摘要
目的分析老年共病住院患者的生活质量及其影响因素。方法回顾性分析2022年2月至2023年2月于协和武汉红十字会医院老年病科住院治疗的150例老年共病患者的临床资料。记录患者慢性疾病患病情况,并通过简明生活质量量表评估患者生活质量。比较不同性别、年龄、婚姻情况、文化程度、月收入、居住地区、共病严重程度、共病数量及认知功能的老年共病患者生活质量差异。采用SPSS 22.0统计软件对数据进行处理。根据数据类型,组间比较分别采用独立样本t检验、单因素方差分析或χ^(2)检验。采用非条件logistic逐步回归分析影响老年共病患者生活质量的危险因素。结果150例老年患者常见的慢性疾病共病类型为高血压、糖尿病及呼吸系统疾病。其中,同时合并2种慢性疾病者44例(29.33%)、合并3种慢性疾病者77例(51.33%)、合并>3种慢性疾病者29例(19.33%)。年龄≥70岁、月收入<3000元、独居、共病严重程度重度、共病数量>3种、存在认知功能障碍的老年共病患者生活质量评分分别显著低于年龄<70岁、月收入≥3000元、非独居、共病严重程度轻中度、共病数量2种或3种、非认知功能障碍者,差异均有统计学意义(t=6.276,2.785,2.599,19.519,233.834,4.254;P<0.05)。多因素logistic回归分析显示,年龄≥70岁(OR=5.245,95%CI 1.667~16.483)、月收入<3000元(OR=1.975,95%CI 1.307~2.984)、独居(OR=4.881,95%CI 1.526~15.612)、共病严重程度重度(OR=3.748,95%CI 1.600~8.780)、共病数量>3种(OR=1.997,95%CI 1.371~2.909)、认知功能障碍(OR=1.520,95%CI 1.136~2.034)是影响老年共病患者生活质量的危险因素。结论老年共病患者生活质量较低,且生活质量受到认知功能以及慢性病患病情况等因素的影响。
Objective To analyze the quality of life and the influencing factors in the elderly patients with comorbidities.Methods A retrospective analysis was made of clinical data of 150 elderly comorbid patients admitted to the Geriatric Department of Union Wuhan Red Cross Hospital from February 2022 to February 2023.The patients′chronic disease status was recorded,and their quality of life was evaluated using a concise quality of life scale.The quality of life among the elderly comorbid patients was compared in gender,age,marital status,education level,monthly income,residential regions,severity of comorbidities,number of comorbidities,and cognitive functions.The data were processed using SPSS 22.0.According to the data type,independent sample t test,one-way analysis of variance,orχ^(2) test was used for inter-group comparison.Unconditional logistic stepwise regression analysis was used to identify risk factors affecting the quality of life of the elderly comorbid patients.Results The common chronic diseases in 150 elderly patients were hypertension,diabetes and respiratory diseases.Of all the patients,44(29.33%)had two comorbid chronic diseases,77(51.33%)had three comorbid chronic diseases,and 29 cases(19.33%)had more than three chronic diseases.The elderly comorbid patients aged≥70 years,having an income<3000 yuan/month,living alone,having severe comorbidities,having more than 3 comorbidities and having cognitive dysfunction had significantly lower life quality scores than those aged<70 years,having an income≥3000 yuan/month,not living alone,having mild to moderate comorbidities,having 2 or 3 comorbidities,and having no cognitive dysfunction.The differences were statistically significant(t=6.276,2.785,2.599,19.519,233.834,4.254;P<0.05).Multivariate logistic regression analysis showed that age≥70 years(OR=5.245,95%CI 1.667-16.483),monthly income<3000 yuan(OR=1.975,95%CI 1.307-2.984),living alone(OR=4.881,95%CI 1.526-15.612),severity of comorbidities(OR=3.748,95%CI 1.600-8.780),number of comorbidities more than
作者
唐波
严小宏
周霞
Tang Bo;Yan Xiaohong;Zhou Xia(Department of Geriatrics,Union Wuhan Red Cross Hospital,Wuhan No.11 Hospital,Wuhan 430024,China;Intensive Care Unit,Union Wuhan Red Cross Hospital,Wuhan No.11 Hospital,Wuhan 430024,China)
出处
《中华老年多器官疾病杂志》
2024年第3期198-201,共4页
Chinese Journal of Multiple Organ Diseases in the Elderly
基金
武汉市科技计划项目(WH2016089)。
关键词
老年人
共病
生活质量
影响因素
aged
comorbidity
quality of life
influencing factor
