Investigation And Analysis Of Quality Of Life And The Activities Of Daily Living Of The Aged In Community

Objective: To investigate the status of the quality of life and activities of daily living among community elderlies in Lanzhou city of Gansu province,as well as analyze the influencing factors and correlation between the quality of life and activities of daily living,which could provide policy basis in promoting and improve quality of life and activities of daily living of elderly further.Methods: From April to August in 2018,a total of 500 elderlies aged?60 years in a community in Lanzhou city were recruited with convenience sampling method among the elderlies with a self-designed questionnaire,barthel index(BI),the instrumental activity of daily living scale(IADL)and EQ-5D instrument,the statistical software SPSS(version 19.0)was used for data analysis.The differences in loss of BADL and QOL among different populations were compared by Chi-square test and logistic regression analysis was conducted to identify influencing factors for the loss of BADL and QOL.The statistics also included: the descriptive analysis,independent sample t test,ANOVA,pearson correlation,spearman correlation and multiple linear regression.Results: 500 questionnaires were distributed: 451 valid questionnaires,a response rate of 90.2%.The present situation of the QOL: with the EQ-5D instrument,the percentage that people who had problem on pain/discomfort and anxiety/depression were higher,the two dimensions was 32.8%and 21.3% respectively.The mean score of EQ-VAS score was 76.18±18.691;multiple linear regression showed that man-sf score,BADL,IADL,chronic diseases and cerebrovascular disease were associated with their self-rated health status(EQ-VAS);the logistic regression analysis showed: age had the remarkable influence on the mobility and usual activity dimension,the dimension of self-care influence factors mainly include cerebrovascular disease,the factor influence anxiety/depression dimension was income level,dimension had a significant impact on pain/discomfort factor was cardiovascular disease,barthel index and man-sf score were the influencing factors of the five dimensions of EQ-5D scale,IADL had influence on the four dimensions of mobility dimension,usual activity dimension,pain/discomfort dimension and anxiety/depression dimension.The overall BADL loss rate was 10.6% and the overall IADL loss rate was 73.2% in elderly,with the top four items of BADL loss as stair-climbing(11.5%),walking(6.9%),moving(6.8%),and bathing(6.2%),the top three IADL loss rates were housework(60.8%),use telephone(56.5%)and preparation meal(49.7%);the logistic regression analysis showed that educational level and EQ-5D utility were the influencing factors of the elderly basic activities of daily living(P <0.05),older women,low quality of life and self-rated family economics were generally or poor seemed as risk factors for the IADL,low level of education and no religious beliefs were possible protective factors for the functions of IADL.EQ-5D utility and barthe index and IADL score of elderly the correlation coefficients were0.574 and-0.467;EQ-VAS score and barthe index and IADL score of elderly the correlation coefficients were 0.377 and-0.446.Elderly with quality of life and activities of daily living were closely related.Conclusion: Different nursing services should be provided according to different daily living ability and different nursing needs in order to promote the elderly 's quality of life of the elderly.