中老年骨质疏松症患者生活质量及其影响因素调查分析  

Investigation and Analysis of Quality of Life and Influencing Factors in Middleaged and Elderly Patients with Osteoporosis

作　　者：李明明 邹志远 Mingming Li;Zhiyuan Zou(Ningxia Medical University,Yinchuan,Ningxia 750004)

机构地区：[1]宁夏医科大学,宁夏银川750004

出　　处：《医学研究前沿》2024年第7期19-21,共3页Frontiers of Medical Research

摘　　要：目的目的本研究旨在调查分析中老年骨质疏松症(OP)患者的生活质量及其影响因素。方法方法选取2023年6月至2023年12月在宁夏医科大学附属医院进行骨密度检查的中老年人100名,剔除问卷质量不合格者后,最终纳入96名作为调查对象。根据骨密度值,将研究对象分为骨量正常组(T值≥-1.0,32例)、骨量减少组(-2.5<T值<-1.0,37例)和OP组(T值≤-2.5,27例)。采用SF-36量表评估各组患者的生活质量,并记录其基本人口学特征、生活习惯、既往病史及药物使用情况。结果结果骨质疏松症患者在生理功能、身体疼痛、总体健康感知等方面的SF-36评分显著低于骨量正常组和骨量减少组。多因素回归分析显示,年龄、性别、体重指数(BMI)、吸烟和饮酒习惯、体育活动频率以及维生素D摄入量是影响中老年骨质疏松症患者生活质量的重要因素。具体而言,年长、女性、BMI较低、吸烟饮酒习惯较差、体育活动较少及维生素D摄入不足的患者生活质量较低。结论结论维生素D摄入不足与中老年骨质疏松症患者生活质量的多个维度显著相关,提示补充维生素D可能有助于改善此类患者的生活质量。本研究为进一步提升中老年骨质疏松症患者的生活质量提供了潜在的干预策略。Objective This study aims to investigate and analyze the quality of life and its influencing factors in middle-aged and elderly patients with osteoporosis(OP).Method 100 middle-aged and elderly individuals who underwent bone density testing at the Affiliated Hospital of Ningxia Medical University from June 2023 to December 2023 were selected.After excluding those who did not meet the ques-tionnaire quality standards,96 individuals were ultimately included as survey subjects.According to bone density values,the study subjects were divided into three groups:normal bone mass group(T value≥-1.0,32 cases),decreased bone mass group(-2.5<T value<-1.0,37 cases),and OP group(T value≤-2.5,27 cases).The SF-36 scale was used to evaluate the quality of life of each group of patients,and their basic demographic characteristics,lifestyle habits,medical history,and medication use were recorded.Result Patients with osteoporosis had significantly lower SF-36 scores in physiological function,physical pain,and overall health perception compared to the normal bone mass group and the reduced bone mass group.Multivariate regression analysis shows that age,gender,body mass index(BMI),smoking and drinking habits,frequency of physical activity,and vitamin D intake are important factors affecting the quality of life of middle-aged and elderly patients with osteoporosis.Specifically,patients who are older,female,have lower BMI,have poorer smoking and drinking habits,engage in less physical activity,and have insufficient vitamin D intake have lower quality of life.Conclusion Insufficient intake of vitamin D is significantly correlated with multiple dimensions of quality of life in middle-aged and elderly patients with osteoporosis,suggesting that supplementing vitamin D may help improve the quality of life of such patients.This study provides potential intervention strategies for fur-ther improving the quality of life of middle-aged and elderly patients with osteoporosis.

关 键 词：中老年 骨质疏松症患者 生活质量 

分 类 号：R589.7[医药卫生—内分泌]