Woo J, Ho S C, Wong E M C
Department of Medicine & Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong.
Int J Geriatr Psychiatry. 2005 Nov;20(11):1052-9. doi: 10.1002/gps.1394.
To examine factors contributing to the total Philadelphia Geriatric Morale Scale (PGMS) and its two subscales: reconciled ageing and unstrained affect.
The PGMS was administered to 759 community-living subjects aged 70 years and over. Information regarding socioeconomic status, health conditions, sensory impairment, physical symptoms, social support, activities of daily living as measured by the Barthel Index, life satisfaction, and the Geriatric Depression Score, was collected. Associations between these factors and PGMS and its subscale were examined using univariate analysis (Mann-Whitney; Kruskal-Wallis tests), and multivariate analysis using the classification and regression tree (CART) method.
Gender, old age, physical, socioeconomic and social factors were significantly associated with PGMS. There was a strong correlation with GDS (r = 0.77, p < 0.001). In the CART analysis, for both subscales and the total score, GDS was the predominant factor contributing to the score. Other factors include self perception of health, enough expenses, overall satisfaction with life, gender, and constipation.
The PGMS and GDS are closely related. In addition to the GDS, health perception, life satisfaction, and adequate finance were factors contributing to quality of life in elderly Hong Kong Chinese.
研究影响费城老年士气量表（PGMS）总分及其两个子量表（顺应衰老和轻松情感）的因素。
对759名70岁及以上的社区居住受试者进行了PGMS测试。收集了有关社会经济地位、健康状况、感官障碍、身体症状、社会支持、用巴氏指数衡量的日常生活活动、生活满意度以及老年抑郁评分的信息。使用单变量分析（曼-惠特尼检验；克鲁斯卡尔-沃利斯检验）以及使用分类和回归树（CART）方法的多变量分析，研究了这些因素与PGMS及其子量表之间的关联。
性别、高龄、身体、社会经济和社会因素与PGMS显著相关。与老年抑郁量表（GDS）有很强的相关性（r = 0.77，p < 0.001）。在CART分析中，对于两个子量表和总分而言，GDS是得分的主要影响因素。其他因素包括对健康的自我认知、足够的费用、对生活的总体满意度、性别和便秘。
PGMS和GDS密切相关。除了GDS之外，健康认知、生活满意度和充足的经济状况是影响香港华裔老年人生活质量的因素。
