Abant Izzet Baysal University, School of Physical Therapy and Rehabilitation, Golkoy Campus, Gölköy, 14100 Bolu, Turkey.
Arch Gerontol Geriatr. 2011 Nov-Dec;53(3):278-83. doi: 10.1016/j.archger.2010.12.011. Epub 2011 Jan 7.
The aim of this study was to evaluate the relationship between physical and functional capacity and quality of life (QoL) among elderly people who have a chronic disease. The study included 100 elderly individuals aged 65 years and older, who have a chronic disease. The study examined the marital and educational status, social security status, kind of chronic disease, number of chronic diseases and whether participants use assistive devices for walking. The Nottingham health profile (NHP) was used to evaluate QoL related to health; the physical mobility scale (PMS) was used to evaluate mobility in daily life and the functional independent measure (FIM) was used to evaluate functional independence in daily activities. In both female and male individuals, a statistically significant difference was found between the number of chronic diseases, kind of chronic disease, educational status, marital status, total FIM, PMS and NHP values (p<0.05). In males, there was a correlation between number of chronic illnesses and total NHP, FIM (p<0.05), but in females, there were no correlation between number of chronic illnesses and total NHP, FIM (p>0.05). There were no correlations between kind of chronic disease and PMS, NHP, FIM (p>0.05) in either of genders. It was found that there are differences among elderly female and male individuals with a chronic disease in terms of the number of chronic diseases, types of chronic disease, mobility level, functional status and QoL; and mobility level is related to functional capacity and QoL in females. It is thought that the rehabilitation programs to improve physical and functional capacity in elderly people and applications that increase participation in activities and reduce pain may improve QoL.
本研究旨在评估患有慢性病的老年人的身体和功能能力与生活质量（QoL）之间的关系。该研究纳入了 100 名年龄在 65 岁及以上、患有慢性病的老年人。研究考察了婚姻和教育状况、社会保障状况、慢性病类型、慢性病数量以及参与者是否使用助行器。使用诺丁汉健康简表（NHP）评估与健康相关的 QoL；使用身体移动量表（PMS）评估日常生活中的移动能力；使用功能独立性测量（FIM）评估日常生活中的功能独立性。在女性和男性个体中，慢性病数量、慢性病类型、教育程度、婚姻状况、总 FIM、PMS 和 NHP 值之间存在统计学显著差异（p<0.05）。在男性中，慢性病数量与总 NHP、FIM 之间存在相关性（p<0.05），但在女性中，慢性病数量与总 NHP、FIM 之间无相关性（p>0.05）。无论在哪个性别中，慢性病类型与 PMS、NHP、FIM 之间均无相关性（p>0.05）。患有慢性病的老年女性和男性在慢性病数量、慢性病类型、移动水平、功能状况和 QoL 方面存在差异；女性的移动水平与功能能力和 QoL 相关。改善老年人身体和功能能力的康复计划以及增加活动参与度和减轻疼痛的应用程序可能会提高 QoL。
