轻中度阿尔茨海默病老年人自评生活质量及影响因素  

Analysis on self-assessment quality of life and its influencing factors among elderly with mild-to-moderate Alzheimer’s disease

作　　者：张小满 刘凯[1] 李伟[1] 郑素素 王艳艳 宋洁[2] ZHANG Xiao-man;LIU Kai;LI Wei;ZHENG Su-su;WANG Yan-yan;SONG Jie(Nursing Department,Affiliated Hospital of Jining Medical College,Jining Shandong,212029,China;Nursing College,Shandong University of Traditional Chinese Medicine,Jinan Shandong,250355,China)

机构地区：[1]济宁医学院附属医院护理部,山东济宁272029 [2]山东中医药大学护理学院,山东济南250355

出　　处：《职业与健康》2021年第15期2079-2083,共5页Occupation and Health

基　　金：2019年度山东省社会科学规划研究项目(18CSHJ13);济宁医学院附属医院“苗圃”科研计划项目(MP-MS-2020-018)。

摘　　要：目的了解轻中度阿尔兹海默病(AD)老年人自评生活质量现状,分析其影响因素。方法 2019年5—9月选取济南市2所综合性三级甲等医院神经内科门诊就诊的150例轻中度AD老年人及其主要照顾者为调查对象,采用自行设计的老年人一般情况调查表、主要照顾者一般情况调查表、AD生活质量量表、中国版失智功能障碍评估量表、蒙特利尔认知量表、简版老年抑郁量表、照顾负担量表以及神经精神症状问卷进行面对面调查。结果 AD老年人自评生活质量总得分为33.40±2.84,呈中等水平,影响因素主要有年龄、受教育程度、合并疾病种类、认知功能、抑郁情绪及照顾者负担(β=-0.086、0.531、-0.942、0.107、-0.258、-0.056,均P<0.05)。结论 AD老年人的生活质量不容乐观,积极改善AD老年人的身心健康状况,减轻照顾者照顾负担,有助于提高AD老年人的生活质量。Objective To study status of self-assessment quality of life(QOL) among the elderly with mild-to-moderate Alzheimer’s disease(AD),analyze its influencing factors. Methods From May to September 2019,a total of 150 elderly with mild-to-moderate AD and their primary caregivers selected from the neurology clinic of two general grade-A tertiary hospitals in Jinan City were investigated using a self-designed general information questionnaire,Quality of Life-Alzheimer’s Disease Scale,Chinese version of the Disability Assessment for Dementia,Montreal Cognitive Assessment,Geriatric Depression Scale-15,Zarit Burden Interview and Neuropsychiatric Inventory Questionnaire. Results The total score of self-assessment QOL among the elderly with AD was 33.40±2.84,showing an middle level. The influencing factors included age,education backgrounds, associated disease type,cognitive function and depression emotion of patients and caregiver burden (β=-0.086,0.531,-0.942,0.107,-0.258,-0.056,all P<0.05).Conclusion The QOL of the elderly with AD is not optimistic. It is helpful to enhance the QOL of the elderly with AD by actively improving the physical and mental health of patients and reduce the burden of caregivers.

关 键 词：阿尔茨海默症 老年人 自评 生活质量 

分 类 号：R181.38[医药卫生—流行病学]