摘要
目的了解宁夏5县农村老年人生命质量状况,并探讨其影响因素,为改善农村老年人生命质量提供参考依据。方法选取"农村居民家庭卫生健康询问调查"2015年随访数据,采用欧洲5维健康量表(EQ-5D量表)的方法对宁夏5县2595名农村老年人的生命质量及其影响因素进行分析。结果调查对象中,男性1379人(占53.1%),女性1216人(占46.9%),平均年龄为(67.85±6.33)岁。5维度测量中,存在问题维度是疼痛/不适占48.3%,行动占35.2%,日常活动占33.0%,焦虑/抑郁占26.9%,自我照顾占21.8%;老年人自评健康得分(VAS)均值为(62.08±17.46)分。在单因素分析中,性别、年龄、文化程度、婚姻状况、慢性病对生命质量各维度和VAS得分均有影响(P<0.05);在多因素分析中,性别、年龄、慢性病对生命质量各维度和VAS得分均有影响(P<0.05)。结论宁夏5县农村老年人的生命质量较差,慢性病是主要影响生命质量的因素,政府应积极采取相应措施以提高老年人的生命质量。
Objective To examine the quality of life(QOL)and its influencing factors among rural elderly in five counties of Ningxia Hui Autonomous Region(Ningxia),and to provide references for improving the QOL of rural elderly.Methods We extracted information on 2595 rural residents aged 60 years and above in five counties of Ningxia from the follow-up data of the Household Survey on Health Among Rural Residents in 2015.The Euro-Quality of Life-5 Dimension(EQ-5 D)was adopted to assess the QOL of the participants and influencing factors of QOL were analyzed.Results Of the participants averagely aged 67.85±6.33 years,1379(53.1%)were male and 1216(46.9%)were female.Among the participants,48.3%,35.2%,33.0%,26.9%,and 21.8% reported having problems in pain/discomfort,mobility,usual activities,anxiety/depression,and self-care,respectively;the self reported average visual analog score(VAS)for general health condition was 62.08±17.46.The QOL and VAS score of the participants were significantly influenced by gender,age and chronic disease status based on both univariate and multivariate analysis(all P<0.05);while education and marital status were significant impact factors only in univariate analysis(P<0.05 for all).Conclusion The quality of life is relatively poor and mainly influenced by chronic disease status among rural elderly in five counties of Ningxia;the results suggest that countermeasures are needed to promote the quality of life in the population.
作者
田艳梅
肖文文
乔慧
TIAN Yan-mei;XIAO Wen-wen;QIAO Hui(Department of Epidemiology,and Health Statistics,School of Public Health and Management,Ningxia Medical University,Yinchuan,Ningxia Hui Autonomous Region 750004,China)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2021年第1期1-4,共4页
Chinese Journal of Public Health
基金
国家自然科学基金(7186040202)。
关键词
老年人
生命质量
EQ-5D量表
影响因素
elderly people
quality of life
Euro-Quality of Life-5 Dimension
influencing factor
