慢性肌肉骨骼疼痛老年韩国人生活质量的性别差异。
Sex-Based Differences in the Quality of Life of Elderly Koreans with Chronic Musculoskeletal Pain.
机构信息
Department of Nursing, Graduate School, Pusan National University, Yangsan 50612, Korea.
College of Nursing, Pusan National University, Yangsan 50612, Korea.
出版信息
Int J Environ Res Public Health. 2020 Jan 23;17(3):743. doi: 10.3390/ijerph17030743.
In this study, we constructed a structural equation model (SEM) for predicting the quality of life (QOL) in elderly Koreans with chronic musculoskeletal pain (CMP) and examined the differences between sexes. Data were earlier collected in a prior study of 307 participants (101 men and 206 women) with CMP, aged 65 years and above, who used geriatric welfare centers located in two cities. The effects of pain, functional limitation, perceived health status, pain coping, and social support on the QOL were estimated with a multigroup SEM. For both men and women, the results show sequential causality from pain to functional limitation, perceived health status, and QOL. However, the relationships among pain, pain coping, functional limitation, and QOL differ between men and women. The multigroup SEM provides a better understanding of the sex differences in the QOL of elderly with CMP. The results suggest that in order to improve QOL among the elderly with CMP, a customized strategy should be applied that takes into account differences between the sexes.
在这项研究中，我们构建了一个结构方程模型（SEM），用于预测患有慢性肌肉骨骼疼痛（CMP）的老年韩国人的生活质量（QOL），并考察了性别差异。数据来自之前一项针对 307 名患有 CMP 的 65 岁及以上老年人的研究，这些参与者使用位于两个城市的老年福利中心。使用多群组 SEM 估计了疼痛、功能限制、感知健康状况、疼痛应对和社会支持对 QOL 的影响。对于男性和女性，结果均显示疼痛会依次导致功能限制、感知健康状况和 QOL。然而，疼痛、疼痛应对、功能限制和 QOL 之间的关系在男女之间存在差异。多群组 SEM 更深入地了解了患有 CMP 的老年人群中 QOL 的性别差异。研究结果表明，为了提高患有 CMP 的老年人群的 QOL，应制定考虑到性别差异的个性化策略。
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