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孟加拉国城市老年患者的健康相关生活质量:一项横断面研究。

Health-Related Quality of Life among Elderly Patients in Urban Bangladesh: A Cross-Sectional Study.

作者信息

Imran Joynal Abedin, Mitra Amal K, Ria Marzana Afrooj, Mitra Tumpa, Konok Jannatul Ferdous, Shuchi Sadia Akter, Saha Pradip Kumar

机构信息

Department of Physiotherapy, National Institute of Traumatology & Orthopaedic Rehabilitation (NITOR), Dhaka 1207, Bangladesh.

Department of Public Health, Julia Jones Matthews School of Population and Public Health, Texas Tech University Health Sciences Center, Abilene, TX 79601, USA.

出版信息

Diseases. 2024 Sep 11;12(9):212. doi: 10.3390/diseases12090212.

Abstract

Quality of life (QoL) focuses on a person's ability to live a fulfilling life. It helps in determining successful aging in the elderly population. Because of a scarcity of information regarding predictors of QoL in the elderly population in developing countries, this study was undertaken to assess the overall QoL and its predictors in the elderly population in an urban setting of Bangladesh. In this cross-sectional study, 275 participants were enrolled by systematic sampling at the outpatient department of a tertiary care hospital in Dhaka, Bangladesh. Data were collected by using a pretested semi-structured standard questionnaire for QoL (OPQOL-35). Pearson's correlation was used to assess the association between QoL and sociodemographic factors. Multivariate linear regression was conducted to identify predictors of QoL, after controlling for potential confounders. The median age of the participants ( = 275) was 65 years (range, 60 to 85; 25th and 75th percentile, 60 and 68, respectively). The majority (78%) of them were married, and 20% were widowed or divorced. The median score of QoL was 113 (25th and 75th percentile, 101 and 124, respectively). Most of the participants had very poor (bad as can be) or poor (bad) QoL. Only 7.3% were observed to have "good" QoL (scores 140 or more). Females had significantly poorer QoL scores compared to males ( < 0.001). Age, gender, educational status, smoking, and sleep duration significantly predicted QoL in a multiple regression analysis. In conclusion, the QoL of the elderly individuals in Bangladesh was very poor or poor. Future research should focus on service-oriented interventions, especially targeting women. Counseling elderly people to enhance their quality of life may include improving sleep patterns, healthy diets, regular exercise, and caring for their mental health.

摘要

生活质量(QoL)关注的是一个人过上充实生活的能力。它有助于确定老年人群体的成功老龄化。由于发展中国家老年人群体中关于生活质量预测因素的信息匮乏,本研究旨在评估孟加拉国城市环境中老年人群体的总体生活质量及其预测因素。在这项横断面研究中,通过系统抽样在孟加拉国达卡一家三级护理医院的门诊部招募了275名参与者。使用经过预测试的生活质量半结构化标准问卷(OPQOL - 35)收集数据。采用Pearson相关性分析来评估生活质量与社会人口学因素之间的关联。在控制潜在混杂因素后,进行多变量线性回归以确定生活质量的预测因素。参与者(n = 275)的年龄中位数为65岁(范围为60至85岁;第25和第75百分位数分别为60和68岁)。其中大多数(78%)已婚,20%丧偶或离异。生活质量的中位数得分为113分(第25和第75百分位数分别为101和124分)。大多数参与者的生活质量非常差(尽可能差)或较差(差)。仅观察到7.3%的人具有“良好”的生活质量(得分140分及以上)。女性的生活质量得分明显低于男性(P < 0.001)。在多元回归分析中,年龄、性别、教育程度、吸烟和睡眠时间显著预测了生活质量。总之,孟加拉国老年人的生活质量非常差或较差。未来的研究应侧重于以服务为导向的干预措施,特别是针对女性。为老年人提供咨询以提高他们的生活质量可能包括改善睡眠模式、健康饮食、定期锻炼以及关注他们的心理健康。

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