Health-related quality of life and long-term care needs among elderly individuals living alone: a cross-sectional study in rural areas of Shaanxi Province, China.
Health-related quality of life and long-term care needs among elderly individuals living alone: a cross-sectional study in rural areas of Shaanxi Province, China.
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DOI：
10.1186/1471-2458-13-313
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发表时间：
2013-04-08
影响因子：
4.5
通讯作者：
Wang J
中科院分区：
文献类型：
--
作者：
Liu N;Zeng L;Li Z;Wang J
独居老年人的数量正在增加，特别是在中国农村地区，他们的健康相关生活质量（HRQoL）是一个日益增长的公共卫生问题。然而，很少有人知道的因素，影响HRQoL和需要长期护理服务。该研究的目的是确定这些因素和60岁及以上独居在中国陕西省农村地区的人的长期护理需求。该研究包括424名老年受试者，通过分层随机抽样选择。进行年龄调整的Logistic回归分析影响HRQoL和长期护理服务需求的因素。Pearson相关分析评估HRQoL评分与长期护理需求之间的相关性。HRQoL在独居的老年受试者下降，随着年龄的增长，男性和女性。影响老年人HRQoL的主要疾病是高血压、心脏病、慢性支气管炎、神经系统疾病和癌症。白内障是影响HRQoL的最重要因素。其次是长期护理需求、生活条件、经济状况、心血管疾病、骨质疏松症和年龄。影响长期护理需求的因素包括经济状况、教育水平、酒精摄入量、生活条件、一般健康状况和年龄。老年人群的HRQoL和长期护理需求显著相关（r=-0.204，p<0.01）。对于独居的老年人来说，慢性病、低收入水平和生活在农村地区等因素可能会限制他们建立社会关系的能力。减少孤独的水平，更好的照顾和支持，可能有助于改善他们的HRQoL。有必要全面改善为中国独居老年人提供的长期护理和老年精神病服务的规划、提供和融资。
The number of elderly individuals living alone is rising, especially in rural areas of China, and their health-related quality of life (HRQoL) is an increasing public health concern. However, little is known about factors that influence HRQoL and the need for long-term care services. The aim of the study was to identify these factors and the long-term care requirements of persons aged 60 and older living alone in rural areas of Shaanxi Province, China. The study included 424 older subjects, selected by stratified random sampling. Logistic regression adjusted for age was conducted to analyze factors influencing HRQoL and the need for long-term care services. Pearson correlative analysis was conducted to assess the correlation between HRQoL score and long-term care needs. HRQoL among elderly subjects living alone declined with age in both males and females. The main diseases influencing HRQoL among the elderly were hypertension, cardiac disease, chronic bronchitis, neurological disease and cancer. Cataract disease was the most important factor related to HRQoL. This was followed by long-term care needs, living conditions, economic status, Cardiovascular disease, osteoporosis and age. Factors affecting long-term care needs were economic status, education level, alcohol intake, living conditions, general health and age. HRQoL and long-term care needs among this elderly population were significantly correlated (r=−0.204, p<0.01). For elderly persons living alone, factors such as chronic disease, lower income level and living in a rural area may limit their ability to form social relationships. Reducing the level of loneliness, with better care and support, may be helpful in improving their HRQoL. There is a need for an overall improvement in the planning, provision and financing of long-term care and psychogeriatric services for elderly individuals living alone in China.
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影响因子：
4.5
作者：
Polinder S;Haagsma JA;Belt E;Lyons RA;Erasmus V;Lund J;van Beeck EF
通讯作者：
van Beeck EF
DOI：
10.1016/j.socscimed.2008.10.013
发表时间：
2009-01
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Li LW;Zhang J;Liang J
通讯作者：
Liang J
影响因子：
4.5
作者：
Zwart M;Azagra R;Encabo G;Aguye A;Roca G;Güell S;Puchol N;Gene E;López-Expósito F;Solà S;Ortiz S;Sancho P;Abado L;Iglesias M;Pujol-Salud J;Diez-Perez A
通讯作者：
Diez-Perez A
影响因子：
5
作者：
Stranges, Saverio;Dorn, Joan M.;Cappuccio, Francesco P.
通讯作者：
Cappuccio, Francesco P.
我国护生骨质疏松认知与预防教育项目评价
影响因子：
2.7
作者：
Zhang, Yin-Ping;Li, Xiao-Mei;Guo, Xiong
通讯作者：
Guo, Xiong