School of Health and Social Services, Massey University, Palmerston North, New Zealand.
J Aging Health. 2013 Aug;25(5):723-36. doi: 10.1177/0898264313490198. Epub 2013 Jun 3.
The purpose of this cross-sectional study was to determine the extent and manner in which mobility is related to quality of life (QOL) in a representative sample of older adults.
Two models were assessed using structured equation modeling. The first hypothesized that mobility would have a direct effect on QOL along with other variables, including; number of health conditions and satisfaction with functional capacity, life essentials (e.g., transport, access to health services, and conditions of living space) and personal relationships. The second hypothesized that mobility would have its greatest influence on QOL through satisfaction with functional capacity.
While both models found that mobility and all three measures of life satisfaction were significantly associated with QOL, goodness of fit indices were higher for the second model.
The findings from this study suggest that mobility interventions designed to enhance QOL should address satisfaction with functional capacity as well.
本横断面研究旨在确定在代表性的老年人群体中,移动能力与生活质量(QOL)的关联程度和方式。
使用结构方程模型评估了两种模型。第一个假设是,移动能力将直接影响 QOL,以及其他变量,包括:健康状况的数量和对功能能力的满意度、生活基本要素(如交通、获得医疗服务的机会和居住空间条件)和人际关系。第二个假设是,移动能力对 QOL 的最大影响将通过对功能能力的满意度来体现。
虽然两个模型都发现移动能力和生活满意度的三个测量指标都与 QOL 显著相关,但第二个模型的拟合优度指数更高。
本研究的结果表明,旨在提高 QOL 的移动能力干预措施还应解决对功能能力的满意度问题。