Volume 22 Issue 5
May  2024
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ZHOU Shan, LIU Yanli, LI Na, MA Li. Analyzing the health-related quality of life among the elderly with multiple chronic conditions[J]. Chinese Journal of General Practice, 2024, 22(5): 721-724. doi: 10.16766/j.cnki.issn.1674-4152.003488
Citation: ZHOU Shan, LIU Yanli, LI Na, MA Li. Analyzing the health-related quality of life among the elderly with multiple chronic conditions[J]. Chinese Journal of General Practice, 2024, 22(5): 721-724. doi: 10.16766/j.cnki.issn.1674-4152.003488

Analyzing the health-related quality of life among the elderly with multiple chronic conditions

doi: 10.16766/j.cnki.issn.1674-4152.003488
Funds:

 22QK13

 学科带头人-02-09

 2021-1-05

  • Received Date: 2023-10-13
    Available Online: 2024-07-20
  •   Objective  To investigate the status and factors influencing health-related quality of life (HRQoL) in elderly patients with multiple chronic conditions (MCC), in order to provide a basis for further health management.  Methods  Patients hospitalized in the internal medicine ward of the Beijing Tiantan Hospital between November 2022 and June 2023 were included as the study population.A self-developed questionnaire was used to collect the basic information.The Apriori algorithm was used to analyze the chronic disease comorbidity.The EuroQol 5-dimension 5-level was used to assess HRQoL, and the Tobit regression model was employed to analyze the factors influencing HRQoL.  Results  Among the 214 elderly patients with MCC, the most common chronic comorbidity patterns were hypertension+diabetes and hypertension+diabetes+chronic renal insufficiency.The health utility value for these patients was 0.89(0.67, 1.00).The self-reported problem of anxiety/depression was the lowest, while the problem related to daily activities was the highest.The Tobit regression results showed that better HRQoL was associated with younger age, fewer chronic diseases, active participation in exercise, and urban employee medical insurance (P < 0.05).  Conclusion  The HRQoL of elderly patients with MCC was found to be poor.It is suggested to focus on factors such as age, the number of chronic diseases, exercise participation, and medical insurance.It is essential to strengthen scientific lifestyle guidance and enhance the ability for comprehensive management of MMC.

     

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  • [1]
    唐天娇, 曹立, 董碧蓉, 等. 老年人多病共存名词和定义专家共识(2022)[J]. 中华老年医学杂志, 2022, 41(9): 1028-1031. doi: 10.3760/cma.j.issn.0254-9026.2022.09.002

    TANG T J, CAO L, DONG BR, et al. Chinese expert consensus on the term and definition of Multimorbidity in older adults(2022)[J]. Chin J Geriatr, 2022, 41(9): 1028-1031. doi: 10.3760/cma.j.issn.0254-9026.2022.09.002
    [2]
    KHUNTI K, CHUDASAMA Y V, GREGG E W, et al. Diabetes and multiple long-term conditions: a review of our current global health challenge[J]. Diabetes Care, 2023, 46(12): 2092-2101. doi: 10.2337/dci23-0035
    [3]
    刘晓君, 陈雅婷, 蒙玲玲, 等. 我国老年人慢性病患病数量与健康相关生命质量的关系[J]. 医学与社会, 2022, 35(8): 73-77, 83. https://www.cnki.com.cn/Article/CJFDTOTAL-YXSH202208014.htm

    LIU X J, CHEN Y T, MENG L L, et al. The relationship between the number of chronic diseases and health-related quality of life in the older adults in China[J]. Medicine and Society, 2022, 35(8): 73-77, 83. https://www.cnki.com.cn/Article/CJFDTOTAL-YXSH202208014.htm
    [4]
    SOLEY-BORI M, ASHWORTH M, BISQUERA A, et al. Impact of multimorbidity on healthcare costs and utilisation: a systematic review of the UK literature[J]. Br J Gen Pract, 2020, 71(702): e39-e46.
    [5]
    王一, 陈秀芹, 黄丽妹, 等. 社区老年人多病共存与死亡关系的队列研究[J]. 中国慢性病预防与控制, 2020, 28(9): 649-652, 658. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB202009004.htm

    WANG Y, CHEN X Q, HUANG L M, et al. The cohort study of relationship between multiple diseases coexistence and mortality in older residents of communities[J]. Chin J Prev Contr Chron Dis, 2020, 28(9): 649-652, 658. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB202009004.htm
    [6]
    XIE S T, WU J, XIE F. Population norms for SF-6Dv2 and EQ-5D-5L in China[J]. Appl Health Econ Health Policy, 2022, 20(4): 573-585. doi: 10.1007/s40258-022-00715-2
    [7]
    KAPLAN R M, HAYS R D. Health-related quality of life measurement in public health[J]. Annu Rev Public Health, 2022, 43(1): 355-373. doi: 10.1146/annurev-publhealth-052120-012811
    [8]
    杨光媚, 万乐平, 梁笑笑, 等. 基于EQ-5D量表分析老年人高血压患者健康相关生命质量及其影响因素[J]. 中国健康教育, 2022, 38(9): 801-806. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202209007.htm

