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印度本地治里市城区老年人使用世界卫生组织生活质量简表(WHOQOL-BREF)的生活质量及其相关因素

Quality of Life (QOL) and Its Associated Factors Using WHOQOL-BREF Among Elderly in Urban Puducherry, India.

作者信息

Kumar S Ganesh, Majumdar Anindo, G Pavithra

机构信息

Associate Professor, Department of Preventive and Social Medicine, JIPMER , Puducherry, India .

Senior resident, Department of Preventive and Social Medicine, JIPMER , Puducherry, India .

出版信息

J Clin Diagn Res. 2014 Jan;8(1):54-7. doi: 10.7860/JCDR/2014/6996.3917. Epub 2013 Jan 12.

Abstract

BACKGROUND

Quality of Life (QOL) among elderly is a neglected issue especially in developing countries including India.

AIM

To assess the QOL and its associated factors among elderly population.

MATERIALS AND METHODS

A community based cross-sectional study was conducted among 300 elderly subjects in urban Puducherry, India. Data on QOL was assessed by World Health Organization Quality of Life BREF (WHOQOL-BREF) and Activities of Daily Living (ADLs) by Katz ADL scale. Socio-demographic factors and chronic morbid conditions were recorded by using structured questionnaire.

STATISTICAL ANALYSIS

Independent sample test and multiple linear regression analysis.

RESULTS

Majority (64%, 192) were in the (60-69) years' age-group. Overall mean Standard Deviation (SD) score of QOL was 49.74 (10.21). QOL was significantly low among those with no schooling, nuclear family, not receiving pension, not with partner, having musculoskeletal disorder, low vision and impaired ADL groups in univariate analysis. Multiple linear regression analysis revealed that older age (p=0.014), no schooling (p=0.004), without spouse (p=<0.001), nuclear family (p=0.039), musculoskeletal disorder (p=<0.001), low vision (p=0.049) and hearing impairment (0.001) were associated with low QOL score.

CONCLUSION

QOL score among elderly is average, while social relationship domain of QOL score was found to be low. Health education with regard to activity and environmental changes and increase in social relationship may help in improving the QOL among the elderly population.

摘要

背景

老年人的生活质量(QOL)是一个被忽视的问题,尤其是在包括印度在内的发展中国家。

目的

评估老年人群的生活质量及其相关因素。

材料与方法

在印度本地治里市城区对300名老年受试者进行了一项基于社区的横断面研究。生活质量数据采用世界卫生组织生活质量简表(WHOQOL-BREF)进行评估,日常生活活动能力(ADLs)采用Katz ADL量表进行评估。通过结构化问卷记录社会人口学因素和慢性疾病状况。

统计分析

独立样本检验和多元线性回归分析。

结果

大多数(64%,192人)处于(60 - 69)岁年龄组。生活质量的总体平均标准差(SD)得分为49.74(10.21)。在单因素分析中,未受过教育、核心家庭、未领取养老金、无伴侣、患有肌肉骨骼疾病、视力低下和日常生活活动能力受损的人群生活质量显著较低。多元线性回归分析显示,年龄较大(p = 0.014)、未受过教育(p = 0.004)、无配偶(p < 0.001)、核心家庭(p = 0.039)、肌肉骨骼疾病(p < 0.001)、视力低下(p = 0.049)和听力障碍(0.001)与生活质量得分较低相关。

结论

老年人的生活质量得分处于中等水平,而生活质量得分中的社会关系领域得分较低。开展关于活动和环境变化的健康教育以及增加社会关系可能有助于提高老年人群的生活质量。

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