《家庭健康策略中老年人生存质量：一项横断面研究》
Quality of life of older adults in Family Health Strategy: a cross-sectional study.
机构信息
MSc. Nurse, Postgraduate Program in Health Science and Education, Universidade Federal do Tocantins (UFT), Palmas (TO), Brazil.
BSc. Nutritionist, Department of Nutrition, Universidade Federal do Tocantins (UFT), Palmas (TO), Brazil.
出版信息
Sao Paulo Med J. 2023 Jul 17;142(1):e2022445. doi: 10.1590/1516-3180.2022.0445.R1.24042023. eCollection 2023.
BACKGROUND
With the increase in the older adult population, it is essential to identify the living and health conditions that can impact the quality of life of these individuals.
OBJECTIVES
To identify the domains and factors associated with the quality of life of older adults under the Family Health Strategy program.
DESIGN AND SETTING
This was a cross-sectional analytical study was conducted in the municipality of Palmas, Tocantins, Brazil.
METHODS
We assessed 449 older adults enrolled in the Family Health Strategy program. Data were collected between April and July, 2018. World Health Organization Quality of Life Assessment (WHOQOL-OLD) was used to assess the quality of life (QoL) and multiple linear regression was used to estimate the factors associated with QoL.
RESULTS
The QoL domain with the highest score was death and dying (mean = 70.4), and the lowest score was for sensory functions (mean = 61.0 points). The factors associated with QoL were single marital status (β = -4.55; P = 0.014), level of independence for daily living activities (β = 4.92; P < 0.001), self-assessment of regular health (β = 5.35; P < 0.001), and poor health (β = -8.67; P < 0.001).
CONCLUSION
The death and dying domain of QoL presented the highest score. Marital status, impairment in daily activities, and health self-assessment were associated with QoL.
背景
随着老年人口的增加，识别可能影响这些人生活质量的生活和健康状况至关重要。
目的
确定家庭健康战略计划下老年人生活质量的相关领域和因素。
设计和设置
这是一项在巴西托坎廷斯州帕尔马市进行的横断面分析研究。
方法
我们评估了 449 名参加家庭健康战略计划的老年人。数据于 2018 年 4 月至 7 月期间收集。采用世界卫生组织生活质量评估量表（WHOQOL-OLD）评估生活质量（QoL），并采用多元线性回归估计与 QoL 相关的因素。
结果
QoL 领域得分最高的是死亡和濒临死亡（平均=70.4），得分最低的是感觉功能（平均=61.0 分）。与 QoL 相关的因素包括单身婚姻状况（β=-4.55；P=0.014）、日常生活活动的独立性程度（β=4.92；P<0.001）、定期健康自评（β=5.35；P<0.001）和健康状况不佳（β=-8.67；P<0.001）。
结论
QoL 的死亡和濒临死亡领域得分最高。婚姻状况、日常生活活动障碍和健康自评与 QoL 相关。
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