Associations of ADL and IADL disability with physical and mental dimensions of quality of life in people aged 75 years and older.
Associations of ADL and IADL disability with physical and mental dimensions of quality of life in people aged 75 years and older.
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作者：
Gobbens RJ
生活质量是老年人的一项重要健康成果。它预测了机构化和过早死亡的不利后果。这项横断面研究的目的是确定残疾的影响，在日常生活活动（ADL）和工具性日常生活活动（IADL）的身体和精神方面的生活质量。共有377名75岁及以上的荷兰人完成了一份基于网络的问卷。该问卷包含测量ADL和IADL的格罗宁根活动限制量表（加尔斯）和测量生活质量的简明健康调查表（SF-12）。SF-12区分了生活质量的两个维度，即身体和精神维度。所有ADL残疾项目合并和所有IADL残疾项目合并解释了一个显着的一部分，生活质量的身体和精神层面的方差。在控制了模型中的所有变量后，只有ADL项目"从椅子上站起来"和IADL项目"做"繁重的"家务活动"和"购物"与生活质量的两个维度呈负相关。这项研究表明，ADL和IADL的残疾与老年人的生活质量呈负相关。因此，卫生保健专业人员必须采取干预措施，预防和减少残疾或残疾的不良后果，如生活质量下降。为了有效，这些干预措施应该是廉价、可行和易于实施的。
Quality of life is an important health outcome for older persons. It predicts the adverse outcomes of institutionalization and premature death. The aim of this cross-sectional study was to determine the influence of both disability in activities of daily living (ADL) and instrumental activities of daily living (IADL) on physical and mental dimensions of quality of life. A total of 377 Dutch people aged 75 years and older completed a web-based questionnaire. This questionnaire contained the Groningen Activity Restriction Scale (GARS) for measuring ADL and IADL and the Short-Form Health Survey (SF-12) for measuring quality of life. The SF-12 distinguishes two dimensions of quality of life, a physical and mental dimension. All ADL disability items combined and all IADL disability items combined explained a significant part of the variance of the physical and the mental dimension of quality of life. Only ADL item “stand up from sitting in a chair”, and IADL items “do “heavy” household activities” and “do the shopping” were negatively associated with both quality of life dimensions after controlling for all the variables in the model. This study showed that disability in ADL and IADL is negatively associated with quality of life in older people. Therefore, it is important for health care professionals to carry out interventions aimed to prevent and diminish disability or the adverse outcomes of disability such as a lower quality of life. In order to be effective these interventions should be inexpensive, feasible, and easy to implement.
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影响因子：
3.7
作者：
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通讯作者：
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3.7
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
3.4
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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