社区中老年骨质疏松症患者生活质量评价及相关因素研究

A clinical study of quality of life and its related factors in community middle-aged and aged people with osteoporosis

目的 评价社区中老年骨质疏松症（OP）患者的生活质量状况,并对相关因素进行分析.方法 根据欧洲OP基金会生活质量问卷（QUALEFFO-41）结合我国实情制定OP调查表,对上海某社区152例OP患者进行生活质量问卷调查.运用单因素Kruskal-Wallis检验和多元逐步回归等方法对相关因素进行分析.结果 中老年OP患者的生活质量评分较低,为（62.58±14.06）分,年龄、文化程度、摄入牛奶量、骨折病史、合并疾病、OP分级及绝经年限对生活质量均有显著影响（P＜0.05）;逐步回归分析表明：骨折病史、合并疾病、文化程度及绝经年限与生活质量有线性回归关系.结论 开展有效健康教育、早期诊断、综合治疗是提高社区中老年OP患者生活质量的关键.

Objective To analyze quality of life （QOL） and its related factors in community middle-aged and aged people with osteoporosis （OP）. Methods A total of 152 OP patients in one community in Shanghai were surveyed and their QOL was evaluated with a questionnaire integrated with the QUALEFFO-41 questionnaire. Factors were analyzed using a Kruskal-Wallis test and stepwise multiple regression. Results The QOL scores of these middle-aged and aged people with OP were generally low （62.58 ＋ 14.06）. Age, education level, milk intake, a history of fractures or illness, OP grade and menopause time were significant factors predicting QOL scores. Stepwise multiple regression indicated that fractures, illness, education level and menostasis time had a linear relationship with QOL. Conclusion The key points in improving the QOL of middle-aged and aged people with OP in the community are health education, early diagnosis and comprehensive treatment.