首页|五种老年人常见慢性病患者的生命质量比较及提升对策研究

五种老年人常见慢性病患者的生命质量比较及提升对策研究

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[目的]了解老年慢性病患者的生命质量状况及其影响因素,为提高其生命质量提供依据.[方法]使用第 2 版慢性病患者生命质量测定量表体系共性模块量表(QLICD-GM,V2.0),收集 2010 年 1 月-2017 年 10月广东省 3 家医院共 632 名老年慢性病患者的生命质量及其相关因素资料,通过方差分析比较不同慢性病患者的得分均分,通过多重线性回归对生命质量的影响因素进行分析.[结果]老年慢性病患者生命质量 3 个领域中,社会功能领域的平均得分最高为(68.59±16.55)分、生理功能领域次之为(59.40±16.89)分、心理功能领域得分最低为(53.49±17.66)分.不同慢性病患者人群中高血压患者生命质量的各项得分最高,肺心病患者得分最低.生命质量主要受年龄、治疗方法、家庭经济等因素影响.[结论]老年慢性病患者的生命质量状况不容乐观,应重点针对老年人的医疗保险种类、治疗方法、家庭经济等因素开展预防,实施相关干预措施,提高老年慢性病患者的生命质量.
Study on countermeasures of comparison and improvement of quality of life of elderly patients with five common chronic diseases
Objective To understand the quality of life of elderly patients with chronic diseases and its influencing factors,as well as to provide the reference for improving their quality of life.Methods The second edition of the Quality of Life Instruments for Chronic Diseases—General Module(QLICD-GM,V2.0)was used to collected the data of quality of life and related factors of 632 elderly patients with chronic diseases from January 2010 to October 2017 in three hospitals in Guangdong Province.The average scores of patients with different chronic diseases were compared by analysis of variance(ANOVA),and influencing factors of quality of life were analyzed by multiple linear regression.Results Among the three major domains of quality of life of elderly patients with chronic diseases,the average score in the field of social function was the highest(68.59±16.55),followed by the field of physiological function(59.40±16.89),and the field of psychological function was the lowest(53.49±17.66).Among the patients with different chronic diseases,the scores of quality of life in patients with hypertension were the highest,and those with pulmonary heart disease were the lowest.The quality of life was mainly influenced by factors such as age,treatment methods and family economy.Conclusions The quality of life of elderly patients with chronic diseases is not optimistic.It is necessary to carry out preventive strategies and implement relevant interventions according to factors such as types of health insurance,treatment methods and family economy for elderly patients,in order to improve the quality of life of elderly patients with chronic diseases.

chronic diseaseselderly peoplequality of lifeQLICD-GM(V2.0)

李宸瑶、刘琼玲、吴斌、刘腾飞、全鹏、万崇华

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广东医科大学生命质量与应用心理研究中心/人文与管理学院,广东 东莞 523808

广东医科大学护理学院妇儿护理学教研室,广东 东莞 523808

广东医科大学附属医院呼吸科,广东 湛江 524023

慢性病 老年人 生命质量 QLICD-GM(V2.0)

2025

卫生软科学
中国卫生经济学会,云南省卫生厅

卫生软科学

影响因子:0.655
ISSN:1003-2800
年,卷(期):2025.39(1)