| Objective Development of 5 multidimensional health measurement scales with good feasibility,reliability and validity for retired military cadres with chronic diseases,and using the scales to evaluate the quality of life of retired cadres and discuss the related factors.It will provide a clinical basis for the health care of military cadres.Methods To carry out questionnaire surveys among the 200 retired military cadres who had been selected by the standard of admission with the adjusted scales,and analysis their reliability and validity before doing correlation analysis among general conditions,clinical objective indicators and the quality of life.Further multiple linear regression was used to explore the factors of quality of life.The clinical objective indicators were collected from hospitalized medical records or outpatient laboratory sheets,and statistical analysis was done by SPSS 23.0 software,with P<0.05 as the difference.Results 1.200 retired military cadres aged between 62 to 96 years old(average age 84.895±0.362 years old)were selected,of which 158 were men and 42 were women.The number of DM,CHD,HTN and ST were 120 respectively,and the number of COPD was 94.There were 22 with only one kind of these chronic diseases,58 with two or three kinds,48 with four kinds and 14 with five kinds.2.The GPH3 item of the physiological function dimension of the general module was deleted after adjusting the scale,and the feasibility get better.3.After excluding the items GSO2 and GSO3 of the social function dimension,the internal reliability and external reliability of the scale improved significantly,and had a good content validity and construct validity.4.The related factors of the quality of life was included in the multivariate linear regression after Spearman rank correlation analysis,the results found that serum creatinine,blood urea,alanine aminotransferase were factors influencing the life quality of patients with DM(P<0.0001);triglyceride,high density lipoprotein cholesterol were factors influencing the life quality of patients with ST(P=0.035 and P=0.024);age as a factor affecting the quality of life of patients with CHD(P=0.004);serum creatinine,blood urea were factors affecting the quality of life of patients with HTN(P=0.004 and P<0.0001);age and white blood cell count were factors influencing the quality of life in patients with COPD(P=0.043 and P=0.007).5.As for multimorbidity,there were no differences of sex ratio and the quality of life among DM,ST,CHD,HTN and COPD respectively with different number of chronic diseases(P>0.05).Patients with 5 chronic diseases including DM had greater average age than those with 1,2 or 3 chronic diseases including DM(P=0.017,P=0.005 and P=0.017).Patients with 4 chronic diseases including DM had greater average age than those with 2 chronic diseases including DM(P=0.021).Patients with 3 kind of chronic diseases including DM had the lowest education level,and patients with 4 kind of chronic diseases including DM had the highest degree of education,and patients with 5 kinds of chronic diseases including DM had worse family economic status than those with 1,2 or 3;Patients with ST alone had a lower average age than those with 4 or 5 kinds of chronic disease including ST(P=0.021 and P=0.029).Patients with 2 kinds of chronic diseases including ST had a lower average age than those with 3,4 or 5 kinds including ST(P=0.008,P=0.001 and P=0.002).There was no significant differences of education level and family economic status among the 5 types(P=0.067 and P =0.478);The average age among CHD with different kinds of other 4 chronic diseases was not equal(P=0.050).However,it failed to make two-two comparisons for the patients with CHD alone had just 1 case.There was no significant differences of education level and family economic status among the 5 types in CHD(P=0.132 and P=0.297);Patients with HTN alone or 2 kinds of chronic diseases including HTN had a lower average age than those with 3,4 or 5 kinds including HTN.There was no significant differences of education level and family economic status among the 5 types in HTN(P=0.132 and P=0.297),so as for COPD(P=0.078 and p=0.227).Patients with 3 kinds of chronic diseases including COPD had lower education level than those with 4 kinds or COPD alone.Conclusion 1.By analysis of feasibility,reliability and validity of the 5 multidimensional health measurement scales for elderly with chronic diseases(DM?ST?CHD?HTN?COPD),we deleted the item GPH3 in physical function dimension and GSO2 and GSO3 items in social function dimension of the general module,and get 5 multidimensional health measurement scales for retired military cadres with chronic diseases,which had better feasibility,reliability and validity,and can be used as a tool for evaluating the quality of life of retired military cadres.2.Clinical objective indicators were in correlation with the quality of life of retired military cadres.Serum creatinine,blood urea and alanine aminotransferase had negative correlation with quality of life of patients with DM.As for patients with ST,their quality of life had negative correlation with triglyceride,and positive correlation with high density lipoprotein cholesterol.Serum creatinine and blood urea had negative correlation with quality of life of patients with HTN,and white blood cell count had positive correlation with quality of life of patients with COPD.So we can determine whether the quality of life of the retired military cadres get better or not by the change of their relative clinical objective indicators,in order to reduce the loss caused by repeated questionnaire investigations. |
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