有症状外周动脉疾病老年患者的正负幸福感：一项基于人群的调查。
Positive and negative well-being of older adults with symptomatic peripheral artery disease: A population-based investigation.
作者信息
Rafnsson Snorri Bjorn, Fowkes Gerry
机构信息
Geller Institute of Ageing and Memory, School of Biomedical Sciences, University of West London, London, UK.
Usher Institute for Population Health Sciences, University of Edinburgh, Edinburgh, UK.
出版信息
JRSM Cardiovasc Dis. 2020 Oct 20;9:2048004020961717. doi: 10.1177/2048004020961717. eCollection 2020 Jan-Dec.
OBJECTIVE
We investigated positive and negative subjective well-being in relation to lower-extremity peripheral artery disease (PAD) in a sample of older adults.
METHOD
4760 participants in the English Longitudinal Study of Ageing (ELSA) provided baseline data on symptomatic PAD, sociodemographic characteristics, lifestyle risk factors, and co-morbid conditions. Baseline and two-year follow-up data were available for life satisfaction, quality of life, and depressive symptoms.
RESULTS
Participants with PAD symptoms had lower baseline levels of life satisfaction (β = -0.03, p < .05) and quality of life (β = -0.04, p < .01), and more depressive symptoms (β = 0.03, p < .05). These associations remained statistically significant in multivariate analyses. Baseline PAD did not, however, influence well-being levels at two-year follow-up.
DISCUSSION
Greater awareness of the potential for chronic vascular morbidity to disrupt the lives of older adults is needed to inform effective multidisciplinary support and interventions that help maintain the quality of life of those affected.
目的
我们在一个老年样本中研究了与下肢外周动脉疾病（PAD）相关的主观幸福感的正负方面。
方法
英国老龄化纵向研究（ELSA）中的4760名参与者提供了关于症状性PAD、社会人口学特征、生活方式风险因素和共病情况的基线数据。可获得基线以及两年随访期关于生活满意度、生活质量和抑郁症状的数据。
结果
有PAD症状的参与者基线生活满意度水平较低（β = -0.03，p < 0.05）和生活质量较低（β = -0.04，p < 0.01），且有更多抑郁症状（β = 0.03，p < 0.05）。在多变量分析中，这些关联仍具有统计学意义。然而，基线时的PAD在两年随访时并未影响幸福感水平。
讨论
需要更深入认识慢性血管疾病可能扰乱老年人生活的潜在影响，以便为有效的多学科支持和干预提供依据，从而帮助维持受影响者的生活质量。
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