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[老年女性健康相关生活质量水平的相关因素:2019年韩国国家健康与营养检查调查的二次数据分析]

[Factors associated with levels of health-related quality of life in elderly women: secondary data analysis of the Korea National Health and Nutrition Examination Survey 2019].

作者信息

Son Miseon

机构信息

Design Hospital.

出版信息

Korean J Women Health Nurs. 2022 Sep;28(3):187-196. doi: 10.4069/kjwhn.2022.06.17. Epub 2022 Sep 7.

Abstract

PURPOSE

The purpose of this study was to investigate factors related to the levels of health-related quality of life (HRQoL) in elderly women based on Wilson and Cleary's HRQoL model.

METHODS

This study analyzed data from the eighth Korea National Health and Nutrition Examination Survey 2019 on 868 women over the age of 65 years. Based on the HRQoL model, parameters were categorized as personal, environmental, and physiological characteristics; symptom status; functional status; and perception of health status. The data were analyzed by quantile regression.

RESULTS

The overall level of HRQoL was 0.87. Factors related to HRQoL in the 10% quantile were higher education level, higher economic status, economic activity, more walking days, fewer diseases, lower stress, less activity limitation, and higher perceived health status. Factors related to the 25% quantile of HRQoL were more walking days, fewer diseases, less activity limitation, and higher perceived health status. Factors related to the 50% quantile were age, economic activity, more walking days, fewer disease, lower stress, less activity limitation, and higher perceived health status. Factors related to the 75% quantile of HRQoL were smoking, more walking days, fewer diseases, lower stress, less activity limitation, and higher perceived health status.

CONCLUSION

While differing parameters were identified according to the level of HRQoL of elderly women in Korea, there were five common factors. Interventions that focus on increasing walking, mitigating diseases, stress, and activity limitations, and improving perceived health status can improve HRQoL.

摘要

目的

本研究旨在基于威尔逊和克利里的健康相关生活质量(HRQoL)模型,调查老年女性健康相关生活质量水平的相关因素。

方法

本研究分析了2019年第八次韩国国家健康与营养检查调查中868名65岁以上女性的数据。基于HRQoL模型,参数被分为个人、环境和生理特征;症状状态;功能状态;以及健康状态感知。数据采用分位数回归进行分析。

结果

HRQoL的总体水平为0.87。与HRQoL处于第10百分位数相关的因素包括高等教育水平、较高经济状况、经济活动、步行天数更多、疾病更少、压力更低、活动受限更少以及健康状态感知更高。与HRQoL第25百分位数相关的因素包括步行天数更多、疾病更少、活动受限更少以及健康状态感知更高。与第50百分位数相关的因素包括年龄、经济活动、步行天数更多、疾病更少、压力更低、活动受限更少以及健康状态感知更高。与HRQoL第75百分位数相关的因素包括吸烟、步行天数更多、疾病更少、压力更低、活动受限更少以及健康状态感知更高。

结论

虽然根据韩国老年女性HRQoL水平确定了不同的参数,但有五个共同因素。专注于增加步行、减轻疾病、压力和活动受限以及改善健康状态感知的干预措施可以提高HRQoL。

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