现代医药卫生2023，Vol.39Issue(23)：4057-4062,6.DOI:10.3969/j.issn.1009-5519.2023.23.021
不同共病模式对社区55岁及以上人群生活质量的影响
The Effects of different comorbidity patterns on quality of life in community population aged 55 vears and above
摘要
Abstract
Objective To explore the impact of different comorbidity patterns on the quality of life of community residents aged 55 years and above,and to provide reference for the early intervention of comorbidi-ty and the improvement of population quality of life.Methods Using cluster sampling method,five urban communities with relatively high proportion of elderly population in Wuzhong city and Yinchuan city of Ningxia were selected.The one-to-one questionnaire survey and physical examination were completed in the form of face to face.Different comorbidity patterns such as Charlston comorbidity,cardiovascular-metabolic comorbidity,cardiovascular-metabolic comorbidity depression,and cardiovascular-metabolic comorbidity mild cognitive dysfunction were used to analyze the impact of different comorbidity patterns on the quality of life of middle-aged and elderly people in the community using a multivariate logistic regression analysis model after controlling for the general situation.Results Physiological function(PF),physiological function(RP),social function(SF),body pain(BP)and the total score of quality of life rating scale(SF-36)were significantly differ-ent in the Charlson comorbidibility index aCCI≥3 scores group and the aCCI＜3 scores group(P＜0.05).The dimensions of PF,RP,RE and BP had statistical significance in the whether suffered from cardiovascular met-abolic comorbidity group(P＜0.05).The dimensions of PF,RP,Role-Emotional(RE),SF,BP and SF-36 score were significantly different in the whether suffered from cardiovascular metabolic comorbidity depression group(P＜0.05).There were significant differences in the dimensions of PF,RP,RE,SF,BP and the total score of SF-36 in the whether suffered from cardiovascular metabolic comorbidity depression group(P＜0.05).The logistic regression model analysis showed that women[odds ratio(OR)=1.88,95％confidence in-terval(95％ CI)1.341-2.632],primary school education or below(OR=1.31,95％ CI 1.009-1.700)had a higher risk of declining quality of life score.After controlling for general condition variables,aCCI≥3 scores(OR=1.43,95％CI 1.075-1.914),cardiovascular metabolic comorbidities(OR=1.37,95％CI 1.022-1.847),cardiovascular metabolic disease comorbidity depression(OR=2.19,95％CI 1.620-2.960)had a high risk of decline in quality of life scores,and no association was found between cardiovascular metabolic dis-ease comorbidities with mild cognitive impairment and decline in quality of life(P＞0.05).Conclusion Different comorbidity patterns may have a certain impact on the quality of life of middle-aged and elderly people in urban communities.Attention should be paid to early intervention of elderly comorbidity to provide reference for improving the quality of life of the population.关键词
共病/共病模式/生活质量/社区/数据收集Key words
Comorbidity/Pattern of comorbidity/Quality of life/Community/Data collection分类
医药卫生引用本文复制引用
马万瑞,冯李金,杨敏仪,潘棠棠,王志忠..不同共病模式对社区55岁及以上人群生活质量的影响[J].现代医药卫生,2023,39(23):4057-4062,6.基金项目
国家自然科学基金项目(81860599) （81860599）
广东医科大学附属东莞第一医院高层次人才科研资助计划项目(GCC2023003). （GCC2023003）
