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健康促进措施对巴基斯坦卡拉奇老年人群健康相关生活质量(HRQoL)的影响

"Impact of health promotion practices on health-related quality of life (HRQoL) among geriatric population in Karachi, Pakistan".

作者信息

Merchant Ambreen

机构信息

School of Nursing and Midwifery, Aga Khan University, Karachi, Pakistan.

出版信息

BMC Public Health. 2025 Aug 15;25(1):2784. doi: 10.1186/s12889-025-24085-1.

Abstract

BACKGROUND

Demographic transition has resulted in increased life expectancy among older adults that will lead to the emergence of new illnesses, long-term impairments, and alterations in social attitudes. The need to prioritize actions for this population, with a focus on enhancing the quality of life, fostering autonomy and independence, and promoting active and healthy aging, has made health education for the elderly a topic of global interest due to current demographic and epidemiological changes. The purpose of the study is to assess the impact of health promotion on enhancing health-related quality of life among elderly people in Karachi, Pakistan.

STUDY SETTING AND DESIGN

Data was collected at a Senior Citizen & Recreation center, located near the participants' residence in Karachi, Pakistan. A well-structured generic HRQoL instrument (SF-36) short form was used because it has demonstrated strong reliability and validity among the elderly population, making it a suitable tool for assessing quality of life outcomes.

METHODS

One-group pre-test and post-test interventional (Quasi-experimental) research design using a mixed method approach (Qualitative and Quantitative). Inferential statistics are drawn through paired sample t-test to compare the mean of pre-test HRQoL scores with post-test HRQoL scores. The qualitative analysis was made through a thematic categorical method.

RESULTS

Revealed significant impact of health-promoting activities on 3 sub-scales of HRQoL. However, on other subscales of HRQoL, health-promoting interventions produced little impact.

CONCLUSION

Health promotion can play a significant role in improving health-related quality of life.

摘要

背景

人口结构转变导致老年人预期寿命增加,这将引发新疾病、长期功能障碍以及社会态度的改变。鉴于当前的人口和流行病学变化,需要优先为这一人群采取行动,重点是提高生活质量、促进自主性和独立性以及推动积极健康的老龄化,这使得老年人健康教育成为全球关注的话题。本研究的目的是评估健康促进对提高巴基斯坦卡拉奇老年人健康相关生活质量的影响。

研究背景与设计

数据在位于巴基斯坦卡拉奇参与者住所附近的一个老年公民与娱乐中心收集。使用了一个结构完善的通用健康相关生活质量工具(SF - 36)简表,因为它在老年人群体中已证明具有很强的信度和效度,使其成为评估生活质量结果的合适工具。

方法

采用单组前后测干预(准实验)研究设计,使用混合方法(定性和定量)。通过配对样本t检验进行推断统计,以比较前测健康相关生活质量得分的均值与后测健康相关生活质量得分的均值。定性分析通过主题分类法进行。

结果

显示健康促进活动对健康相关生活质量的3个分量表有显著影响。然而,在健康相关生活质量的其他分量表上,健康促进干预产生的影响很小。

结论

健康促进在改善健康相关生活质量方面可以发挥重要作用。

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