Medhi Gajendra Kumar, Sarma Jogesh, Pala Star, Bhattacharya Himashree, Bora Parash Jyoti, Visi Vizovonuo
Department of Community Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Mawdiangdiang, Shillong, Meghalaya, India.
Department of Pulmonary Medicine, Gauhati Medical College, Guwahati, Assam, India.
J Family Med Prim Care. 2019 May;8(5):1760-1764. doi: 10.4103/jfmpc.jfmpc_270_19.
Ensuring better quality of life to an increasing number of elderly people is emerging as a stiff public health challenge in India. There is paucity of data on impact of functional health on health-related quality of life (HRQOL) in India.
The aim of this study is to explore the functional status and its association with different dimensions of HRQOL among elderly individuals in an urban setting of Assam, India.
A total of 300 elderly were recruited in a cross-sectional study from the city of Dibrugarh, Assam, India. Eight domains of HRQOL of participants were assessed using short form 36 (SF-36). Functional status was assessed by using Barthel activity of daily living (ADL) tool. ANOVA test and binary logistic regression analysis was performed to examine the relationship between ADL status and HRQOL.
In all, 34.7% ( = 104) of participants had limitations in one or more ADL items. We also observed a strong graded relationship between ADL and HRQOL scores. Those who scored perfect 100 ADL score also scored highest in all eight HRQOL scales, whereas those with least ADL score scored lowest in all the HRQOL scales. In age- and sex-adjusted logistic regression analysis, the probability of poor health increased with decreasing level of ADL scores.
Findings of the study suggest that decline in ADL can negatively impact different dimensions of HRQOL among elderly individuals. The findings indicate that there is need to pay proper attention for restoring functional health at later life in order to improve quality of life among elderly in India.
在印度，确保越来越多老年人的生活质量更高正成为一项严峻的公共卫生挑战。关于印度功能健康对健康相关生活质量（HRQOL）影响的数据匮乏。
本研究旨在探讨印度阿萨姆邦城市地区老年人的功能状况及其与HRQOL不同维度的关联。
在印度阿萨姆邦迪布鲁格尔市进行的一项横断面研究中，共招募了300名老年人。使用简短健康调查问卷（SF-36）评估参与者HRQOL的八个领域。使用巴氏日常生活活动（ADL）工具评估功能状况。进行方差分析测试和二元逻辑回归分析，以检验ADL状况与HRQOL之间的关系。
总共有34.7%（n = 104）的参与者在一项或多项ADL项目上存在限制。我们还观察到ADL与HRQOL评分之间存在很强的分级关系。ADL评分为满分100分的人在所有八个HRQOL量表中得分也最高，而ADL评分最低的人在所有HRQOL量表中得分最低。在年龄和性别调整的逻辑回归分析中，健康状况不佳的概率随着ADL评分的降低而增加。
该研究结果表明，ADL下降会对老年人HRQOL的不同维度产生负面影响。研究结果表明，为了提高印度老年人的生活质量，需要在晚年适当关注恢复功能健康。
