摘要
目的评价社区阿尔茨海默病(Alzheimer's disease,AD)患者的生活质量。方法从南昌、吉安、宜春三地6个社区的老年人中筛选出AD患者,应用日常生活能力量表(ADL)和世界卫生组织生活质量测定量表简表(WHOQOL-BREF)对AD患者的生活质量进行评估。结果 (1)城市社区4 350名60岁以上老年人中,214例诊断为AD患者,患病率为4.92%;轻、中、重型分别占20.09%、51.40%和28.50%;(2)AD患者日常生活能力明显下降,平均得分为(37.83±11.89)分,明显高于正常人(等分<16分);(3)AD患者生活质量得分低于健康对照,生理、心理、社会关系、环境四领域得分分别为(14.25±2.41)、(11.92±2.94)、(10.37±2.07)、(24.28±3.02)分。结论城市社区老年人AD患病率较高,且以中型AD为多,日常生活能力和生活质量下降明显,应引起社会关注。
Objective To evaluate the quality of life among Alzheimer＇s disease（AD）patients in community. Methods AD patients were selected from the elderly in 6 community-dwellings in Nanchang,Ji＇an, Yichun. Their quality of life was assessed with the activity of daily living scale（ADL）and WHO quality of life brief（WHOQOL- BREF）. Results （1）Among 4350 people aged over 60 years in urban community,214 cases were diagnosed as AD patients,the prevalence rate was 4.92%;Mild, moderate and severe accounted for 20.09%, 51.40% and 28. 50% respectively; （2）AD patients＇ daily life ability declined obviously, with the average score being（37.83 ±11.89）which was significantly higher than that of normal people（≤16） ;（3）AD patients＇ life quality score was lower than that of healthy controls, with physiological, psychological, social care, environment four domain scores being （ 14.25±2. 41）, （11.92±2.94）,（10.37±2.07）and（24.28±3.02）scores repectively. Conclusion The AD prevalence rate among the elderly in urban community is high, with moderate as the main type. AD patients had obviously declined daily living ability and life quality, which should draw more social attention.
出处
《成都医学院学报》
CAS
2012年第3期367-370,共4页
Journal of Chengdu Medical College
基金
国家自然科学基金项目(NO:30760214)
关键词
阿尔茨海默病
日常生活能力
生活质量
Alzheimefs disease
Activity of daily living
Quality of life
