Health-related quality of life and health utility for the institutional elderly in Taiwan
Health-related quality of life and health utility for the institutional elderly in Taiwan
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DOI：
10.1007/s11136-004-3061-3
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发表时间：
2005-05-01
影响因子：
3.5
通讯作者：
Kao, SY
中科院分区：
文献类型：
--
作者：
Lai, KL;Tzeng, RJ;Kao, SY
目的：探讨机构老年人群的健康相关生活质量（HRQOL）和健康效用。方法：采用台湾简版世界卫生组织生活质量（WHOQOL-BREF）、评定量表（RS）和时间权衡（TTO）效用测量方法，对居住在台湾长期护理机构的 465 名老年人进行访谈。结果：WHOQOL-BREF 显示出可接受的内部一致性（α 范围：跨领域 0.75 - 0.80）和有效性。性活动方面的反应率最低。教育水平、慢性病数量、身体表现和护理人员数量对 WHOQOL-BREF 的领域得分有显着影响 (p < 0.05)。身体表现对身体领域的影响最大 (R-2 = 0.40)，并且在其他三个领域 (R-2 = 0.06 - 0.13) 的方差中占很大比例。平均 RS 分数（分数 0 - 100）为 61.3 +/- 16.2（平均值 +/- SD）。平均 TTO 效用（得分 0 - 1）为 0.92 +/- 0.22。结论：结果表明，除性活动项目外，WHOQOL-BREF 对于评估机构中意识清醒老年人的 HRQOL 是有用的。 TTO 在研究机构老年人方面的效用需要进一步评估。
Objective: To explore the health-related quality of life (HRQOL) and health utility in an institutional elderly population. Methods: Four hundred sixty-five elderly persons living in long-term care institutions in Taiwan were interviewed using Taiwan's abbreviated version of the World Health Organization Quality of Life (WHOQOL-BREF), rating scale (RS) and the Time-Trade-Off (TTO) utility measurement. Results: The WHOQOL-BREF showed acceptable internal consistency (alpha range: 0.75 - 0.80 across domains) and validity. The sexual activity facet had the lowest response rate. Educational level, number of chronic diseases, physical performance, and number of caregivers had significant ( p < 0.05) impacts on the domain scores of the WHOQOL-BREF. Physical performance had the strongest impact on the physical domain (R-2 = 0.40) and accounted for significant percentages of the variance on the other three domains (R-2 = 0.06 - 0.13). The mean RS score ( score 0 - 100) was 61.3 +/- 16.2 ( mean +/- SD). The mean TTO utility ( score 0 - 1) was 0.92 +/- 0.22. Conclusions: Results indicate that the WHOQOL-BREF, excepting the sexual activity item, is useful for evaluating HRQOL of conscious elderly in institutions. The validity of TTO utility for studying the institutionalized elderly needs further evaluation.