衰弱和慢性病对荷兰社区居住的老年人大众生活质量的影响：一项横断面研究。
Effects of frailty and chronic diseases on quality of life in Dutch community-dwelling older adults: a cross-sectional study.
机构信息
General Practice Beeker, Hofland Medisch Centrum, Mijdrecht, the Netherlands.
Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam, the Netherlands.
出版信息
Clin Interv Aging. 2018 Feb 26;13:325-334. doi: 10.2147/CIA.S156116. eCollection 2018.
Abstract
OBJECTIVE
The aim of this cross-sectional study was to determine the associations between frailty and multimorbidity on the one hand and quality of life on the other in community-dwelling older people.
METHODS
A questionnaire was sent to all people aged 70 years and older belonging to a general practice in the Netherlands; 241 persons completed the questionnaire (response rate 47.5%). For determining multimorbidity, nine chronic diseases were examined by self-report. Frailty was assessed by the Tilburg Frailty Indicator, and quality of life was assessed by the World Health Organization Quality of Life Instrument-Older Adults Module.
RESULTS
Multimorbidity, physical, psychological, as well as social frailty components were negatively associated with quality of life. Multimorbidity and all 15 frailty components together explained 11.6% and 36.5% of the variance of the score on quality of life, respectively.
CONCLUSION
Health care professionals should focus their interventions on the physical, psychological, and social domains of human functioning. Interprofessional cooperation between health care professionals and welfare professionals seems necessary to be able to meet the needs of frail older people.
摘要
目的
本横断面研究旨在确定社区居住的老年人中衰弱和多种疾病与生活质量之间的关联。
方法
向荷兰一家普通诊所的所有 70 岁及以上人群发送了一份问卷；共有 241 人完成了问卷（应答率为 47.5%）。通过自我报告检查了九种慢性疾病以确定多种疾病。使用蒂尔堡衰弱指标评估衰弱，使用世界卫生组织生活质量工具-老年人模块评估生活质量。
结果
多种疾病、身体、心理以及社会衰弱成分与生活质量呈负相关。多种疾病和所有 15 个衰弱成分分别解释了生活质量评分的 11.6%和 36.5%的方差。
结论
医疗保健专业人员应将干预措施集中在人体功能的身体、心理和社会领域。医疗保健专业人员和福利专业人员之间的跨专业合作似乎是满足体弱老年人需求所必需的。
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