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[体弱老年人生活质量的身心维度]

[Physical and mental dimensions of quality of life of frail older people].

作者信息

Gobbens Robbert J J

机构信息

Domein Gezondheid, Sport en Welzijn, De Boelelaan 1109, 1081 HV, Amsterdam, Nederland.

Zonnehuisgroep Amstelland, Groenelaan 7, 1186 AA, Amstelveen, Nederland.

出版信息

Tijdschr Gerontol Geriatr. 2017 Sep;48(4):160-168. doi: 10.1007/s12439-017-0221-9.

Abstract

Frail older people have an increased risk of limitations in performing activities of daily living, hospitalization, nursing home admission, and premature death. In this study we determined the difference in experiencing quality of life between frail and non-frail older people. We also investigated the associations between physical, psychological and social components of frailty and the physical and mental dimensions of quality of life. 374 people of 75 years and older filled in a questionnaire, the Senioren Barometer. This questionnaire contained the Tilburg Frailty Indicator (TFI) to assess frailty and the SF-12 for assessing quality of life. The study showed that frail older people on average experience a lower quality of life than non-frail older people. A considerable part of the variance of the physical and mental dimensions of quality of life could be explained by the fifteen components of frailty, after controlling for the background characteristics of the respondents, 33.2% and 36.5%, respectively. The frailty components physical inactivity, physical tiredness, and depressive symptoms were associated with the physical dimension as well as the mental dimension of quality of life. The results confirm the importance of multidimensional assessment of frailty. In addition, they provide a direction to healthcare and welfare professionals in performing interventions with the aim of increasing the quality of life of older people.

摘要

体弱的老年人在日常生活活动受限、住院、入住养老院以及过早死亡方面的风险更高。在本研究中,我们确定了体弱与非体弱老年人在生活质量体验上的差异。我们还调查了身体虚弱的生理、心理和社会组成部分与生活质量的生理和心理维度之间的关联。374名75岁及以上的老年人填写了一份问卷,即《老年人晴雨表》。该问卷包含用于评估虚弱程度的蒂尔堡虚弱指标(TFI)和用于评估生活质量的SF-12。研究表明,体弱的老年人平均生活质量低于非体弱的老年人。在控制了受访者的背景特征后,生活质量的生理和心理维度的相当一部分差异可以由虚弱的15个组成部分来解释,分别为33.2%和36.5%。虚弱组成部分中的身体活动不足、身体疲劳和抑郁症状与生活质量的生理维度以及心理维度都有关联。结果证实了对虚弱进行多维度评估的重要性。此外,它们为医疗保健和福利专业人员开展旨在提高老年人生活质量的干预措施提供了方向。

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