住院老年病人健康相关生活质量与护理依赖的相关性研究

Correlation study between health-related quality of life and nursing dependence in hospitalized elderly patients

[目的]了解住院老年病人健康相关生活质量(HRQOL)和护理依赖情况,并探讨两者的关系。[方法]采用简明健康状况调查表(SF-36V2)和护理依赖量表(CDS)对212例住院老年病人进行调查分析。[结果]住院老年病人的CDS得分为49.77分±11.39分。健康相关生存质量(HRQOL)的躯体疼痛维度与护理依赖呈正相关(r=0.24,P<0.05);生理功能(r=-0.32)、生理职能(r=-0.28)、一般健康(r=-0.26)、活力(r=-0.27)、社会功能(r=-0.31)、情感职能(r=-0.25)、精神健康(r=-0.23)维度均与护理依赖呈负相关(P<0.05)。[结论]医护人员应制定不同途径的临床干预,降低住院老年病人的护理依赖水平,从而提高病人的健康相关生活质量。

Objective To understand the status quo of health - related quality of life （HRQOL）and nursing de-pendence in hospitalized elderly patients and to probe into the relationship between them. Methods： A total of 212 hospitalized elderly patients were investigated and analyzed by using a brief survey of health status （SF36V2） and nursing dependence scale （CDS）. Results： The CDS score of hospitalized elderly patients was （49. 77±11. 39）. The dimension of HRQOL body pain was positive correlated with nursing dependency （r = 0. 24,P 〈0. 05）. The physiological function（r = - 0. 32） , physiological limitation （r = 0. 28） , general health （r = 0. 26） , vitality （r = 0. 27）,social function（r = -0. 31 ） ？ emotional function （r = 0. 25） ？ mental health （r =0. 23） were negative correlated with nursing dependence （P 〈0. 05）. correlation between the dimensions of physiological function（r = -0. 32）. Conclusions： Medical staff should formulate different ways of clinical intervention to reduce the nursing depend-ence of elderly patients in hospital so as to improve their health - related quality of life.