150名老年慢性病患者的生活质量评估

Quality of Life and its Influencing Factors of 150 Aged Patients with Chronic Diseases

目的 了解老年慢性病患者的生活质量现状 ,探索其影响因素 ,从而提出相关对策。方法 收集本院住院的老年慢性病患者 ,进行症状自评量表 (SCL - 90 )及生活质量 (QOL)的评定。结果 ⑴在该老年慢性病患者人群中有 78%生活质量下降 ,77 33%心理健康障碍。⑵多元逐步回归分析表明影响该老年患者人群QOL的主要因素为经济收入水平 ,心理健康 ,年龄 ,躯体健康状况 ,其回归方程为Y 生活质量 =36 96 7～ 0 734X 年龄 +2 0 12X经济 - 0 0 35 2X心理 - 0 712X疾病 (P <0 0 5)。 结论 本组老年慢性病患者人群生活质量下降是普遍的 ,主要受经济收入水平 ,心理健康状况 ,年龄 ,躯体健康状况等因素的影响 ,改善老年人的躯体 ,心理健康 。

Objective To understand current situation of live quality of old patients and to explore its influencing factors.Methods Age of all subjects more than 60 years who was aged in-patients with a chronic disease in geriatric ward,department of XiangYa Hospital. General physical examination were executed. Symptom Checklist 90(SCL-90) and Quality of Life (QOL) scales were measured.Results ⑴The problems of QOL and mentality were occurred in 78%,77 33% respectively of the patients. ⑵Multiple linear regression showed that financial condition, mentality, age and physical disease were major factors that affected the patients' quality of life . The linear equation was YQOL=36 967-0 734 X age+2 012 X financial-0 0352 X mentality-0 712 X diseases(P<0 05). Conclusions The reduction of aged patients' quality of life is general.The major influencing factors were age,financial condition,mental and physical situation and diseases.To improve aged patients' financial condition,mental and somatic health can increase their quality of life.