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中国空巢老人短式 36 项健康调查测试结果:荟萃分析。

Short form 36-Item Health Survey test result on the empty nest elderly in China: a meta-analysis.

机构信息

Department of Epidemiology and Statistics, School of Public Health, Anhui Medical University, Hefei, China.

出版信息

Arch Gerontol Geriatr. 2013 Mar-Apr;56(2):291-7. doi: 10.1016/j.archger.2012.10.011. Epub 2012 Nov 20.

Abstract

The aim of this study was to evaluate the quality of life of the empty nest elderly in China using meta-analytic techniques. Electronic databases were searched for studies concerning the quality of life of the empty nest elderly published before December 2011. Pooled weighted mean difference (WMD) and 95% confidence interval (95% CI) were estimated with fixed and random effect models. Subgroup analyses, sensitivity analyses and publication bias were also performed. Ten studies (6948 empty nesters and 4560 non-empty nesters) were included in this meta-analysis. Vitality (WMD -1.946; 95% CI -3.183 to -0.708), role emotional (WMD -6.084; 95% CI -8.545 to -3.623) and mental health (WMD -2.606; 95% CI -3.964 to -1.249) were statistically significantly low in the empty nest elderly whereas physical functioning, role physical, bodily pain, general health, and social functioning showed no statistical significance. Subgroup analyses showed a statistical significance with WMD of role emotional and mental health in urban area, that of role physical, bodily pain, vitality, role emotional and mental health in rural area, and that of vitality, social functioning, role emotional and mental health in mix area. This meta-analysis indicated that among eight dimensions of the Short Form 36-Item Health Survey (SF-36), only vitality, role emotional and mental health (mental components) were statistically significantly low in the empty nest elderly. More studies are needed to confirm this finding.

摘要

本研究旨在采用荟萃分析技术评价中国空巢老人的生活质量。电子数据库检索了 2011 年 12 月前发表的有关空巢老人生活质量的研究。采用固定效应模型和随机效应模型计算合并加权均数差(WMD)和 95%置信区间(95%CI)。还进行了亚组分析、敏感性分析和发表偏倚分析。本荟萃分析纳入了 10 项研究(6948 名空巢老人和 4560 名非空巢老人)。活力(WMD-1.946;95%CI-3.183 至-0.708)、角色情绪(WMD-6.084;95%CI-8.545 至-3.623)和心理健康(WMD-2.606;95%CI-3.964 至-1.249)在空巢老人中显著降低,而生理功能、角色生理、躯体疼痛、总体健康和社会功能则无统计学意义。亚组分析显示,在城市地区,角色情绪和心理健康的 WMD 具有统计学意义,在农村地区,角色生理、躯体疼痛、活力、角色情绪和心理健康的 WMD 具有统计学意义,在混合地区,活力、社会功能、角色情绪和心理健康的 WMD 具有统计学意义。本荟萃分析表明,在 SF-36 短表的 8 个维度中,仅活力、角色情绪和心理健康(心理成分)在空巢老人中具有统计学意义的降低。需要更多的研究来证实这一发现。

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