Pearlman R A, Uhlmann R F
Department of Medicine, University of Washington, Seattle.
J Gerontol. 1991 Mar;46(2):M31-8. doi: 10.1093/geronj/46.2.m31.
Quality of life (QL) in elderly outpatients is poorly characterized. We interviewed 258 elderly outpatients from three health care settings to identify the attributes and events that affect self-assessment of QL. These outpatients rated their QL as acceptable, citing medical care, health, interpersonal relationships, financial status, and functional status as affecting their QL. Overall QL ratings were not strongly associated with objective indicators such as demographic characteristics and use of health care services. Subjective indicators, including patient perceptions of health, memory, and financial concerns, were correlated independently with global QL (sigma R2 = .35). We conclude that older, chronically ill patients generally consider their QL to be acceptable and affected by a variety of factors, including their perceptions of their emotional, socioeconomic, intellectual, and physical functioning. Furthermore, QL is poorly associated with objective indicators. Thus, in assessing the QL of elderly, chronically ill outpatients, physicians should elicit information regarding these perceptions.
老年门诊患者的生活质量（QL）情况鲜为人知。我们对来自三个医疗保健机构的258名老年门诊患者进行了访谈，以确定影响生活质量自我评估的因素和事件。这些门诊患者认为他们的生活质量尚可，提到医疗保健、健康状况、人际关系、经济状况和功能状态会影响他们的生活质量。总体生活质量评分与人口统计学特征和医疗保健服务使用等客观指标没有密切关联。主观指标，包括患者对健康、记忆力和经济担忧的看法，与整体生活质量独立相关（R²总和 = 0.35）。我们得出结论，老年慢性病患者通常认为他们的生活质量尚可，且受到多种因素影响，包括他们对自身情感、社会经济、智力和身体功能的认知。此外，生活质量与客观指标关联不大。因此，在评估老年慢性病门诊患者的生活质量时，医生应了解这些认知方面的信息。
