离退休老年人及老年患者生活质量的调查  

Investigation on the quality of life in the elderly retired persons and elderly patients

作　　者：叶瑞繁[1] 张美兰[1] 徐书雯[1] 袁基华[1] 

机构地区：[1]广东省人民医院东病区神经科,广东省广州市510080

出　　处：《中国临床康复》2005年第7期6-8,共3页Chinese Journal of Clinical Rehabilitation

基　　金：2000年广东省医学科学技术研究基金资助课题(A2000086)~~

摘　　要：目的:老龄化过程中,老年人在生理、心理和社会功能上发生一系列的改变,而这些变化可体现在老年人群的生活质量的变化上。调查分析离退休老年人群及老年患者的生活质量状况。方法:实施研究的时间2001-10/2003-06,研究对象为广东省人民医院东病区住院患者、广州市白云区老年大学学员。总样本量746名。纳入标准:年龄≥60岁,离退休干部,能够独立完成问卷,自愿原则。排除标准:意识障碍;有严重认知功能障碍无法单独完成问卷调查;严重躯体疾病病情不稳定者。采用世界卫生组织生活质量量表(WHOQOL-100)中文版对537名离退休老年人和209名离退休老年住院患者进行测评。结果:与常模样本相比较,研究发现,生理领域、心理领域、独立性领域及总的生活质量与健康状况,均为离退休老年人群差于常模样本,差异有显著性意义(P<0.01);其余因子,包括社会关系领域、环境领域和精神支柱/宗教/个人信仰因子分与常模样本相比较差异无显著性意义(P>0.05)。离退休老年患者与一般离退休干部比较,在生理领域、心理领域、独立性领域及总的生活质量与健康状况因子分,均为离退休老年患者差于一般离退休老年人群,差异有显著性意义(P<0.01);社会关系领域、环境领域和精神支柱/宗教/个人信仰因子分两组比较,差异无显著性意义(P>0.05)。AIM:A series of changes in physiological,psychological and social functions occur during aging,and the changes can be presented on the quality of life(QOL) of the elderly crowds.This study aimed to investigate the QOL of elderly retired cadres and elderly patients. METHODS:A total of 746 subjects, who were the inpatients of the East Disease Area of Guangdong Provincial People's Hospital and the students of Baiyue District University for the Elderly of Guangzhou City,were investigated from October 2001 to June 2003.Inclusive criteria:retired cadres no younger than 60 years old,who could independently finish the questionnaire voluntarily;Exclusive criteria:subjects had disturbance of consciousness, serious cognitive disorder that could not finish the questionnaires independently,and had serious body disease and unstable condition of disease.The Chinese Version of WHO Quality of Life Scale(WHOQOL-100) was applied to assess 537 elderly retired cadres and 209 retired elderly inpatients. RESULTS:The QOL in the physical, psychological and independent domains,total QOL and healthy status were significantly worse in the elderly retired cadres than the Chinese norms(P< 0.01);those in the elderly retired patients were significantly worse than those in the elderly retired cadres(P< 0.01),while there were insignificant differences in the domains of social relation and environment,scores of mental support/religion/individual belief between the elderly retired patients and cadres(P >0.05). CONCLUSION:Declines of physical and physiological functions and living self-care ability with aging are the important factors that influence the QOL of the elderly people,and the diseases play an important role in aggravating these dysfunctions.

关 键 词：老年人 生活质量 问卷 

分 类 号：R592[医药卫生—老年医学]