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加沙地带老年居民的生活质量:一项基于社区的研究。

Quality of life among elderly residents in the Gaza Strip: a community-based study.

作者信息

Elsous Aymen Mohammed, Radwan Mahmoud Mohammed, Askari Ezat Ahmed, Abu Ayman Mustafa

机构信息

Dr. Aymen Elsous, Assistant Professor, Faculty of Health Professions,, Israa University, Yafa Street,, Gaza Strip 00970, State of Palestine, T: +970598926886/+970568926886

出版信息

Ann Saudi Med. 2019 Jan-Feb;39(1):1-7. doi: 10.5144/0256-4947.2019.1.

DOI:10.5144/0256-4947.2019.1
PMID:30712044
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6464680/
Abstract

BACKGROUND

In Palestine, persons older than 60 years of age comprise 4.6% of the population in this decade and will remain relatively stable until the year 2020, when it is expected to begin to rise. The quality of life (QoL), which reflects well-being and health status, is under-reported in this vulnerable group in the Gaza Strip.

OBJECTIVE

Determine QoL and associated factors in persons aged older than 60 years.

DESIGN

A community-based cross-sectional study.

SETTING

Five Gaza Strip governorates.

SUBJECTS AND METHODS

Subjects were selected by convenience sampling. We used the validated Arabic WHOQOL-BREF to assess QoL and used descriptive, univariate and multivariate methods to analyze the data.

MAIN OUTCOME MEASURES

QoL, overall satisfaction with health and factors associated with good QoL.

SAMPLE SIZE

235 community-dwelling elderly.

RESULTS

The response rate was 85.5% (201/235). Mean age (SD) was 69 (7.95) years old and females accounted for 57.7% (116/201) of the sample. Almost half (44.2%, 90/201) of the elderly scored in the category of good QoL. The mean (SD) for overall QoL and perceived satisfaction with health was 3.3 (1.1) and 3.4 (1.0), respectively, on a 5-point Likert scale. The social relationship domain had the highest QoL score (65.4 [15.3]), whereas physical and environmental domains received equally lower scores (60.5 [15.2] and 60.5 [12.5] respectively). Multivariate analysis showed that factors associated with good QoL were higher education (OR: 3.1, CI 95%: 1.03-9.4) and perceived high satisfaction with health (OR: 3.6, CI 95%: 1.8-7.3).

CONCLUSION

More years of education and higher satisfaction with health were associated with a better perception of QoL. Interventions should be focused more on physical and environmental aspects in the life of elderly persons.

LIMITATIONS

Cross-sectional design, use of convenience sample and some possibly important factors not studied.

CONFLICT OF INTEREST

None.

摘要

背景

在巴勒斯坦,60岁以上的人口在这十年中占总人口的4.6%,并且在2020年之前将保持相对稳定,预计此后将开始上升。反映幸福和健康状况的生活质量(QoL)在加沙地带的这一弱势群体中报告不足。

目的

确定60岁以上人群的生活质量及相关因素。

设计

一项基于社区的横断面研究。

地点

加沙地带的五个省份。

对象与方法

通过方便抽样选择研究对象。我们使用经过验证的阿拉伯文版世界卫生组织生活质量简表(WHOQOL-BREF)来评估生活质量,并使用描述性、单变量和多变量方法分析数据。

主要观察指标

生活质量、对健康的总体满意度以及与良好生活质量相关的因素。

样本量

235名社区居住的老年人。

结果

应答率为85.5%(201/235)。平均年龄(标准差)为69(7.95)岁,女性占样本的57.7%(116/201)。近一半(44.2%,90/201)的老年人生活质量评分为良好。在5分量表上,总体生活质量和对健康的感知满意度的平均值(标准差)分别为3.3(1.1)和3.4(1.0)。社会关系领域的生活质量得分最高(65.4 [15.3]),而身体和环境领域得分同样较低(分别为60.5 [15.2]和60.5 [12.5])。多变量分析显示,与良好生活质量相关的因素是高等教育(比值比:3.1,95%置信区间:1.03 - 9.4)和对健康的高感知满意度(比值比:3.6,95%置信区间:1.8 - 7.3)。

结论

受教育年限增加和对健康的满意度提高与对生活质量的更好感知相关。干预措施应更多地关注老年人生活中的身体和环境方面。

局限性

横断面设计、使用方便样本以及未研究一些可能重要的因素。

利益冲突

无。

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