“只要我身体健康”。在最年长的人群中，医疗诊断与生活满意度的关系。
"As long as I'm in good health". The relationship between medical diagnoses and life satisfaction in the oldest-old.
机构信息
Department of Psychology, University of Gothenburg, Box 500, 405 30 Göteborg, Sweden.
出版信息
Aging Clin Exp Res. 2009 Aug-Oct;21(4-5):307-13. doi: 10.1007/BF03324920.
BACKGROUND AND AIMS
Life satisfaction in the elderly has usually been found to be closely related to self-rated health, and less to diagnoses and more objective measures of health status. However, few studies have examined the relative importance of various specific diagnoses in population-based samples.
METHODS
In this study, we investigate the relationship between life satisfaction and medical diagnoses in a non-demented sample of 392 participants aged 80 and older.
RESULTS
Among 25 common diagnoses, only sleeping problems, urinary incontinence and stroke were significantly related to life satisfaction. Men with angina pectoris and eczema were less satisfied with life compared with men without these diagnoses, whereas women with peptic ulcer were less satisfied with life compared with women without this diagnosis.
CONCLUSIONS
Our results confirm previous findings of a weak relationship between medically based measures of health and life satisfaction. However, health care and future studies of health and quality of life need to focus on the fact that meaning and consequences of various diseases differ among individuals and that gender may partially account for variability.
背景与目的
老年人的生活满意度通常与自评健康密切相关，而与诊断和更客观的健康状况衡量标准的关系较小。然而，很少有研究在基于人群的样本中检验各种特定诊断的相对重要性。
方法
在这项研究中，我们调查了在一个无痴呆的 392 名 80 岁及以上参与者样本中，生活满意度与医疗诊断之间的关系。
结果
在 25 种常见诊断中，只有睡眠问题、尿失禁和中风与生活满意度显著相关。患有心绞痛和湿疹的男性与没有这些诊断的男性相比，对生活的满意度较低，而患有胃溃疡的女性与没有这种诊断的女性相比，对生活的满意度较低。
结论
我们的结果证实了先前关于健康的基于医学的衡量标准与生活满意度之间关系较弱的发现。然而，医疗保健和未来关于健康和生活质量的研究需要关注这样一个事实，即各种疾病的意义和后果在个体之间存在差异，而性别可能部分解释了这种变异性。
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