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中国上海老年社区居住人群的生活质量及其影响因素

Quality of life and its contributing factors in an elderly community-dwelling population in Shanghai, China.

作者信息

Shou Juan, Du Zhaohui, Wang Haitang, Ren Limin, Liu Yao, Zhu Shanzhu

机构信息

General Practice Department, Zhongshan Hospital, Fudan University, Shanghai, China.

Pudong Weifang Community Health Center, Fudan University, Shanghai, China.

出版信息

Psychogeriatrics. 2018 Mar;18(2):89-97. doi: 10.1111/psyg.12288. Epub 2018 Feb 6.

Abstract

BACKGROUND

We aimed to investigate the relationship between quality of life and the factors that may influence it in an elderly community-dwelling population in Shanghai.

METHODS

From August to October 2014, elderly individuals were enrolled from three randomly selected communities in Shanghai. Participant information was collected from responses to a general questionnaire and to the Lubben Social Network Scale-6, Cumulative Illness Rating Scale for Geriatrics, Patient Health Questionnaire, and the 12-item Short Form Health Survey. The factors influencing quality of life were explored in a multivariate stepwise linear regression model.

RESULTS

Physical and mental component summary scores for the elderly in Shanghai communities were 50.1 ± 10.1 and 47.3 ± 7.9, respectively. Physical component summary scores in the rural area were higher than those in the urban-rural intersection area (a place where urban and rural transitions are taking place) (52.32 ± 9.81 vs 49.63 ± 9.33, P < 0.05) and the urban area (52.32 ± 9.81 vs 47.34 ± 10.18, P < 0.05). Additionally, mental component summary scores in the rural area were higher than those in the urban-rural intersection area (52.63 ± 9.28 vs 48.43 ± 9.42, P < 0.05) and the urban area (52.63 ± 9.28 vs 48.13 ± 10.69, P < 0.05).

CONCLUSIONS

Depression, self-care ability, and medical care burden were found to be significantly associated with the quality of life of elderly individuals in Shanghai, China. Therefore, more attention should be paid to the mental health of this elderly population.

摘要

背景

我们旨在调查上海社区老年人群的生活质量及其可能的影响因素之间的关系。

方法

2014年8月至10月,从上海随机选取的三个社区招募老年人。通过对一份一般问卷、鲁本社会网络量表-6、老年累积疾病评定量表、患者健康问卷和12项简短健康调查问卷的回答收集参与者信息。在多变量逐步线性回归模型中探讨影响生活质量的因素。

结果

上海社区老年人的身体和心理成分汇总得分分别为50.1±10.1和47.3±7.9。农村地区的身体成分汇总得分高于城乡结合部地区(城乡正在转型的地方)(52.32±9.81对49.63±9.33,P<0.05)和城市地区(52.32±9.81对47.34±10.18,P<0.05)。此外,农村地区的心理成分汇总得分高于城乡结合部地区(52.63±9.28对48.43±9.42,P<0.05)和城市地区(52.63±9.28对48.13±10.69,P<0.05)。

结论

在中国上海,发现抑郁、自我护理能力和医疗负担与老年人的生活质量显著相关。因此,应更加关注这一老年人群的心理健康。

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