Noohi S, Karami G R, Lorgard-Dezfuli-Nejad M, Najafi M, Saadat S H
Nephrology/Urology Research Center (NURC), Baqiyatallah Medical Sciences University, Tehran, Iran.
Transplant Proc. 2007 May;39(4):1079-81. doi: 10.1016/j.transproceed.2007.03.009.
This study sought to answer whether all domains of HRQoL are low among elderly kidney recipients.
A cross-sectional study of 162 renal transplanted subjects included group I (age<40 years, n=85), group II (age between 40 and 55 years, n=55), and group III (age >55 years, n=22). We compared the total score of the Short Form health survey (SF-36) and its eight subscales, including physical functioning (PF), social functioning (SF), role limitations due to physical health problems (RPh), role limitations due to emotional problems (REm), mental health (MH), vitality (VT), bodily pain (BP), and general health perceptions (GH) between the study groups.
As compared to groups II and I, group III, showed significantly lower scores of REm (49.12 +/- 23.22, 63.03 +/- 26.33, 64.36 +/- 26.54, P=.08), PF (48.94 +/- 27.41, 72.69 +/- 25.54, 72.14 +/- 22.79, P=.001) and SF-36 total score (46.79 +/- 10.52, 54.77 +/- 10.66, 54.09 +/- 9.35, P=.01). There were no significant differences among SF, RPh, MH, VT, and BP. Group III reported better GH than groups II and I (52.36 +/- 9.18, 48.71 +/- 12.01, 43.50 +/- 14.81, P=.020).
Increasing age did not result in poor health-related quality of life in all domains. The general health perception was better in the elderly, which might be due to their better coping ability.
本研究旨在回答老年肾移植受者的健康相关生活质量（HRQoL）所有领域是否都较低。
一项对162名肾移植受试者的横断面研究，包括第一组（年龄<40岁，n = 85）、第二组（年龄在40至55岁之间，n = 55）和第三组（年龄>55岁，n = 22）。我们比较了研究组之间简短健康调查问卷（SF - 36）的总分及其八个子量表，包括身体功能（PF）、社会功能（SF）、因身体健康问题导致的角色限制（RPh）、因情感问题导致的角色限制（REm）、心理健康（MH）、活力（VT）、身体疼痛（BP）和总体健康感知（GH）。
与第二组和第一组相比，第三组的REm得分（49.12±23.22、63.03±26.33、64.36±26.54，P = 0.08）、PF得分（48.94±27.41、72.69±25.54、72.14±22.79，P = 0.001）和SF - 36总分（46.79±10.52、54.77±10.66、54.09±9.35，P = 0.01）显著较低。SF、RPh、MH、VT和BP之间无显著差异。第三组报告的GH优于第二组和第一组（52.36±9.18、48.71±12.01、43.50±14.81，P = 0.020）。
年龄增长并非导致所有领域的健康相关生活质量都较差。老年人的总体健康感知较好，这可能归因于他们更好的应对能力。
