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目的 探索社区不同认知功能状况老年人群的生命质量及其相关因素。方法 采用截断面调查 ,以社区 6 5岁以上人口构成为基准 ,按居民里委为单位进行整群随机抽样。应用“上海市社区老年人群健康问卷VER2 0 0 0”(包括健康状况调查问卷和简易智能状态检查等 ) ;按照认知功能、日常生活能力、目前心境和有无躯体残疾 4个维度分成 3个等级的健康状况水平 ,共计 14 5 5名纳入分析 ,采用单因素及多因素等统计方法完成有关分析。结果 在控制年龄、教育程度和性别因素后 ,3组健康状况调查问卷 (SF 36 )的 8个因子分仍具有显著性差异。简易智能状态检查总分与躯体功能、躯体健康所致角色限制、躯体疼痛、总体健康感、生命活力、社交功能、情绪问题所致角色限制和精神健康分量表的偏相关系数分别是 0 31、0 12、0 16、0 2 3、0 2 5、0 32、0 14、0 11,具有显著性相关。结论 本研究提供了社区老年人群生命质量的基线数据 ;发现社区老人认知功能与生命质量密切相关 ,通过成功老龄化干预、提高认知功能水平有望提升老年人的生命质量。
Objective To explore the quality of life and its related factors in elderly people with different cognitive functions in community. Methods A cross-sectional survey was conducted. Based on the population composition of the population over 6 years old in the community, a cluster random sampling was conducted according to the residents’ committees. Applying the Shanghai Community Elderly Health Questionnaire VER2 0 0 0 (including the health status questionnaire and the simple intelligent status examination); according to cognitive function, daily living ability, current mood and physical disability, divided into 3 dimensions Level of health status, a total of 145 5 included in the analysis, using single factor and multi-factor statistical methods to complete the analysis. Results After controlling for age, education level and gender, there were still significant differences among the 8 factors in the three questionnaires (SF 36). The partial correlation coefficient between the total score of simple intelligent state examination and the physical function, the role limitation caused by physical health, physical pain, general health, vitality, social function, emotional limitation and mental health subscale were 0 31, 0 12,0 16,0 2 3,0 2 5,0 32,0 14,0 11, with significant correlation. Conclusions This study provides baseline data on the quality of life of the elderly population in the community. It is found that the cognitive function of elderly people in the community is closely related to the quality of life. Through the successful intervention of aging, improving the level of cognitive function is expected to improve the quality of life of the elderly.