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老人之健康相關生活品質評估

Assessment the Health-related Quality of Life in the Elderly

摘要


Background and Purpose: The WHOQOL-BREF Taiwan Version questionnaire was used to assess the health-related quality of life (HRQOL) and the effects of age together with the physical, psychological, social, environmental domains for an elderly population. Methods: The questionnaire contains 28 items related to physical, psychological, social, environmental domains, general health(G1,G2), and a rating scale foe total quality of life (Total QOL). The dataset was collected randomly during a health examination of an elderly population a local hospital and analyzed with SPSS11.0. Results: Fifty-one elderly people completed the questionnaire during September 2005 and these were made up of, 32 males and, 19 females with a mean age of 72.9±8.9 years. The subjects were suffering from a mean of 1.6±0.9 chronic diseases and had a score for the physical, psychological, social and environmental domains of 13.04±2.28, 12.25±1.98, 12.52±1.68 and 13.52±1.65points respectively. The scores for the two general items (G1,G2) were means of 12.64±2.81 and12.00±3.49 points, respectively. The mean score for the total QOL (score 0-100) was 71.27±12.80 points. Content validity coefficients for the four domains were 0.61-0.44, 0.80-0.46, 0.57-0.52 and, 0.54-0.40 for item-domain correlation (p<0.01) and 0.42-0.35 for inter-domain correlation (p<0.05). The environmental domain was found to be a significant predictor for total quality of life in our study. Conclusion: This study initially appraised the QOL relating to the physical, psychological, social and environmental domains of elderly persons attending a health examination. Further comparisons of the QOL and its relationship to chronic disease among the elderly are necessary in order to assess the loss of health attributable to either age or illness.

並列摘要


Background and Purpose: The WHOQOL-BREF Taiwan Version questionnaire was used to assess the health-related quality of life (HRQOL) and the effects of age together with the physical, psychological, social, environmental domains for an elderly population. Methods: The questionnaire contains 28 items related to physical, psychological, social, environmental domains, general health(G1,G2), and a rating scale foe total quality of life (Total QOL). The dataset was collected randomly during a health examination of an elderly population a local hospital and analyzed with SPSS11.0. Results: Fifty-one elderly people completed the questionnaire during September 2005 and these were made up of, 32 males and, 19 females with a mean age of 72.9±8.9 years. The subjects were suffering from a mean of 1.6±0.9 chronic diseases and had a score for the physical, psychological, social and environmental domains of 13.04±2.28, 12.25±1.98, 12.52±1.68 and 13.52±1.65points respectively. The scores for the two general items (G1,G2) were means of 12.64±2.81 and12.00±3.49 points, respectively. The mean score for the total QOL (score 0-100) was 71.27±12.80 points. Content validity coefficients for the four domains were 0.61-0.44, 0.80-0.46, 0.57-0.52 and, 0.54-0.40 for item-domain correlation (p<0.01) and 0.42-0.35 for inter-domain correlation (p<0.05). The environmental domain was found to be a significant predictor for total quality of life in our study. Conclusion: This study initially appraised the QOL relating to the physical, psychological, social and environmental domains of elderly persons attending a health examination. Further comparisons of the QOL and its relationship to chronic disease among the elderly are necessary in order to assess the loss of health attributable to either age or illness.

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