社区老年人健康相关生存质量危险因素病例对照分析

目的探讨社区老年人群健康相关生存质量的危险因素。方法应用SF-36生存质量量表对350名60岁以上老年人进行横断面调查,调查结果总分用受试者特征曲线(ROC曲线分析法)确定健康相关生存质量(HRQOL)最佳诊断参考值进行诊断。根据诊断结果,采用1∶3病例对照研究方法,进行单因素与多因素Logistic回归分析。结果⑴ROC分析结果,HRQOL正常诊断值290分,其敏感度80%,特异度70%;HRQOL正常人数270例,HRQOL异常人数80例。⑵经单因素筛选和多因素分析,在P=0.05水平,年龄在75岁以上(OR=2.910)、2周患病4次以上(OR=1.112)、肥胖(OR=2.156)、伴高血压(OR=4.124)、伴糖尿病(OR=3.251)、独居或寡居(OR=8.601)、家庭年收入5万元以下(OR=2.330)、医疗自费(OR=1.217)是生存质量异常的独立因素。结论针对危险因素,提供更高素质的社区健康服务,有效提高老年人身心健康与生存质量。

Community -base case -control study on risk factors of health related quality of life among the elderly

Objective To investigate the risk factors of health related quality of life among residents age ≥60 years.Methods A cross-sectional study used to survey 350 the elderly age ≥60 years.Using SF-36 short form of quality of life in the community.The cutoff point score of HRQOL was decided by receiver operating characteristic(ROC)curve analysis.1∶3 case-control study was conducted in 80 HRQOL patients and 240 controls without disease.The available data were analyzed by mono-factorial and multi-factorial logistic regression using SPSS14.0 for windows software.Results A cutoff point of HRQOL was decided using ROC analysis in which the 290 score was the best one for diagnostic HRQOL with the sensitivity of 80% and a aspecificity of 70%.In the logistic regression model at P=0.05 level,the risk factors were:age≥75 years(OR=2.910),get sick times in two-week≥4(OR=1.112),obesity(OR=2.156),hypertension(OR=4.124),diabetes(OR=3.251),solitude(OR=8.601),income for one year<50 000 yuan(OR=2.330),own expenses medical treatment(OR=1.217).Conclusion Targeting the risk factors,more and more precaution and community health services should be provided to the old folks to help improve the health related quality of life.