Naresuan University, Phitsanulok, Thailand.
Johns Hopkins University, Baltimore, MD, USA.
J Prim Care Community Health. 2020 Jan-Dec;11:2150132720913724. doi: 10.1177/2150132720913724.
The aims of this study were to explore prevalence of health-related problems and identify factors associated with health-related quality of life (HRQOL) among community-dwelling older adults (CDOAs) in rural Thailand. A total of 384 CDOAs with mean age of 71 years (SD = 7.6) were recruited. The Thai Ministry of Public Health's comprehensive geriatric assessment (CGA) was used to measure the CDOAs' health conditions in the primary care unit of community hospitals. HRQOL of the participants was assessed by using the EQ-5D questionnaire. The results showed that the most common health-related problems were risk of glaucoma (89.6%) and hypertension (64.6%). The HRQOL were predicted by the incidence of falls (β = -0.076, < .001), Timed Up and Go Test (β = -0.087, < .001), and age (β = -0.667, = .002). This study highlighted the need to incorporate CGA in family practice, which included risk of falls assessment by measuring TUG test, fall prevention, and to provide resources for caring older adults at home which ultimately will improve CDOAs' quality of life.
本研究旨在探讨泰国农村社区老年人（CDOAs）健康相关问题的流行情况，并确定与健康相关生活质量（HRQOL）相关的因素。共招募了 384 名平均年龄为 71 岁（SD=7.6）的 CDOAs。泰国公共卫生部的综合老年评估（CGA）用于测量社区医院初级保健单位中 CDOAs 的健康状况。采用 EQ-5D 问卷评估参与者的 HRQOL。结果表明，最常见的健康相关问题是青光眼风险（89.6%）和高血压（64.6%）。HRQOL 由跌倒发生率（β=-0.076，<0.001）、计时起立行走测试（β=-0.087，<0.001）和年龄（β=-0.667，=0.002）预测。本研究强调需要在家庭实践中纳入 CGA，包括通过测量 TUG 测试评估跌倒风险、预防跌倒以及为在家照顾老年人提供资源，这最终将提高 CDOAs 的生活质量。
