贵阳市居家老年人日常生活能力对生命质量的影响

Influence of daily living ability on quality of life for the elderly in Guiyang city

目的了解贵阳市居家老人生命质量(QOL)现况,探讨其日常生活能力(ADL)对QOL的影响。方法随机抽取贵阳市1 898名年龄≥60岁的居家老年人进行ADL和QOL调查,ADL对QOL的影响采用多元线性回归分析。结果贵阳市居家老年人QOL总分为(560.47±136.27)分;QOL维度影响从大到小依次为年龄和是否患慢性病、体育锻炼及文化程度和性别。在控制上述因素后发现,躯体性日常生活能力(PADL)对老年人总体QOL的生理机能(PF)、生理职能(RP)、社会功能(SF)、情感职能(RE)及精神职能(MH)5个维度有影响(P<0.05);工具性日常生活能力(IADL)对老年人总体QOL的PF、躯体疼痛(BP)、总体健康(GH)、活力(VT)及SF 5个维度有影响(P<0.05)。结论不同ADL对QOL及各维度有不同的影响。

Objective To investigate the effect of daily living ability （DLA） on quality of life （QOL） for the elderly in Guiyang. Methods Totally 1,898 individuals with age over 60 in Guiyang were involved in this study. DLA and QOL were recorded. Multiple linear regression analysis was performed for potential correlation. Results QOL score was （560.47 ± 136.27）, and main influencing factors included age, chronic diseases, physical exercise, educational background and gender. After balancing in age, chronic disease, physical exercise, education background, and gender, PADL affected overall quality of life including physical function （PF）, role physical （RP）, social function （SF）, role emotional （RE） and MH （P 〈 0.05）. IADL impacted on the overall quality of life including physical function （PF）, body pain （BP）, general health （GH）, VT and social function （SF） （P 〈 0.05）. Conclusions QOL of elderly in Guiyang is generally poor; different activities of DLA have different effects on quality of life.