Department of Geriatrics, West China Hospital, Sichuan University, Chengdu, Sichuan, PR China.
Int J Geriatr Psychiatry. 2010 Jul;25(7):697-703. doi: 10.1002/gps.2410.
Previous research has suggested that social support and functional status influence the subjective well-being of the elderly. However, few studies have investigated whether these associations influence well-being in the very old.
In this population-based, cross-sectional study, 1401 persons aged 90 years or over were located in Du Jiang Yan city, Sichuan, China. Among them 732 were willing to participate and provided data on a battery of standardized questionnaire inventories. The 23-item Philadelphia Geriatric Center Morale Scale (PGCMS) was examined as an index of subjective well-being. Functional status was assessed using the physical self-maintenance scale (PSMS) and the instrumental activities of daily living (IADL) scales. The mini-mental state examination (MMSE) was used to measure cognitive function. Social support was assessed using the Family Adaptation, Partnership, Growth, Affection, and Resolve (APGAR) scale and the social support requirement scale (SSRS).
The mean age was 93.7 +/- 3.4 years for the participants, of whom 68% were female. PGCMS total scores were significantly correlated with the Family APGAR and Objective Support subscale of the SSRS, as well as with scores on the MMSE and PSMS scales. However, in a multiple regression analysis, only MMSE and Family APGAR scores were independent predictors of PGCMS scores.
Both social support from family members and cognitive function appear to be key factors associated with quality of life among the very old in China. Further research is needed among very old populations to confirm the importance of these variables and to examine potential cross-cultural differences.
先前的研究表明社会支持和功能状态会影响老年人的主观幸福感。然而，很少有研究调查这些关联是否会影响非常老年人的幸福感。
在这项基于人群的横断面研究中，在中国四川都江堰市定位了 1401 名 90 岁或以上的人。其中 732 人愿意参与并提供了一系列标准化问卷清单的数据。费城老年中心士气量表（PGCMS）的 23 项被作为主观幸福感的指标进行了检查。功能状态使用身体自我维护量表（PSMS）和日常生活活动的工具性量表（IADL）进行评估。使用简易精神状态检查（MMSE）来衡量认知功能。社会支持使用家庭适应性、伙伴关系、成长、情感和解决（APGAR）量表和社会支持需求量表（SSRS）进行评估。
参与者的平均年龄为 93.7 +/- 3.4 岁，其中 68%为女性。PGCMS 总分与家庭 APGAR 和 SSRS 的客观支持子量表以及 MMSE 和 PSMS 量表的得分显著相关。然而，在多元回归分析中，只有 MMSE 和家庭 APGAR 得分是 PGCMS 得分的独立预测因子。
家庭成员的社会支持和认知功能似乎都是中国非常老年人生活质量的关键因素。需要对非常老年人进行进一步的研究，以确认这些变量的重要性，并研究潜在的跨文化差异。
