老年住院共病患者生活质量评估及影响因素分析  

Assessment of quality of life of elderly hospitalized co-morbid patients and analysis ofinfluencing factors

作　　者：汪婷[1] 陈任 闵源 舒守宏[1] 章秋 WANG Ting;CHEN Ren;MIN Yuan;SHU Shouhong;ZHANG Qiu(Department of General Practice,Tongling People’s Hospital,Tongling 244009,China)

机构地区：[1]铜陵市人民医院全科医学科,安徽铜陵244009

出　　处：《安徽医学》2022年第12期1402-1407,共6页Anhui Medical Journal

摘　　要：目的通过对老年住院共病患者开展生活质量评估和影响因素分析,为老年共病人群的综合治疗和健康干预提供理论依据。方法回顾性分析铜陵市人民医院全医学科2019年6月至2021年9月住院治疗的89例老年住院共病患者临床资料,采用改良老年疾病累计评分表(MCIRS-G)、微型营养评估量表(MNA)、欧洲五维度健康评定量表(EQ-5D-3L)评估老年住院共病患者的共病严重程度、营养状况和生活质量,并运用多元线性回归分析方法分析老年住院共病患者生活质量的影响因素。结果老年共病患者中患病率较高的为高血压(57.3%)、脑血管疾病(50.6%)和呼吸系统疾病(41.6%),而共病种类上以患3种慢性病者居多(50.6%)。单因素分析显示,不同年龄、总胆固醇、肌酐、共病严重程度和营养状况的共病患者生活质量(VAS)评分比较,差异有统计学意义(t=3.676、3.438、2.160、4.251、-4.256,P<0.05);多元线性回归分析显示,总胆固醇异常、肌酐异常和重度共病是老年共病患者生活质量的主要危险因素(P<0.05),而较好营养状况则可能是其生活质量的保护因素。结论老年住院共病患者的整体生活质量不容乐观,应通过积极治疗,重点减缓疾病严重程度和改善其营养状况来提高此类患者生活质量。Objective To provide a theoretical basis for comprehensive treatment and health interventions for the elderly co-morbid patient population by conducting quality of life assessment and analysis of influencing factors in elderly hospitalized co-morbid patients.Methods The clinical data of 89 elderly inpatients with co-morbidities hospitalized in General Practice of Tongling People’s Hospital from June 2019 to September 2021 were retrospectively analyzed,and the severity of co-morbidities,nutritional status,and quality of life of elderly inpatients with co-morbidities were assessed using the Modified Cumulative Rating Scale for Illness in the Elderly(MCIRS-G),the Miniature Nutritional Assessment Scale(MNA),the European Five-Dimensional Health Rating Scale(EQ-5D-3L).The factors influencing the quality of life of elderly inpatients with co-morbidities were analyzed using multiple linear regression analysis.Results Hypertension(57.3%),cerebrovascular disease(50.6%),and respiratory disease(41.6%)were the most prevalent among elderly co-morbidities,and three chronic diseases(50.6%)were the most prevalent among the co-morbidities.Univariate analysis showed statistically significant differences in the quality of life(VAS)scores of patients with co-morbidities by age,total cholesterol,creatinine,co-morbidity severity and nutritional status(t=3.676,3.438,2.160,4.251,-4.256,P<0.05);multiple linear regression analysis showed that abnormal total cholesterol,creatinine abnormal and severe co-morbidity were the main risk factors for quality of life in elderly patients with co-morbidities(P<0.05),while better nutritional status may be a protective factor for their quality of life.Conclusions The overall quality of life of elderly hospitalized patients with co-morbidities is not optimistic,and the quality of life of such patients should be improved by active treatment focusing on reducing the severity of the disease and improving their nutritional status.

关 键 词：老年 共病 生活质量 影响因素 

分 类 号：R197.1[医药卫生—卫生事业管理]