Kempen G I, Ormel J, Brilman E I, Relyveld J
Northern Centre for Health Care Research, University of Groningen, The Netherlands.
Am J Public Health. 1997 Jan;87(1):38-44. doi: 10.2105/ajph.87.1.38.
This study analyzed the impact of eight common chronic medical conditions on functional, social, and affective domains of health-related quality of life among community-based Dutch elderly (n = 5279).
Health-related quality of life was measured with six domains of the MOS Short-Form General Health Survey. The impact of the selected chronic conditions on health-related quality of life was analyzed by means of Student's t tests, analyses of variance, and multiple regression analyses.
Compared with other domains of health-related quality of life, mental health was the least affected by chronic medical conditions. Back problems and rheumatoid arthritis/other joint complaints accounted for relatively high proportions of the variance in health-related quality of life (from 35.5% to 68.3%), except for health perceptions (22.6%), indicating that health-related quality of life is most affected by these two conditions.
Subjective well-being is by far the domain least affected by chronic medical conditions, while physical functioning and health perceptions are most affected. Back problems and rheumatoid arthritis/other joint complaints affect health-related quality of life strongly.
本研究分析了八种常见慢性疾病对荷兰社区老年人（n = 5279）健康相关生活质量的功能、社会和情感领域的影响。
采用MOS简明健康调查的六个领域来测量健康相关生活质量。通过学生t检验、方差分析和多元回归分析来分析所选慢性病对健康相关生活质量的影响。
与健康相关生活质量的其他领域相比，心理健康受慢性疾病的影响最小。背部问题和类风湿性关节炎/其他关节疾病在健康相关生活质量的方差中占比较高（从35.5%到68.3%），健康认知领域除外（22.6%），这表明这两种疾病对健康相关生活质量的影响最大。
到目前为止，主观幸福感是受慢性疾病影响最小的领域，而身体功能和健康认知受影响最大。背部问题和类风湿性关节炎/其他关节疾病对健康相关生活质量有强烈影响。
