社区中老年骨质疏松症患者生活质量评价及相关因素研究  

A clinical study of quality of life and its related factors in community middle-aged and aged people with osteoporosis

作　　者：许洁 赵东宝[2] 吴毅[3] 陈杰 

机构地区：[1]上海五角场镇社区卫生服务中心,上海200433 [2]第二军医大学附属长海医院风湿免疫科 [3]复旦大学附属华山医院康复医学科

出　　处：《中华物理医学与康复杂志》2010年第8期593-595,共3页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：上海市杨浦区卫生局科研基金资助项目（2008局级09）

摘　　要：目的 评价社区中老年骨质疏松症（OP）患者的生活质量状况,并对相关因素进行分析.方法 根据欧洲OP基金会生活质量问卷（QUALEFFO-41）结合我国实情制定OP调查表,对上海某社区152例OP患者进行生活质量问卷调查.运用单因素Kruskal-Wallis检验和多元逐步回归等方法对相关因素进行分析.结果 中老年OP患者的生活质量评分较低,为（62.58±14.06）分,年龄、文化程度、摄入牛奶量、骨折病史、合并疾病、OP分级及绝经年限对生活质量均有显著影响（P＜0.05）;逐步回归分析表明：骨折病史、合并疾病、文化程度及绝经年限与生活质量有线性回归关系.结论 开展有效健康教育、早期诊断、综合治疗是提高社区中老年OP患者生活质量的关键.Objective To analyze quality of life （QOL） and its related factors in community middle-aged and aged people with osteoporosis （OP）. Methods A total of 152 OP patients in one community in Shanghai were surveyed and their QOL was evaluated with a questionnaire integrated with the QUALEFFO-41 questionnaire. Factors were analyzed using a Kruskal-Wallis test and stepwise multiple regression. Results The QOL scores of these middle-aged and aged people with OP were generally low （62.58 ＋ 14.06）. Age, education level, milk intake, a history of fractures or illness, OP grade and menopause time were significant factors predicting QOL scores. Stepwise multiple regression indicated that fractures, illness, education level and menostasis time had a linear relationship with QOL. Conclusion The key points in improving the QOL of middle-aged and aged people with OP in the community are health education, early diagnosis and comprehensive treatment.

关 键 词：生活质量 骨质疏松症 相关因素 

分 类 号：R580[医药卫生—内分泌]