出院老年慢性病患者生存质量及其影响因素分析  

Quality of life of discharged senile patients with chronic diseases and influencial factors

作　　者：黄天雯[1] 彭莉[1] 谭运娟[1] 郝元涛[2] 苏永静[1] 张小燕[1] 邓石凤[1] 肖燕[1] 

机构地区：[1]中山大学附属第一医院,广东广州510080 [2]中山大学公共卫生学院,广东广州510080

出　　处：《现代临床护理》2014年第1期12-16,共5页Modern Clinical Nursing

基　　金：广东省自然科学基金资助项目;项目编号为S2011010003549

摘　　要：目的探讨出院老年慢性病患者的生存质量及其影响因素。方法采用WHO生存质量测定量表—老年人模块(WHO quality of life-old,WHOQOL-OLD)对广州市两家三级甲等医院及1家二级甲等医院的255例出院老年慢性病患者进行调查,了解出院老年患者生存质量状况及其影响因素。结果老年慢性病患者生存质量在中等水平;患慢性病数目不同的出院老年慢性病患者其生存质量在过去、现在和将来行为领域(past,presentand future activities field,PPFA)比较,差异具有统计学意义(P<0.05);是否患脑血管疾病的出院老年慢性病患者其生存质量在自主领域(autonomy field,A)、死亡观领域(death&dying field,DD)比较,差异具有统计学意义(均P<0.05);出院后是否需要照顾的老年慢性病患者生存质量在自主领域(autonomy field,A)、社会参与领域(social participation field,SP)、死亡观领域(death&dying field,DD)、亲密关系领域(intimacy field,I)比较,差异具有统计学意义(均P<0.05)。结论出院老年患者生存质量呈中等水平,患多种疾病、出院后需要照顾及患有脑血管疾病患者是影响患者生活质量的因素,出院时护士应为患者制订有针对性的出院指导计划,有意识指导患者增加自主性及社会参与性,提高患者出院后的适应能力,从而提高其生存质量。Objective To investigate the quality of life of patients with chronic diseases as well as the influencing factors. Method Two hundred and fifty five elderly patients with chronic disease from 3 hospitals in Guangzhou involved in the survey by adopting WHO quality of life-old（WHO OQOL-OLD）to investigate the quality of life and influencial factors.Results The quality of life of the elderly patients was in middle level.In the dimension of Past,Present and Future Activities,the quality of life was statistically different between the patients with different chronic diseases（P＆lt;0.05）;In the dimension of Autonomy and Death＆amp;Dying, the quality of life was statistically different between those with and without cerebrovascular diseaseor（all P＆lt;0.05）;In the dimensions of Autonomy,Social Participation,Death and Dying and Intimacy,the quality of life was statistically different between those needing care and no care after discharge（all P＆lt;0.05）.Conclusions The quality of life of the elderly patients with chronic diseases is in middle level.The influencing factors for the quality of life include contracting multiple diseases,needing care after discharge and cerebrovascular diseases.At discharge,nurses should regulate instructions for them for the purpose of improving their autonomy,social participation and adaptability after discharge. Thus,their quality of life can be improved.

关 键 词：老年慢性疾病 生存质量 WHO生存质量测定量表-老年人模块 

分 类 号：R473.5[医药卫生—护理学]