Cleary Kimberly K, Howell Dana M
Department of Physical Therapy, Eastern Washington University, 310 N Riverpoint Blvd., Box T, Spokane, WA 99202-1675, USA.
J Allied Health. 2006 Fall;35(3):156-61.
The purpose of this study was to establish the perceived health-related quality of life (HRQoL) in people aged 65 and older in rural southeastern Idaho. Ninety-five people aged 65 and older completed the Short Form 36 version 2 (SF-36 v2), a valid and reliable HRQoL instrument. Subject scores were then compared to established normative values for the general U.S. adult population and specifically to normative values for people aged 65 and older. In general, the participant's HRQoL was lower than that of the general population. However, females aged 75 and older had higher physical component summary (PCS) scores than their age- or gender-matched mates, and PCS scores of all participants aged 75 and older were higher than those of their age-matched mates. Results of a regression analysis indicated that number of prescription medications taken (p = 0.004) was the only variable predictive of PCS scores. The results of this study show a decrease in the physical aspects of HRQoL of participants, signifying that HRQoL does decline with age. Results suggest that participants aged 75 and older have a higher HRQoL than suspected, which could indicate that rural residence is not an immediate indicator of decreased quality of life in the elderly.
本研究的目的是确定爱达荷州东南部农村地区65岁及以上人群的健康相关生活质量（HRQoL）。95名65岁及以上的人完成了简明健康调查问卷第2版（SF - 36 v2），这是一种有效且可靠的HRQoL测量工具。然后将受试者的得分与美国成年总人口既定的标准值进行比较，特别是与65岁及以上人群的标准值进行比较。总体而言，参与者的HRQoL低于一般人群。然而，75岁及以上的女性的身体成分汇总（PCS）得分高于与其年龄或性别匹配的对象，并且所有75岁及以上参与者的PCS得分高于与其年龄匹配的对象。回归分析结果表明，服用的处方药数量（p = 0.004）是唯一可预测PCS得分的变量。本研究结果显示参与者HRQoL的身体方面有所下降，这表明HRQoL确实会随着年龄增长而下降。结果表明，75岁及以上的参与者的HRQoL比预期的要高，这可能表明农村居住并非老年人生活质量下降的直接指标。
