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中国某山区县农村空巢老人的孤独感与健康相关生活质量

Loneliness and health-related quality of life for the empty nest elderly in the rural area of a mountainous county in China.

作者信息

Liu Li-Juan, Guo Qiang

机构信息

Training Department, The Second Military Medical University, 800 Xiangyin Road, Shanghai 200433, P.R. China.

出版信息

Qual Life Res. 2007 Oct;16(8):1275-80. doi: 10.1007/s11136-007-9250-0. Epub 2007 Aug 17.

Abstract

OBJECTIVE

To estimate whether loneliness was associated with quality of life and examined the influence of socio-economic factors in the empty nest elderly.

METHODS

The 36-Item Short-Form Health Survey (SF-36) and UCLA Loneliness Scale (UCLA-LS) were used to assess the quality of life and loneliness for 275 empty nest and 315 not empty nest rural elders in a county, China. T tests, Pearson's correlations and linear regression analysis were used to examine the difference in SF-36 and UCLA-LS scores, correlations of the two scores between the two groups, and socio-economic determinants of loneliness among the empty nest elders.

RESULTS

Empty nest group, in comparison with not empty nest group, had higher level of loneliness (95% confidence interval [CI] = -3.361 to -.335), lower physical (95% CI = .228 to 6.044) and mental (95% CI = .866 to 6.380) scores. Loneliness was negatively correlated with all the 36-Item Short-Form Health Survey scales in both groups. Social supports and income were negatively associated with loneliness, whereas education level and being single were positively associated with loneliness for the empty nest group.

CONCLUSIONS

Reducing the level of loneliness may be helpful to improve the quality of life for the empty nest elders.

摘要

目的

评估孤独感是否与生活质量相关,并探讨社会经济因素对空巢老年人的影响。

方法

采用36项简短健康调查问卷(SF - 36)和加州大学洛杉矶分校孤独感量表(UCLA - LS),对中国某县275名空巢农村老年人和315名非空巢农村老年人的生活质量和孤独感进行评估。采用t检验、Pearson相关性分析和线性回归分析,以检验两组在SF - 36和UCLA - LS得分上的差异、两组得分之间的相关性,以及空巢老年人孤独感的社会经济决定因素。

结果

与非空巢组相比,空巢组的孤独感水平更高(95%置信区间[CI] = - 3.361至 - 0.335),身体(95% CI = 0.228至6.044)和心理(95% CI = 0.866至6.380)得分更低。两组中,孤独感与36项简短健康调查问卷的所有量表均呈负相关。社会支持和收入与孤独感呈负相关,而对于空巢组,教育水平和单身状态与孤独感呈正相关。

结论

降低孤独感水平可能有助于提高空巢老年人的生活质量。

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