| Objective To understand the current situation of TCM Constitution distribution,quality of life and main influencing factors of the elderly population in the combined medical and nursing institutions.To explore the correlation between physique and quality of life of the elderly in medical and nursing institutions.To provide theoretical support for improving the health status of the elderly and improving the care service ability of medical and nursing institutions.Methods The elderly people who were randomly selected from 18 pilot institutions for the combination of medical care and nursing were investigated by using the current situation investigation method.Filling in the self-made general information questionnaire,Professor Wang Qi’s elderly version of TCM constitution classification and judgment scale and 12 short forms of Health Survey(SF-12 scale)by means of self filling or question and answer.According to the physique classification criteria of traditional Chinese medicine and the scoring standard of the SF-12 scale,the data on the physique classification and quality of life of the elderly in the institution are sorted out.Using Microsoft Excel 2019 and Epidata3.1 to check and input data,and conduct statistical analysis with SPSS 25.0 statistical software.Results 1.Elderly Physique Research Institutions:Among 660 cases of physical types of the elderly in medical and nursing institutions,143 cases were mild,accounting for 21.7%,and 517 cases were biased,accounting for 78.3%;Among the biased constitution,132 cases were single biased constitution,accounting for 25.5%,of which 313 cases were Yang deficiency,accounting for 47.4%;In the second and third place are Qi deficiency and yin deficiency,accounting for 27.7%and 23.9%respectively.Among the combined constitution,the number of two kinds of biased constitution is the most,119 cases,accounting for 30.9%.2.Study on the quality of life of elderly groups in medical and nursing institutions:In the quality of life score of the elderly group in the combination of medical care and nursing institutions,the physical health score(77.76±25.68),mental health score(68.69±17.85),and the total quality of life score is(73.23± 18.01).The average score from high to low is PF(94.96±49.25),BP(90.66±30.36),SF(89.36±30.80),RE(81.69±26.32),RP(76.90±29.88),MH(68.83±22.93),GH(48.54± 19.02),VT(34.87±36.80).3.The results of univariate analysis showed that gender,age,marital status,educational level,occupation,whether there is a government-sponsored pension or not in the total score of quality of life(P<0.01);The difference of PCS score of pension was statistically significant(P<0.01);the difference of MCS score of education level and government-issued pension was statistically significant(P<0.01).The multivariate analysis results of the factors affecting the quality of life of the elderly in the medical and elderly care institutions showed that the scores in the field of physical health were related to age,chronic disease status,the number of illnesses in the past year,sleep status,medical insurance status,whether there was a government-issued pension,and Children’s economic status is related;mental health scores are related to educational level,medical insurance status and the number of physical exercises.4.Correlation analysis between TCM physique and quality of life of elderly people in medical and nursing institutions:Among the nine TCM constitutions,Qi-deficiency,Yin-deficiency,phlegm-dampness,and blood-stasis are the four constitutions that have a strong negative correlation with the eight dimensions of life quality,followed by damp-heat and idiosyncratic constitutions.PF was moderately negatively correlated with qi deficiency,yin deficiency,phlegm-dampness,damp-heat,and blood stasis;RP had a strong negative correlation with qi deficiency,blood stasis,and qi stagnation;BP was negatively correlated with qi deficiency,There was a moderate negative correlation between phlegm-dampness and blood stasis;VT was moderately negatively correlated with yin deficiency;SF was associated with qi deficiency,yin deficiency,phlegm-dampness,damp-heat,blood stasis,qi stagnation and There is a moderate negative correlation between the traits.5.Multivariate stepwise regression analysis of various dimensions of TCM constitution and quality of life among the elderly in medical and nursing institutions:Qi deficiency and qi depression have damage to the four dimensions of quality of life.They are two physical types that have a great impact on quality of life.Qi deficiency is negatively correlated with physiological function,overall health,emotional function and social function.Qi depression is negatively correlated with physiological function,emotional function,social function and mental health.Conclusion In the distribution of TCM constitution of the elderly population in the combination of medical and nursing institutions,biased constitution is the main,and the quality of peace accounts for only 21.7%.The top three types of TCM constitution are Yang deficiency,Qi deficiency and yin deficiency respectively;The overall quality of life of the elderly in medical and nursing institutions is better,and the score in the field of mental health is lower than that in the field of physical health,suggesting that the overall level of mental health of the elderly needs to be improved;There is a certain correlation between TCM Constitution and quality of life of the elderly in institutions combining medical care and nursing.Qi deficiency and qi depression are two constitution types that have a great impact on quality of life. |
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