Self-reported health complaints and their prediction of overall and health-related quality of life among elderly people
Self-reported health complaints and their prediction of overall and health-related quality of life among elderly people
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DOI：
10.1016/j.ijnurstu.2004.06.003
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发表时间：
2005-02-01
影响因子：
8.1
通讯作者：
Hallberg, IR
中科院分区：
文献类型：
--
作者：
Borglin, G;Jakobsson, U;Hallberg, IR
目的：描述和比较自我报告的健康投诉，整体和健康相关的生活质量，并探讨如何健康投诉，年龄，性别，婚姻状况，生活和居住条件和社会经济预测的整体和健康相关的生活quality of life.Data and Method：A sample of 469 persons（年龄75-99）responded to a postal question。多元线性回归分析被用来检查可能的predictors.Result：自我报告的健康投诉，如疼痛，疲劳和移动障碍显着预测低的整体和健康相关的生活质量。妇女的总体生活质量和与健康有关的生活质量明显低于男子，自我报告的健康投诉程度明显高于男子。回归模型有更多的相似性比差异，这意味着整体生活质量的工具是敏感的物理影响，只有被检测到的健康相关的生活质量的工具。几个健康投诉预测生活质量低是适合被缓解护理。在老年人护理中，护士需要同时评估几种健康投诉，并在概述干预措施时了解它们可能的相互作用。护士能够通过实施更积极的预防工作以及更全面和有系统的评估，促进早期发现对生活质量有负面影响的健康投诉。似乎还必须考虑到，老年妇女和男子对高质量生活的需求可能不同。(C)2004爱思唯尔有限公司保留所有权利。
Objective: To describe and compare self-reported health complaints, overall and health-related quality of life and to investigate how health complaints, age, gender, marital status, living and dwelling conditions and socio-economy predicted overall and health-related quality of life.Data and Method: A sample of 469 persons (aged 75-99) responded to a postal questionnaire. Multiple linear regression analysis was used to examine possible predictors.Result: Self-reported health complaints such as pain, fatigue and mobility impairment significantly predicted low overall and health-related quality life. Women had significantly lower overall and health-related quality of life than men, and a significantly higher degree of self-reported health complaints. The regression models had more similarities than differences, implying that the overall quality of life instrument were sensitive to physical influences only supposed to be detected by health-related quality of life instruments. Several of the health complaints predicting low quality of life are amenable for being relieved by nursing care. In the care of older people nurses need to assess for several health complaints simultaneously and be aware of their possible interaction when outlining interventions. Nurses are able to facilitate early detection of health complaints negatively affecting quality of life by implementing more pro-active preventive work as well as a higher degree of thorough and systematic assessments. It also seems important to consider that older woman's and men's needs for high quality of life may differ. (C) 2004 Elsevier Ltd. All rights reserved.