社区老年慢性病患者生命质量及影响因素分析

Study about the quality of life and its influencing factors in communal elderly patients with chronic diseases

目的探讨北京社区老年慢性病患者的生命质量及其影响因素。方法采用整群随机抽样筛查的方法抽取调查对象,运用自填式问卷调查方式对213名社区老年慢性病患者进行调查,问卷包括调查对象基本情况问卷、简易精神状况检查表(MMSE)及健康调查量表(SF-36)。结果 SF-36评分显示,在生理职能(RP)、躯体疼痛(BP)、一般健康状况(GH)、精力(VT)、精神健康(MH)5个维度,患慢性病越多,维度的得分越低,生命质量越差(P<0.05)。多元逐步回归发现,年龄、患慢性病数量、运动、生活自理能力和早年工作能力对生命质量的影响较为广泛。结论北京社区老年慢性病患者生命质量较差且影响因素较多,应该给予更多重视。

Objective To explore the quality of life and influencing factors in communal elderly patients with chronic diseases in Beijing. Methods 213 elderly patients with chronic diseases in a certain community in Beijing were recruited into the study by using cluster random sampling. They were assessed with self-designed general information questionnaire, Mini Mental State Examination （ MMSE）, Short Form of Health Survey （SF-36）. Results The more the number of chronic disease was, the less the score of role-physical （RP）, body pain （BP）, general health （GH）, vitality （VT）, mental health （MH） were, and the poorer the quality of life was （ P 〈 O. 05 ）. Multiple stepwise regression analysis found that the main influencing factors of quality of life consisted of age, number of chronic disease, physical exercise, self-care ability and early work ability. Conclusion The quality of life is relatively poor in communal elderly patients with chronic diseases in Beijing and has many influencing factors, which should be paid much attention to.