Prazeres Filipe, Santiago Luiz M, Simões José A
Faculdade de Ciências da Saúde, Universidade da Beira Interior, Covilhã, Portugal.
USF Beira Ria, Gafanha da Nazaré, Portugal.
Arch Med Sci. 2020 Feb 6;18(6):1498-1504. doi: 10.5114/aoms.2020.92914. eCollection 2022.
Given the number of patients with mental conditions who receive treatment within the primary care (PC) context, and the high prevalence of multimorbidity (especially in older people), there is a need to study mental-physical multimorbidity (MPM) in this population and context. This study sought to identify the impact on health-related quality of life (QoL) of MPM in adults aged 60 years and older.
Secondary analysis of data derived from 251 primary health individuals. Data were collected via a sociodemographic and clinical questionnaire. Health-related QoL was assessed using the SF-12 instrument. Multiple linear regressions were performed for physical and mental health in MPM patients and in patients with physical-only multimorbidity.
Mean age of participants was 70.6 years; 57.8% were female. Quality of life was lower in MPM patients than in those with physical-only multimorbidity. Regarding MPM patients, female sex, 75 years and over, and low income were associated with worse physical health. Female sex was also associated with worse mental health.
This study contributes to the global knowledge of MPM in older people, illuminates health-related QoL differences among MPM and physical-only multimorbidity patients, and highlights the importance of non-modifiable characteristics associated with deterioration of health-related QoL. Team collaboration between primary care physicians, psychiatrists (and other mental health providers), and social workers may be necessary to assess psychiatric and physical symptoms and provide for the care needs of older people with MPM.
鉴于在初级保健环境中接受治疗的精神疾病患者数量众多，且多重疾病的患病率很高（尤其是在老年人中），有必要在这一人群和背景下研究精神-身体多重疾病（MPM）。本研究旨在确定MPM对60岁及以上成年人健康相关生活质量（QoL）的影响。
对来自251名初级保健个体的数据进行二次分析。通过社会人口统计学和临床问卷收集数据。使用SF-12工具评估健康相关生活质量。对MPM患者和仅患有身体多重疾病的患者进行了身体和心理健康的多元线性回归分析。
参与者的平均年龄为70.6岁；57.8%为女性。MPM患者的生活质量低于仅患有身体多重疾病的患者。对于MPM患者，女性、75岁及以上以及低收入与较差的身体健康相关。女性也与较差的心理健康相关。
本研究有助于全球了解老年人中的MPM，阐明MPM患者与仅患有身体多重疾病的患者在健康相关生活质量方面的差异，并强调与健康相关生活质量恶化相关的不可改变特征的重要性。初级保健医生、精神科医生（和其他心理健康提供者）以及社会工作者之间的团队合作可能有必要评估精神和身体症状，并满足患有MPM的老年人的护理需求。
