Lera Lydia, Márquez Carlos, Saguez Rodrigo, Moya Mario Ociel, Angel Bárbara, Albala Cecilia
Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile, Santiago, Chile.
Rev Med Chil. 2021 Sep;149(9):1292-1301. doi: 10.4067/S0034-98872021000901292.
Depression and dependence have a great impact on the quality of life of older people.
To validate the SF-12 (short-form) health related quality of care questionnaire (HRQOL) as an alternative of the SF-36 to estimate health-related quality of life (HRQoL) and its association with depression and dependence in Chilean older people living in the community.
The questionnaire was answered by 4,124 Chilean older people (61% women). HRQoL was evaluated with the SF-36 questionnaire. The SF-12 questionnaire includes 12 items from the SF-36.
The internal consistency of the SF-12 questionnaire was high (0.88). The effect size of the differences in the averages of the SF-12 and SF-36 scales was small (0.06-0.41). Good agreement was found between the physical and mental components of the SF-12 and SF-36 (0.94 and 0.89). Logistic regressions determined that people with dependence and depression have a higher risk of poor HRQoL. The figures for the physical component were, mild depression: odds ratio (OR) (95% confidence intervals (CI) = 3.28 (2.74-3.93), severe depression: OR (IC95%CI) = 4.66 (3.55-6.11), mild to moderate dependence: OR (95CI%) = 3.67 (2.97-4.54), severe dependence: OR (95%CI) = 13.06 (7.23-23.61). For the mental component, the figures were: mild depression: OR (95CI%) = 6.11(5.05-7.38), severe depression: OR (95CI%) = 22.01(14.47-33.49), mild to moderate dependence: OR (95CI%) = 1.59 (1.28-1.97), severe dependence: OR (95CI%) = 1.60 (1.04-2.47), adjusting for sociodemographic and health-related variables.
The validity of the SF-12 for measuring HRQoL was demonstrated. People with depression and dependence have a worse physical and mental quality of life.
抑郁和依赖对老年人的生活质量有很大影响。
验证SF - 12（简版）健康相关生活质量问卷（HRQOL）作为SF - 36的替代工具，用于评估智利社区老年人的健康相关生活质量（HRQoL）及其与抑郁和依赖的关联。
4124名智利老年人（61%为女性）回答了该问卷。使用SF - 36问卷评估HRQoL。SF - 12问卷包含来自SF - 36的12个项目。
SF - 12问卷的内部一致性较高（0.88）。SF - 12和SF - 36量表平均值差异的效应量较小（0.06 - 0.41）。SF - 12和SF - 36的身体和心理成分之间存在良好的一致性（0.94和0.89）。逻辑回归分析确定，有依赖和抑郁的人健康相关生活质量差的风险更高。身体成分方面的数据为，轻度抑郁：比值比（OR）（95%置信区间（CI））= 3.28（2.74 - 3.93），重度抑郁：OR（95%CI）= 4.66（3.55 - 6.11），轻度至中度依赖：OR（95%CI）= 3.67（2.97 - 4.54），重度依赖：OR（95%CI）= 13.06（7.23 - 23.61）。心理成分方面的数据为：轻度抑郁：OR（95%CI）= 6.11（5.05 - 7.38），重度抑郁：OR（95%CI）= 22.01（14.47 - 33.49），轻度至中度依赖：OR（95%CI）= 1.59（1.28 - 1.97），重度依赖：OR（95%CI）= 1.60（1.04 - 2.47），已对社会人口学和健康相关变量进行调整。
证明了SF - 12在测量健康相关生活质量方面的有效性。有抑郁和依赖的人身体和心理生活质量较差。