    YANG G M, WAN L P, LIANG X X, et al. Analysis on health-related quality of life and its influencing factors among elderly patients with hypertension by EQ-5D scale[J]. Chinese Journal of Health Education, 2022, 38(9): 801-806. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202209007.htm
    [9]
    柳言, 林玥彤, 齐元涛, 等. 基于欧洲五维健康量表的2型糖尿病患者健康相关生命质量研究[J]. 公共卫生与预防医学, 2023, 34(4): 11-15. doi: 10.3969/j.issn.1006-2483.2023.04.003

    LIU Y, Lin Y T, QI Y T, et al. Health related quality of life in patients with type 2 diabetes based on the European 5-Dimensional Health Scale[J]. J Pub Health Prev Med, 2023, 34(4): 11-15. doi: 10.3969/j.issn.1006-2483.2023.04.003
    [10]
    KAUR M N, YAN J, KLASSEN A F, et al. A systematic literature review of health utility values in breast cancer[J]. Med Decis Making, 2022, 42(5): 704-719. doi: 10.1177/0272989X211065471
    [11]
    SCANGAS G A, RATHI V K, METSON R B, et al. Defining the health utility value of medical management of chronic rhinosinusitis: a prospective pilot study[J]. OTO Open, 2022, 6(2): 2473974X221092381. DOI: 10.1177/2473974X221092381.
    [12]
    彭德荣, 陈晨, 喻梦珠, 等. 基于数据挖掘的社区高血压患者共病现状及关联规则分析[J]. 中华全科医学, 2023, 21(6): 907-910. doi: 10.16766/j.cnki.issn.1674-4152.003012

    PENG D R, CHEN C, YU M Z, et al. Data mining-based analysis of comorbidity status and association rules of hypertensive patients in the community[J]. Chinese Journal of General Practice, 2023, 21(6): 907-910. doi: 10.16766/j.cnki.issn.1674-4152.003012
    [13]
    徐小兵, 李迪, 孙扬, 等. 基于关联规则的中国老年人慢性病共病分析[J]. 中国慢性病预防与控制, 2021, 29(11): 808-812. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB202111003.htm

    XU X B, LI D, SUN Y, et al. Analysis of chronic diseases comorbidity among the elderly in China based on association rules[J]. Chin J Prev Contr Chron Dis, 2021, 29(11): 808-812. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB202111003.htm
    [14]
    ZHANG C C, XIAO S J, SHI L, et al. Urban-rural differences in patterns and associated factors of multimorbidity among older adults in China: a cross-sectional study based on apriori algorithm and multinomial logistic regression[J]. Front Public Health, 2021, 9: 707062. DOI: 10.3389/fpubh.2021.707062.
    [15]
    田纬, 陶梦梦, 李坤坤, 等. 中国老年多重慢性病患者健康相关生命质量及其影响因素研究[J]. 中国全科医学, 2024, 27(11): 1303-1309. doi: 10.12114/j.issn.1007-9572.2023.0593

    TIAN W, TAO M M, LI K K, et al. Health-related quality of life and its influencing factors among elderly patients with multimorbidity in China[J]. Chinese General Practice, 2024, 27(11): 1303-1309. doi: 10.12114/j.issn.1007-9572.2023.0593
    [16]
    李岩静, 郝晓宁. 个体与群体视角下的北京市随迁老人健康相关生命质量及其影响因素分析[J]. 中国卫生事业管理, 2023, 40(9): 715-720. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWSG202309016.htm

    LI Y J, HAO X N. Analysis of the health-related quality of life of the elderly migrants in Beijing and its influencing factors from the individual and group perspective[J]. Chinese Health Service Management, 2023, 40(9): 715-720. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWSG202309016.htm
    [17]
    BUCHHOLZ I, JANSSEN M F. EQ-5D-3L norms for the European older population: country-specific norms for 15 European countries based on the survey of health, ageing, and retirement in Europe[J]. Value Health, 2023, 26(5): 721-732. doi: 10.1016/j.jval.2022.09.2478
    [18]
    CHEN C, LIU G G, SHI Q L, et al. Health-related quality of life and associated factors among oldest-old in China[J]. J Nutr Health Aging, 2020, 24(3): 330-338. doi: 10.1007/s12603-020-1327-2
    [19]
    AUBERT C E, KABETO M, KUMAR N, et al. Multimorbidity and long-term disability and physical functioning decline in middle-aged and older Americans: an observational study[J]. BMC Geriatr, 2022, 22(1): 910. DOI: 10.1186/s12877-022-03548-9.
    [20]
    宋靓珺, 杨玲. 老年人口健康寿命的演变轨迹及其影响因素: 一项基于CLHLS的实证研究[J]. 人口与经济, 2020, 41(3): 57-74. https://www.cnki.com.cn/Article/CJFDTOTAL-RKJJ202003005.htm

    SONG L J, YANG L. The trajectory of health expectancy among elderly and its influencing factors: an empirical study based on CLHLS[J]. POPULATION & ECONOMICS, 2020, 41(3): 57-74. https://www.cnki.com.cn/Article/CJFDTOTAL-RKJJ202003005.htm
    [21]
    程诺, 李林, 李伊然, 等. 东北地区中老年居民的健康相关生命质量及其影响因素[J]. 中国卫生统计, 2023, 40(2): 239-241, 245. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT202302019.htm

    CHENG N, LI L, LI Y R. Health-related quality of life and its influencing factors among middle-aged and elderly residents in Northeast China[J]. Chinese Journal of Health Statistics, 2023, 40(2): 239-241, 245. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT202302019.htm
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