中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2012年
6期
606-609
,共4页
邢敏%艾永梅%贺润莲%高建伟%宋平平%王晓成%高彩虹%张慧敏%余红梅
邢敏%艾永梅%賀潤蓮%高建偉%宋平平%王曉成%高綵虹%張慧敏%餘紅梅
형민%애영매%하윤련%고건위%송평평%왕효성%고채홍%장혜민%여홍매
阿尔茨海默病%生命质量%影响因素
阿爾茨海默病%生命質量%影響因素
아이자해묵병%생명질량%영향인소
Alzheimer's disease%Quality of life%Influencing factors
目的 了解阿尔茨海默病(AD)患者的生命质量现状及影响因素.方法 采用分层整群随机抽样抽取AD患者及其照料者各200例.调查问卷包括患者一般情况调查表、蒙特利尔认知评估量表及中文版阿尔茨海默病生命质量量表(QOL-AD),采用SPSS软件对资料进行描述性分析、配对t检验、方差分析、Pearson相关分析和多重线性回归分析,了解患者自评及照料者代评生命质量得分及患者生命质量的影响因素.结果 AD患者自评得分(28.78±4.30)低于照料者代评得分(30.05±6.05),两者差异有统计学意义(t=2.122,P＜0.05),且两者呈正相关关系(r=0.312,P＜0.001).多因素分析表明AD患者的生命质量影响因素分别为认知水平(t=3.465,P=0.001)、夫妻关系(t=3.062,P=0.003)、参加居民区公益活动(t=2.581,P=0.011)、性格(t=2.254,P=0.026)、控制食量(t=3.614,P＜0.001)、饮茶(t=2.652,P=0.009)及做家务情况(t=3.180,P=0.002).结论 AD患者生命质量自评得分低于照料者代评得分；AD患者生命质量与诸多因素有关,可据此采取有针对性的措施,提高患者生命质量.
目的 瞭解阿爾茨海默病(AD)患者的生命質量現狀及影響因素.方法 採用分層整群隨機抽樣抽取AD患者及其照料者各200例.調查問捲包括患者一般情況調查錶、矇特利爾認知評估量錶及中文版阿爾茨海默病生命質量量錶(QOL-AD),採用SPSS軟件對資料進行描述性分析、配對t檢驗、方差分析、Pearson相關分析和多重線性迴歸分析,瞭解患者自評及照料者代評生命質量得分及患者生命質量的影響因素.結果 AD患者自評得分(28.78±4.30)低于照料者代評得分(30.05±6.05),兩者差異有統計學意義(t=2.122,P＜0.05),且兩者呈正相關關繫(r=0.312,P＜0.001).多因素分析錶明AD患者的生命質量影響因素分彆為認知水平(t=3.465,P=0.001)、伕妻關繫(t=3.062,P=0.003)、參加居民區公益活動(t=2.581,P=0.011)、性格(t=2.254,P=0.026)、控製食量(t=3.614,P＜0.001)、飲茶(t=2.652,P=0.009)及做傢務情況(t=3.180,P=0.002).結論 AD患者生命質量自評得分低于照料者代評得分；AD患者生命質量與諸多因素有關,可據此採取有針對性的措施,提高患者生命質量.
목적 료해아이자해묵병(AD)환자적생명질량현상급영향인소.방법 채용분층정군수궤추양추취AD환자급기조료자각200례.조사문권포괄환자일반정황조사표、몽특리이인지평고량표급중문판아이자해묵병생명질량량표(QOL-AD),채용SPSS연건대자료진행묘술성분석、배대t검험、방차분석、Pearson상관분석화다중선성회귀분석,료해환자자평급조료자대평생명질량득분급환자생명질량적영향인소.결과 AD환자자평득분(28.78±4.30)저우조료자대평득분(30.05±6.05),량자차이유통계학의의(t=2.122,P＜0.05),차량자정정상관관계(r=0.312,P＜0.001).다인소분석표명AD환자적생명질량영향인소분별위인지수평(t=3.465,P=0.001)、부처관계(t=3.062,P=0.003)、삼가거민구공익활동(t=2.581,P=0.011)、성격(t=2.254,P=0.026)、공제식량(t=3.614,P＜0.001)、음다(t=2.652,P=0.009)급주가무정황(t=3.180,P=0.002).결론 AD환자생명질량자평득분저우조료자대평득분；AD환자생명질량여제다인소유관,가거차채취유침대성적조시,제고환자생명질량.
Objective To investigate the current status and influencing factors regarding quality of life among patients with Alzheimer' s disease (AD).Methods Through stratified cluster sampling method,two hundred patients with AD and their caregivers were chosen and interviewed.AD patients were assessed by questionnaires,Montreal Cognitive Assessment,and Quality of LifeAlzheimer' s Disease (QOL-AD),in order to compare the reports from patients and caregivers on QOL-AD and to analyze related influencing factors.Descriptive analysis,paired t-test,analysis of variance (ANOVA),Pearson' s correlation and multiple linear regression were performed using the Statistical Package for Social Science (SPSS).Results The scores of reports from patients (28.78 ±4.30) were lower than that from the caregivers' (30.05 ± 6.05).The difference was statistically significant (t=2.122,P＜0.05) and was positively correlated (r=0.312,P＜0.001).Data from multivariate analysis showed that cognitive level (t=3.465,P=0.001),marriage relationship (t=3.062,P=0.003 ),having public activities (t =2.581,P=0.011 ),personal characters (t =2.254,P =0.026),restricted diet pattern (t=3.614,P＜0.001),regularly drinking tea (t=2.652,P=0.009) and doing housework (t=3.180,P=0.002) were predictive factors.Conclusion Scores from the caregiver' s report on QOL-AD were higher than that from the patients'.Many factors influenced the quality of life on AD patients.Strategies on improving the quality of life among AD patients can be developed based on the findings of this study.
