| Objective:Through the investigation of the status quo of the quality of life of the elderly in Wuhan community,the factors influencing the quality of life of the elderly are discussed,which can provide reference for improving the quality of life of the elderly and strengthening the health management and intervention of the elderly.Method:In this study,the community health service center of Shouyi Road in Wuchang District of Wuhan and the elderly in the community health service center of Honggang City Street,Castle Peak District,aged 65 years old and above were studied.During the period from July to August 2016,a questionnaire survey was conducted on all eligible older persons in the target community in accordance with the strict inclusion criteria.The main contents include general population sociological characteristics,health-related behavior and the European five-dimensional health status scale(EQ-5D scale).SPSS 21.0 statistical software for data management and data processing analysis,including single factor group comparison using t test or variance test,c2 test,multivariate logistic regression analysis.Results1.Data completionThe survey included a total of 630 people in Wuhan City community in this study,A total of 623 valid questionnaires were collected,including 256 males,41.1%and 367 females,accounting for 58.9%.2.The results of different dimensions of life quality analysis(1)Action ability:There are 77(12.4%)old people who have problems in terms of operational capacity;Taking the action dimension as the dependent variable,the chronic disease is the risk factor of the action dimension of the elderly in the community of Wuhan(OR = 1.88,CI95%= 1.12),Sports is the protection factor of the action dimension of the elderly in the community of Wuhan(Occasionally:OR = 0.51,CI95%=0.27-0.99;daily:OR = 0.33,CI95%= 0.22-0.50),the number of contacts per day,the number of contacts per day(5-9 people:OR = 0.50,CI95%= 0.30-0.81;10-19 people:OR = 0.36,CI95%= 0.22-0.58;20 or more::OR = 0.21,CI95%= 0.12-0.39)(2)Self-care:There are 56(9.0%)elderly people who have problems in the self-care dimension;Taking the self-care dimension as the dependent variable,Chronic disease is a risk factor for self-care dimensions of the elderly in Wuhan(OR = 1.99,CI95%=1.01-3.92),and(OR)(5-9:OR = 0.42,CI95%= 0.23-0.77;10-19 people:OR = 0.30,CI95%= 0.16-0.54;20).The number of people exposed to each day is the protection factor of self-care dimension of elderly people in Wuhan(5-9:OR=0.42,CI95%=0.23-0.77;10-19:OR=0.30,CI95%=0.16-0.54:above 20:OR = 0.22,CI95%= 0.11-0.47);(3)Engaged in normal activities:There are 82(13.2%)of the elderly have problems who are engaged in normal activities.To engage in the usual activity dimension as the dependent variable,the number of daily contact is the community in Wuhan City,the elderly in the usual activities of the maintenance factor(5-9:OR=0.37,CI95%=0.23-0.62;10-19:OR=0.21,CI95%=0.12-0.35;above 20:OR=0.16,CI95%=0.09-0.31)(4)pain/discomfort.there are 167(26.8%)of the elderly who have problems In the pain/discomfort dimension.To the pain/discomfort dimension as the dependent variable,chronic disease is the risk factors in the community of Wuhan(OR=3.04,CI95%=1.97-4.69),Physical activity is the protective factor of the action dimension of the elderly in Wuhan community;(occasionally:OR=0.54,CI95%=0.31-0.93;daily:OR=0.49,CI95%=0.36-0.68)(5)Anxiety/depression.There are 73(11.7%)of the elderly who have problems in anxiety/depression.In the anxiety/depression dimension as the dependent variable,chronic disease is a risk factor for anxiety/depression in the elderly in Wuhan(OR=3.33,CI95%=2.11-5.26);Sports are the protective factors of anxiety and depression in the elderly in Wuhan(occasionally:OR=0.49,CI95%=0.28-0.86;daily:OR=0.47,CI95%=0.34-0.66)3.Self Evaluated Health Rating(EQ-VAS)ResultsThe EQ-VAS score of the elderly is 73.90 ± 14.33,take the VAS score as the dependent variable,education,physical activity,mental activity is a positive correlation factor VAS score,In the case of uneducated education,? was 2.67 for high school education and above;?was 2.98,3.27 per day for physical activity,The ? was 2.98,3 27 for daily physical activity.In the absence of mental activity as a control,occasional mental activity was p 3.03.3.36 per day for mental activity,and chronic disease was a negative correlation between VAS scores;4.EQ-5D index scoresThe EQ-5D score of the elderly is 0.80 ± 0.25,take the EQ-5D index score as the dependent variable,the social network size is the EQ-5D index score positive correlation factors,Taking the daily exposure to 4 people as the control,the daily exposure of 10-19,daily exposure to 20,the ? were 0.06 and 0.07;chronic disease is negative correlation factor of the EQ-5D index,and the ? is-0.03.Conclusion1.Older people have better evaluation of self-care,normal activity and anxiety/depression,and 26.8%of elderly people with problems in terms of mobility and physical pain/discomfort,especially those with physical pain/discomfort2.Older,drinking,suffering from chronic diseases can lead to a decline in the quality of life of the elderly,and increase the exercise(physical exercise,mental exercise activities)and to ensure the size of the social network and spouse care of the elderly high quality of life scores. |
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