中,QOL是较具有说服力的指标。由于精神障碍患者特殊的心理原因,使得这类患者的QOL评价具有其特殊性。...生活质量(Quality of life,QOL)从概念提出到今天在医学界各学科广泛应用已有20多年的历史。不少学者认为,在评价慢性疾病的结局变量中,QOL是较具有说服力的指标。由于精神障碍患者特殊的心理原因,使得这类患者的QOL评价具有其特殊性。近年来国外出现了一些评价精神障碍患者QOL的工具,但由于受到不同社会背景和经济状况的影响,若不加以修订而直接引进,势必影响评价的可靠性和准确性。因此。展开更多
文摘Maintaining optimal quality of life(QoL)is a pivotal for“successful aging”.Understanding how the QoL of the elderly develops and what role psychological factors play in its development will help improve QoL from a psychological perspective.Embedded within the lifespan theory of control,this longitudinal study aimed to(1)map the temporal trajectory of QoL among Chinese older adults,(2)examine differential effects of tripartite negative emotions(stress,anxiety,depression),and(3)test themoderating role of control strategies(goal engagement,goal disengagement,self-protection)in emotion-QoL dynamics.A prospective cohort of 345 community-dwelling older adults(Mage=83.84±8.49 years;55.1%female)completed validated measures-SF-36 for QoL,DASS-21 for negative emotions,and an adapted Control Strategies Questionnaire(CAS)-at three waves spanning 12 months.Hierarchical linear modeling(HLM)with time-nested structure analyzed intraindividual changes and interindividual differences.QoL exhibited a significant linear decline over time(β=−4.75,p<0.001).Stress(β=−14.12,p<0.001)and anxiety(β=−11.24,p<0.001)robustly predicted QoL decline,whereas depression showed no significant effect.Control strategies had divergent associations:goal engagement(β=3.51,p<0.001)and self-protection(β=2.38,p=0.015)predicted higher baseline QoL,while goal disengagement accelerated decline(β=−7.00,p<0.001;interaction with time:β=−2.46,p<0.001).Contrary to hypotheses,control strategies did not moderate emotion-QoL associations(ΔR2=0.02,p=0.21).The results showed that stress and anxiety played an important role in the QoL of the elderly.At the same time,goal engagement and self-protection were beneficial to the QoL of the elderly,while goal disengagement was not conducive to QoL and its development among the elderly.Meanwhile,the negative effect of anxiety and stress on the QoL of the elderly was not affected by the control strategies.
文摘目的分析高血压患者生命质量(quality of life,QOL)的影响因素。方法应用SF-36量表(中文版)调查213例原发性高血压患者的QOL情况,以单因素方差分析、多元逐步线性回归对12种因素进行分析,寻找主要影响因素。结果年龄、居住地区、婚姻状况、在岗情况、血压控制情况、心功能、心血管系统合并症及家庭人均月收入对患者QOL总得分有显著影响。多元逐步线性回归分析显示,年龄、血压控制情况、心功能、心血管系统合并症及家庭人均月收入是主要影响因素,偏回归系数分别为-4.266、86.237、-48.048、-45.071和36.011。结论关注老龄及低收入高血压患者,积极控制血压、改善心功能、治疗心血管系统合并症对提高患者QOL有重要意义。
文摘目的:应用UW-QOL第4版评价口腔鳞癌患者的生存质量(quality of life,QOL)。方法:采用直接翻译并经过适当修改的UW-QOL第4版,对97例确诊为口腔鳞癌的连续患者的术前QOL进行测量,术后3个月对其中55例患者的QOL作重复测量。采用SPSS12.0软件包分析量表的信度、效度和反应度。结果:量表总的克朗巴赫系数和分半信度分别为0.725和0.701;12个条目可提取4个因子,累计方差贡献率为65.4%;以SF-36中文版和FACT-H&N的头颈特异性子量表FACT-HN为效标,其效标效度分别为0.543和0.738;量表能敏感地区分已知的2组口腔癌患者术前QOL的差异及口腔癌患者QOL随时间的变化。结论:UW-QOL第4版具有良好的信度和反应度,其测定结构呈多维性,可用于中国人口腔癌患者生存质量的测量。
文摘生活质量(Quality of life,QOL)从概念提出到今天在医学界各学科广泛应用已有20多年的历史。不少学者认为,在评价慢性疾病的结局变量中,QOL是较具有说服力的指标。由于精神障碍患者特殊的心理原因,使得这类患者的QOL评价具有其特殊性。近年来国外出现了一些评价精神障碍患者QOL的工具,但由于受到不同社会背景和经济状况的影响,若不加以修订而直接引进,势必影响评价的可靠性和准确性。因此。
