Sanftenberg Linda, Bühler Katja, Rottenkolber Marietta, Dreischulte Tobias, Schelling Jörg, Gensichen Jochen, Voigt Karen, Bergmann Antje, Katzenberger Benedict, Grill Eva
Institut für Allgemeinmedizin LMU Klinikum Campus Innenstadt, Pettenkoferstraße 8a, 80336, München, Deutschland.
, München, Deutschland.
MMW Fortschr Med. 2021 Apr;163(Suppl 4):11-18. doi: 10.1007/s15006-021-9703-3.
The treatment of elderly patients with dizziness/vertigo/balance disorders (VDB) can be challenging for their general practitioner. Patient-centered care with a focus on self-management support could be a possible approach. Primary objective of this study was to investigate the correlations between quality of primary care and health-related quality of life (HRQOL) from the patient's perspective.
Data had been collected in the area of Munich and in the area of Dresden between 2017 and 2019. Questionnaires of n = 157 elderly patients from primary care practices in Munich and Dresden were evaluated. Multiple linear regression was used to analyse quality of care, physical activity, depression, and their correlations with HRQOL.
In this cohort of patients aged 65 to 94 no significant correlation between quality of care and HRQOL could be detected. Depression correlated negatively with HRQOL, whereas physical activity showed a positive correlation with HRQOL.
Physical activity can be beneficial for elderly dizzy patients' HRQOL. Additionally, a potential depression should be taken into account when treating patients with dizziness to improve their HRQOL. The results can be well transferred to elderly patients with VDB. Analysing more patients however, could increase the significance of the results.
对于全科医生而言，老年头晕/眩晕/平衡障碍（VDB）患者的治疗颇具挑战性。以患者为中心、注重自我管理支持的护理方式可能是一种可行的方法。本研究的主要目的是从患者角度调查初级保健质量与健康相关生活质量（HRQOL）之间的相关性。
2017年至2019年期间在慕尼黑地区和德累斯顿地区收集数据。对来自慕尼黑和德累斯顿初级保健机构的157名老年患者的问卷进行了评估。采用多元线性回归分析护理质量、身体活动、抑郁及其与HRQOL的相关性。
在这个年龄在65至94岁的患者队列中，未发现护理质量与HRQOL之间存在显著相关性。抑郁与HRQOL呈负相关，而身体活动与HRQOL呈正相关。
身体活动对老年头晕患者的HRQOL有益。此外，在治疗头晕患者时应考虑潜在的抑郁情绪，以改善他们的HRQOL。研究结果可很好地应用于患有VDB的老年患者。然而，分析更多患者可能会提高结果的显著性。
