Ma Lina, Li Yun, Wang Jieyu, Zhu Hong, Yang Wei, Cao Ruojin, Qian Yuying, Feng Ming
Department of Geriatrics, Xuan Wu Hospital, Capital Medical University, Beijing, 100053, China.
PLoS One. 2015 Jun 10;10(6):e0127849. doi: 10.1371/journal.pone.0127849. eCollection 2015.
To explore the association between quality of life and social support in elderly osteoporosis patients in a Chinese population.
A total of 214 elderly patients who underwent bone mineral density screening were divided into two groups: elderly patients with primary osteoporosis (case group, n = 112) and normal elderly patients (control group, n = 102). Quality of life and social support were compared between the two groups.
Quality of life and social support were significantly different between the case and control groups. The physical function, role-physical, bodily pain, general health, vitality, social-functioning, role-emotional and mental health scores in case group were significantly lower than those in the control group (P < 0.01). The objective support, subjective support, utilization of support, and total scores in case group were significantly lower than those in the control group (P < 0.01). Quality of life and social support were positively correlated in the case group (r = 0.672, P < 0.01).
Quality of life and social support in elderly patients with osteoporosis in China were poorer than in elderly patients without osteoporosis and were positively correlated. Our findings indicate that increased efforts to improve the social support and quality of life in elderly osteoporosis patients are urgently needed in China. Further longitudinal studies should be conducted to provide more clinical evidence to determine causative factors for the observed association between risk factors and outcomes.
探讨中国老年骨质疏松症患者生活质量与社会支持之间的关联。
将214例接受骨密度筛查的老年患者分为两组：原发性骨质疏松症老年患者（病例组，n = 112）和正常老年患者（对照组，n = 102）。比较两组患者的生活质量和社会支持情况。
病例组和对照组的生活质量和社会支持存在显著差异。病例组的生理功能、角色-生理、身体疼痛、总体健康、活力、社会功能、角色-情感和心理健康得分均显著低于对照组（P < 0.01）。病例组的客观支持、主观支持、支持利用度和总分均显著低于对照组（P < 0.01）。病例组的生活质量与社会支持呈正相关（r = 0.672，P < 0.01）。
中国老年骨质疏松症患者的生活质量和社会支持比无骨质疏松症的老年患者差，且两者呈正相关。我们的研究结果表明，中国迫切需要加大力度改善老年骨质疏松症患者的社会支持和生活质量。应进行进一步的纵向研究，以提供更多临床证据来确定观察到的危险因素与结果之间关联的致病因素。
