社区慢性共病老年人健康促进生活方式与生命质量相关性研究

Study on the relationship between health promoting lifestyle and quality of life of the elderly with chronic comorbidities in community

目的了解社区慢性共病老年人健康促进生活方式与生命质量的现状及其之间的关系,为此类老年人健康相关政策的制定提供依据。方法2020-06-01-2020-09-22应用健康促进生活方式量表(HPLP-Ⅱ)和健康调查简表(SF-36)对成都市某社区年龄≥60岁的慢性共病老年人进行问卷调查。运用单因素分析、相关分析和回归分析对数据进行统计学分析。结果共调查385例社区慢性共病老年人,健康促进生活方式得分为132(114,144)分,生命质量得分为435(331,522)分;健康促进生活方式及各维度与生命质量及各维度呈正相关;健康责任(β=0.294,P<0.001)、压力应对(β=0.247,P<0.001)、饮食营养(β=0.135,P<0.001)、性别(β=-0.132,P<0.001)、人际关系(β=0.122,P=0.001)、自我实现(β=0.098,P=0.003)、运动锻炼(β=0.097,P=0.003)、文化程度(β=0.065,P=0.033)、婚姻情况(β=-0.062,P=0.034)和体质指数(β=0.053,P=0.044)是社区慢性共病老年人生命质量的影响因素。结论生命质量与健康促进生活方式有关,改善不健康的生活方式可以提高社区慢性共病老年人的生命质量。

Objective To understand the current status and relationship between health-promoting lifestyle and quality of life among the elderly with chronic comorbidities in the community,and provide a basis for the formulation of health-related policies for such elderly.Methods From June 1 to September 22,2020,the health promotion lifestyle scaleⅡ(HPLP-Ⅱ)and the MOS item short from health survey(SF-36)were used to conduct a questionnaire survey on the elderly aged≥60 years old with chronic comorbidities in a community in Chengdu.Single factor analysis,correlation analysis and regression analysis were used to statistically analyze the data.Results A total of 385 patients were investigated.The health promotion lifestyle score of the elderly with chronic comorbidities in the community was 132(114,144),and the quality of life score was 435(331,522).Health promoting lifestyle and all dimensions were positively correlated with quality of life and all dimensions.Health responsibility(β=0.294,P<0.001),stress response(β=0.247,P<0.001),dietary nutrition(β=0.135,P<0.001),gender(β=-0.132,P<0.001),interpersonal relationship(β=0.122,P=0.001),self realization(β=0.098,P=0.003),exercise(β=0.097,P=0.003),education level(β=0.065,P=0.033),marital status(β=-0.062,P=0.034)and body mass index(β=0.053,P=0.044).Conclusion Quality of life is related to health promoting lifestyle and improving unhealthy lifestyle can improve quality of life of elderly with chronic comorbidities in the community.