Chronic conditions, disability, and quality of life in older adults with multimorbidity in Spain
Chronic conditions, disability, and quality of life in older adults with multimorbidity in Spain
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DOI：
10.1016/j.ejim.2015.02.016
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发表时间：
2015-03-27
影响因子：
8
通讯作者：
Prados-Torres, Alexandra
中科院分区：
文献类型：
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作者：
Joao Forjaz, Maria;Rodriguez-Blazquez, Carmen;Prados-Torres, Alexandra
背景：随着人口老龄化，多重疾病的患病率也在增加，对残疾和生活质量（QoL）等几种健康结果产生影响。本研究旨在分析西班牙多病老年人慢性疾病、残疾和生活质量之间的关系。方法：数据来自三个队列研究，年龄在65岁或以上，至少有两种慢性健康状况的老年人。样本量分别为705、443和4995。对于每个队列，分析了以下慢性健康状况的影响：哮喘、癌症、心脏病、糖尿病、高血压、精神健康障碍、骨关节疾病和中风。残疾和生活质量的衡量标准因调查而异。结果：老年多病人群以骨关节（59.08 ~ 67.80%）和高血压（50.64 ~ 60.03%）为主。在大多数队列中，残疾的存在与骨关节疾病（OR范围：1.53至2.646）、糖尿病（OR范围：1.86至1.71）或精神健康障碍（OR范围：2.19至3.36）显著相关。残疾（OR: 1.67至7.67）、骨关节疾病（OR: 3.37至5.10）和精神健康障碍（OR: 1.83至4.27）对低生活质量的影响最大。结论：残疾和多种慢性疾病的存在对西班牙多病老年人的生活质量有负面影响。对患有多种疾病的老年人进行综合护理的公共卫生和初级保健干预措施可能会特别关注心理健康和骨关节状况。(C) 2015年欧洲内科联合会。Elsevier B.V.版权所有。
Background: As the population ages, the prevalence of multimorbidity also increases, with consequences to several health outcomes such as disability and quality of life (QoL). This study aimed at analyzing the relationships between chronic conditions, disability, and QoL of older adults with multimorbidity in Spain.Method: Data on older adults aged 65 years or more, with at least two chronic health conditions were drawn from three cohort studies. Sample size was 705, 443, and 4995, respectively. For each cohort, the impact of the following chronic health conditions was analyzed: asthma, cancer, cardiac, diabetes, hypertension, mental health disorders, osteoarticular conditions, and stroke. Disability and QoL measures varied according to the survey.Results: In older adults with multimorbidity, the most prevalent conditions were osteoarticular (59.08-67.80%) and hypertension (50.64-60.03%). The presence of disability was significantly associated to having osteoarticular (OR range: 1.53 to 2.646), diabetes (OR: 1.86 to 1.71), or mental health disorders (OR: 2.19 to 3.36) in most cohorts. Disability (OR: 1.67 to 7.67), osteoarticular conditions (OR: 3.37 to 5.10), and mental health disorders (OR: 1.83 to 4.27) showed the highest effects on lower QoL than the population.Conclusion: The presence of disability and diverse chronic conditions has a negative effect on QoL of older adults affected by multimorbidity in Spain. Public health and primary care interventions focusing on the integrated care of older adults with multimorbidity might give special attention to mental health and osteoarticular conditions. (C) 2015 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.