社区老年人慢性病患病现状及与生命质量关系  

Relationship between chronic disease and quality of life among the elderly in Fuzhou city

作　　者：贾丽娜[1] 袁平[2] 庄海林[1] 王小燕[1] 林欲静 陈越 

机构地区：[1]福建卫生职业技术学院预防医学教研室,福建福州350101 [2]福建省疾病预防控制中心 [3]福州市台江区卫生局 [4]福州市鼓楼区卫生局

出　　处：《中国公共卫生》2011年第11期1361-1364,共4页Chinese Journal of Public Health

基　　金：福建省教育厅科技基金(JB09256)

摘　　要：目的了解福建省福州市社区老年人慢性病患病现状及其与生命质量的关系,为老年人慢性病防治和生命质量的改善提供科学依据。方法采用分层随机抽样方法在福州市抽取12个社区共3 285名≥60周岁老年人进行问卷调查。结果福州市3 285名社区老年人中,慢性病患病2 134例,慢性病患病率为64.96%,其中患1、2和≥3种慢性病者分别占57.12%、26.24%和16.64%;居于前10位的慢性病依次为高血压、糖尿病、冠心病、骨关节病、脑卒中、慢性胃肠病、白内障、慢性支气管炎、肺心病和恶性肿瘤,患病率分别为48.28%、19.06%、9.80%、4.02%、3.01%、2.56%、2.34%、2.25%、1.31%和0.85%;无慢性病老年人生理功能(PF)、生理职能(RP)、躯体疼痛(BP)、总体健康(GH)、活力(VT)、社会功能(SF)、情感功能(RE)、精神健康(MH)、生理健康(PCS)、心理健康(MCS)得分和生命质量总分均高于有慢性病老年人(P<0.01);患不同数量慢性病老年人各维度得分间差异均有统计学意义(P<0.05),患慢性病数量越多,各维度得分越低;患不同种类慢性病患者各维度得分间差异均有统计学意义(P<0.01)。结论慢性病已严重影响福州市老年人的生命质量,患慢性病老年人的生命质量主要受所患疾病的种类及数量影响。Objective To assess the prevalence of chronic diseases and its relationship with the quality of life among the elderly in Fuzhou city for the prevention and treatment of chronic diseases and the improvement of quality of life among the elderly. Methods With stratified random sampling method,3 285 old people aged 60 years or elder were selected from 12 communites and investigated with a questionnaire and the MOS 36-item short-form health survey（SF-36）. ResultsAmong the elderly,2 134 had chronic diseases with a prevalence rate of 64.96%,the comobidity of two chronic diseases of 26.24%,and three chronic diseases of 16.64%,respectively.The top 10 chronic diseases（prevalence rate） were high blood pressure（48.28%）,diabetes（19.06%）,coronary heart disease（9.8%）,bone joint disease（4.02%）,stroke（3.01%）,chronic gastrointestinal diseases（2.56%）,cataracts（2.34%）,chronic bronchitis（2.25%）,pulmonary heart disease（1.31%）,and malignant tumors（0.85%）.The elderly without chronic disease had higher scores of physiological function,physical performance,physical pain,general health,vitality,social function,role-emotional,mental health,physiological health,and the total score of quality of life than those with chronic diseases（P0.01）.There were statistical significances in the score of every dimention among the elderly with different chronic diseases（P0.05） and the nunber of the chronic diseases was negatively correlated with the score of each dimension.There were also statistical significances in the score of qulaity among the elderly with different chronic diseases（P0.01）. Conclusion The quality of life in the elderly are severely affected by both the kind and severity of chronic diseases.

关 键 词：慢性病 患病 老年人 社区 生命质量 

分 类 号：R195.4[医药卫生—卫生统计学]