我国老年人慢性病患病数量与健康相关生命质量的关系  

The Relationship Between the Number of Chronic Diseases and Health-related Quality of Life in the Older Adults in China

作　　者：刘晓君 陈雅婷 蒙玲玲 林臻 阮文倩 瞿书铭[1] LIU Xiaojun(School of Public Health,Fujian Medical University,Fuzhou,Fujian,350122,China)

机构地区：[1]福建医科大学公共卫生学院,福建福州350122

出　　处：《医学与社会》2022年第8期73-77,83,共6页Medicine and Society

基　　金：高校以马克思主义为指导的哲学社会科学学科基础理论研究项目,编号为JSZM2021027;福建医科大学高层次人才科研启动项目,编号为XRCZX2020020。

摘　　要：目的:探讨我国老年人慢性病患病数量与健康相关生命质量的关系,为推进老年人慢性病健康管理,提升老年人生命质量提供相关依据。方法:选取中国健康与养老追踪调查2018数据库中≥60岁人群为研究对象,以欧洲五维度量表衡量样本人群生命质量。采用线性回归模型并调整一般人口学特征分析老年人慢性病患病数量与生命质量的关系。结果:共有6827名60岁及以上老人纳入最终分析样本,有31.19%的老年人患有1种慢性病,58.60%的老年人患有2种及以上慢性病。样本人群欧洲五维度量表效用积分值为(0.80±0.13)。调整一般人口学变量后的线性回归模型显示,与未患慢性病相比,患1种、2种和3种及以上慢性病对降低老年人生命质量的影响作用具有统计学意义。结论:患有多种慢性病的老年人生命质量更差,应根据慢性病患病数量差异有针对性地对不同老年人群制定健康管理方案,提高老年人群整体生命质量。Objective:To explore the relationship between the number of chronic diseases and health-related quality of life(HRQoL)in older adults in China,so as to provide relevant evidence for promoting the health management of chronic diseases and improving the quality of life in older adults.Methods:Participants aged 60 years or older from the database of China health and retirement longitudinal study 2018 were selected.The Chinese time trade-off(TTO)value set for EuroQol five dimensions questionnaire(EQ-5D)was used to measure the HRQoL.Linear regression models were used to identify the relationship between the number of chronic diseases and HRQoL in older adults with adjustment for general demographic characteristics.Results:This study included a total of 6827 subjects.In this study,there were 31.19%older adults with one chronic disease,and 58.60%suffering from two or more chronic diseases.The Chinese TTO value set for EQ-5D was(0.80±0.13).After adjusting for confounding factors,suffering from one chronic disease,two chronic diseases and three or more chronic diseases,all had negative impacts on the HRQoL of the older adults.Conclusion:Chronic diseases had significant negative impacts on the HRQoL in the older adults,and as the number of chronic diseases increased,the HRQoL deteriorated.Much more attention should be paid to the number of chronic diseases when implementing relevant health management strategies to improve the overall HRQoL of the older adults.

关 键 词：慢性病 健康相关生命质量 老年人 

分 类 号：R195[医药卫生—卫生统计学]