摘要
目的探讨社区和养老机构老年人身体活动(PA)与健康相关生活质量(HRQOL)及抑郁的相关性。方法采用耶鲁大学身体活动问卷(YPAS)、生活质量评定量表(SF-36)、老年抑郁量表(GDS)调查某市253名社区和183名养老机构共436名老年人的身体活动、HRQOL及抑郁症状,并分析三者相关性。结果老年人每周活动总时间比较,社区(40.5±1.2)h,养老机构(35.2±0.5)h,差异有统计学意义(F=26.9,P〈0.01);社区老年人SF-36得分中生理领域(66.3±0.9)分,心理领域(63.5±0.8)分,均高于养老机构老年人的(56.3±0.8),(51.3±0.7)分,差异有统计学意义(t分别为4.7,3.9;P〈0.01);社区老人中度抑郁者占11.1%,低于养老机构的18.5%,差异有统计学意义(χ2=3.9,P〈0.05);两组重度抑郁率比较,差异无统计学意义(χ2=6.5,P〉0.05)。相关分析显示,老年人HRQOL除情感职能外均与PA呈正相关(r=0.108-0.255,P〈0.01);抑郁症状得分与YPAS总分及每周能量消耗呈正相关(r分别为0.156,0.121;P〈0.05)。结论老年人身体活动与HRQOL生理和心理维度显著相关,身体活动对社区与养老机构老年人有积极效应。
Objective To discuss the relationship between physical activity (PA), health related quality of life (HRQOL) and depression among community dwelling and institutionalized elderly. Methods YPAS,SF-36 and GDS were used to investigate physical activity, HRQOL and depression in 436 elderly (58% community-dwellers and 42% institutionalized ), and their relationship was analyzed. Results Physical activity time of elderly was (40.5 ± 1. 2) h in the community and ( 35.2 ± 0. 5 ) h in the institutions, and the difference was statistically significant ( F = 26. 9, P 〈 0. 01 ). The psychical score and psychological score in SF-36 were (66.3 ± 0.9) and (63.5 ± 0.8 )in community elderly, higher than(56.3 ± 0. 8)and(51.3 ± 0.7 )in institutionalized elderly, and the differences were statistically significant (t = 4. 7, 3.9, respectively;P 〈 0. 01 ). 11. 1% of elderly in community and 18.5% of institutionalized elderly had moderate depression, and the difference was statistically significant ( χ2 = 3.9, P 〈 0. 05 ). There was no statistically significant difference of severe depression rate between two groups (χ2 = 6.5, P 〉 0. 05 ). HRQOL of elderly, except for emotional function, had positive relationship with PA ( r = 0. 108 - 0. 255, P 〈 0. 01 ), and depression score had positive relationship with YPAS score and weekly energy cost ( r = 0. 156, 0. 121, respectively; P 〈 0. 05 ). Conclusions Physical activity is significantly related to both physical and psychological dimensions in HRQOL, and QA has positive effect on both community-dwelling and institutionalized elderly.
出处
《中华现代护理杂志》
2013年第17期1989-1993,共5页
Chinese Journal of Modern Nursing
基金
河北省卫生厅医学研究重点课题(20110502)
关键词
老年人
运动活动
生活质量
抑郁
相关性
Elderly
Physical activity
Quality of life
Depression
Relationship