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哪些因素决定了我们的生活质量、健康状况和能力?来自丹麦人口样本和哥本哈根围产期队列的结果。

Which factors determine our quality of life, health and ability? Results from a Danish population sample and the Copenhagen perinatal cohort.

作者信息

Ventegodt Søren, Flensborg-Madsen Trine, Andersen Niels Jørgen, Merrick Joav

机构信息

Quality of Life Research Center, Copenhagen K, Denmark.

出版信息

J Coll Physicians Surg Pak. 2008 Jul;18(7):445-50.

PMID:18760073
Abstract

OBJECTIVE

To examine the statistical associations between Global Quality of Life (QOL) and a series of indicators representing health, ability, philosophy of life, sexuality, quality of working life and other medically relevant aspects of life.

DESIGN

Cross-sectional comparative study using the self-administered SEQOL questionnaire.

PLACE AND DURATION OF STUDY

The Quality of Life Research Center, the University Hospital Copenhagen, Denmark.

SUBJECTS AND METHODS

(1) A representative sample of 2,500 Danes (18-88 years) randomly selected from the CPR register, (2) Follow-up survey of members of the Copenhagen Perinatal Birth Cohort, 4,648 Danes (31-33 years). The associations were measured qualitatively as well as quantitatively calculating the difference in percentage and using the method of weight modified linear regression. QOL, measured by SEQOL (self-evaluation of quality of life), containing eight global QOL measures: well-being, life-satisfaction, happiness, fulfillment of needs, experience of temporal and spatial domains, expression of life's potentials and objective factors.

RESULTS

Strongest was the association between QOL, overall view of life (41.5% / 59.1%), relationship to self (39.3% / 56.8%), partner (32.2% / 31.7%) and friends (33.3% / 42.7%). Different aspects of physical as well as psychological health were also strongly correlated with QOL: self-perceived physical health (33.2% /29.4%), satisfaction with own health (27.3% / 29.0%), self-perceived mental health (38.4/51.0), number of severe health problems (29.8% / 35.3%). Objective factors such as income, age, sex, weight and social group did not have any noteworthy relationship to QOL, and neither did lifestyle factors such as tobacco and alcohol consumption, drug use, exercise, and diet.

CONCLUSION

It seems that the factors important for present QOL and health is derived from good relations, with the close as well as the distant world, and overall view of life. What one possesses in objective terms--money, status, work--does not seem to be important to global quality of life and of little importance to self-assessed health. Our results indicate that what is really important is not what one has, but how he sees, evaluates and experiences what he has. The person's level of consciousness and responsible attitude towards life and others seem far more important for the global quality of life and health.

摘要

目的

研究全球生活质量(QOL)与一系列代表健康、能力、生活哲学、性、工作生活质量及其他医学相关生活方面的指标之间的统计学关联。

设计

采用自我管理的SEQOL问卷进行横断面比较研究。

研究地点和时间

丹麦哥本哈根大学医院生活质量研究中心。

研究对象和方法

(1)从民事登记册中随机抽取2500名丹麦人(18 - 88岁)作为代表性样本;(2)对哥本哈根围产期出生队列的成员进行随访调查,共4648名丹麦人(31 - 33岁)。通过定性和定量两种方式测量关联,定量计算百分比差异并采用加权修正线性回归方法。QOL通过SEQOL(生活质量自我评估)进行测量,包含八项全球生活质量指标:幸福感、生活满意度、快乐感、需求满足感、时空领域体验、生活潜能表达及客观因素。

结果

生活质量与整体生活观(41.5% / 59.1%)、与自我的关系(39.3% / 56.8%)、伴侣关系(32.2% / 31.7%)和朋友关系(33.3% / 42.7%)之间的关联最为紧密。身体和心理健康的不同方面也与生活质量密切相关:自我感知的身体健康(33.2% / 29.4%)、对自身健康的满意度(27.3% / 29.0%)、自我感知的心理健康(38.4 / 51.0)、严重健康问题的数量(29.8% / 35.3%)。收入、年龄、性别、体重和社会群体等客观因素与生活质量没有任何显著关系,吸烟、饮酒、吸毒、运动和饮食等生活方式因素也与生活质量无关。

结论

对于当前生活质量和健康而言,重要的因素似乎源于与亲近和疏远世界的良好关系以及整体生活观。一个人客观拥有的东西——金钱、地位、工作——似乎对全球生活质量并不重要,对自我评估的健康也几乎没有影响。我们的研究结果表明,真正重要的不是一个人拥有什么,而是他如何看待、评估和体验他所拥有的。一个人的意识水平以及对生活和他人的责任态度似乎对全球生活质量和健康更为重要。

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