[Comparative study of quality of life in the elderly between in Kahoku and in Yaku].
[Comparative study of quality of life in the elderly between in Kahoku and in Yaku].
复制标题
河北与屋久老年人生活质量比较研究[J].
DOI：
10.3143/geriatrics.31.790
复制
发表时间：
1994
期刊：
影响因子：
--
通讯作者：
Y. Doi
中科院分区：
文献类型：
--
作者：
K. Matsubayashi;T. Wada;K. Okumiya;M. Fujisawa;H. Taoka;S. Kimura;Y. Doi
对日本两个乡镇（卡北和屋久）的老年人生活质量（QOL）进行了比较研究，采用视觉模拟量表（VAS）和老年抑郁量表（GDS）对QOL进行了评定，包括主观健康感、食欲、夜间睡眠、情绪、记忆、家庭关系、友谊、经济状况、生活满意度和幸福感。各种神经行为功能测试和日常生活活动（ADL）问卷。受试者均为两个社区符合条件的75岁以上老年人。VSA评分员间重复性较GDS评分员间重复性更可靠。生活满意度和主观幸福感与情绪、家庭关系、友谊和经济状况高度相关。GDS和VAS与家庭关系、积极参与小组活动和经济状况显著相关，而与年龄无关。通过神经行为功能测试评估，主观幸福感与ADL和行走稳定性相关。生活方式与男性老年人的VAS评分相关，而与女性老年人的VAS评分无关。在家庭关系、友谊、经济状况、生活满意度和主观幸福感的VAS评分中，Yaku的老年人显著高于Kohoku。老年人希望避免的疾病依次为痴呆症、中风和心血管疾病。老年人生活质量受疾病、神经行为功能尤其是步行功能、性别差异、生活方式以及文化环境等因素的影响。
A comparative community-based study of quality of life (QOL) in the elderly was carried out between two Japanese rural towns, Kahoku and Yaku.QOL, which included the subjective sense of health, appetite, sleep at night, mood, memory, family relationships, friendship, economic condition, life satisfaction and happiness was assessed using a visual analogue scale (VAS) as well a Geriatric depression Scale (GDS), a variety of neurobehavioral function tests, and a questionnaire about activity of daily living (ADL). Subjects were all the eligible elderly aged over 75 years in both communities. Inter-rater reproducibility in VSA was more reliable than that in GDS. Life satisfaction and a subjective sense of happiness highly correlated with mood, family relationships, friendship and economic condition. GDS and VAS significantly correlated with family relationships, active participation in a group and economic condition, however, they did not correlated with age. The subjective sense of happiness correlated with ADL and steadiness of walk as assessed by neurobehavioral function tests. Living style correlated with VAS in the male elderly, but not female. Each score in VAS for family relationships, friendship, economic condition, life satisfaction and subjective sense of happiness was significantly higher in the elderly in Yaku than in Kohoku. The diseases which elderly people wanted to avoid were dimentia cancer, stroke, and cardiovascular disease in that order. In conclusion, QOL in the elderly population was influenced by disease, neurobehavioral functions, especially walking function, gender difference, lifestyle as well as cultural environment.