首页|老年多病共存患者健康相关生命质量及影响因素研究

老年多病共存患者健康相关生命质量及影响因素研究

Analyzing the health-related quality of life among the elderly with multiple chronic conditions

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目的 了解老年多病共存患者健康相关生命质量现状及其影响因素,为指导老年多病共存患者健康管理提供依据.方法 纳入2022年11月-2023年6月北京天坛医院内科病房住院患者214例,采用问卷调查法收集基本信息及患病情况,应用Apriori算法分析慢病共病模式,欧洲五维健康量表(EQ-5D-5L)评价健康相关生命质量,Tobit回归模型分析健康相关生命质量的影响因素.结果 共纳入老年多病共存患者214例,最常见的二元、三元共病组合分别为高血压+糖尿病、高血压+糖尿病+慢性肾功能不全.健康效用值为0.89(0.67,1.00),69.16%的患者有不同程度的生活质量下降,焦虑/沮丧出现问题最少,日常活动受影响最显著.Tobit回归结果显示,较好的健康相关生命质量与积极参与锻炼、城镇职工医保相关(P<0.05),年龄大、慢性病患病数目多是其危险因素(P<0.05).结论 多病共存严重影响老年人健康相关生命质量,需重点关注年龄、患病数量、体育锻炼、医疗保险等因素,加强生活方式指导,积极治疗基础疾病,促进健康老龄化.
Objective To investigate the status and factors influencing health-related quality of life(HRQoL)in elderly patients with multiple chronic conditions(MCC),in order to provide a basis for further health management.Methods Patients hospitalized in the internal medicine ward of the Beijing Tiantan Hospital between November 2022 and June 2023 were included as the study population.A self-developed questionnaire was used to collect the basic information.The Apriori algorithm was used to analyze the chronic disease comorbidity.The EuroQol 5-dimension 5-level was used to as-sess HRQoL,and the Tobit regression model was employed to analyze the factors influencing HRQoL.Results Among the 214 elderly patients with MCC,the most common chronic comorbidity patterns were hypertension+diabetes and hy-pertension+diabetes+chronic renal insufficiency.The health utility value for these patients was 0.89(0.67,1.00).The self-reported problem of anxiety/depression was the lowest,while the problem related to daily activities was the high-est.The Tobit regression results showed that better HRQoL was associated with younger age,fewer chronic diseases,ac-tive participation in exercise,and urban employee medical insurance(P<0.05).Conclusion The HRQoL of elderly patients with MCC was found to be poor.It is suggested to focus on factors such as age,the number of chronic diseases,exercise participation,and medical insurance.It is essential to strengthen scientific lifestyle guidance and enhance the a-bility for comprehensive management of MMC.

Multiple chronic conditionsHealth-related quality of lifeEuroQoL 5-dimension questionnaire

周珊、刘艳丽、李娜、马力

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首都医科大学全科医学与继续教育学院,北京 100069

首都医科大学附属北京天坛医院全科医疗科,北京 100070

首都医科大学附属北京天坛医院督导办公室

多病共存 健康相关生命质量 欧洲五维健康量表

首都全科医学研究专项(2022)高层次公共卫生技术人才建设项目中国社区卫生协会"社区卫生科研基金"项目

22QK13学科带头人-02-092021-1-05

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(5)
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