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Khảo sát tác động của bệnh mãn tính đến chất lượng sống và tính trạng neo đơn Survey on the Impact of Chronic Diseases on Quality of Life And the Loneliness Status Among EmptyNest Aged People BackgroundAlong with rapid economic development, the aging process in China is gradually accelerating. As a more vulnerable group, emptynest elderly are facing more urgent health problems. This study explores the chronic illness situation and healthrelated quality of life (HRQOL) of emptynest elderly in Yunnan province of China And aims to arouse more social concern for their HRQOL. to examine the prevalence of chronic disease and quality of life, its related factors among people aged 60 years and over in Yunnan province MethodsCrosssectional studyA randomly selected sample of 402 people aged 60 years and over of emptynest old men living in urban area of Kunming, Dali and Puer, Yunnan province were interviewed of the questionnaire survey. The SF36 scale score and the structured questionnaire with UCLA loneliness scale was used as evaluation tools. Multilogistic regression was undertaken for exploring associated factors of emptynest old men.
Survey on the Impact of Chronic Diseases on Quality of Life And the Loneliness Status Among Empty-Nest Aged People ZHANG JIANPING Dengyang Zhoujia Liyao Zhaojinyie Faculty of Public Health, Kunming Medicine University, China Institute for Adult Education, Kunming Medicine University, China The Second Affiliated Hospital, Kunming Medicine University, China Background • Along with rapid economic development, the aging process in China is gradually accelerating As a more vulnerable group, empty-nest elderly are facing more urgent health problems This study explores the chronic illness situation and health-related quality of life (HRQOL) of empty-nest elderly in Yunnan province of China • And aims to arouse more social concern for their HRQOL to examine the prevalence of chronic disease and quality of life, its related factors among people aged 60 years and over in Yunnan province Methods • Cross-sectional study • A randomly selected sample of 402 people aged 60 years and over of empty-nest old men living in urban area of Kunming, Dali and Pu-er, Yunnan province were interviewed of the questionnaire survey • The SF-36 scale score and the structured- questionnaire with UCLA loneliness scale was used as evaluation tools Multi-logistic regression was undertaken for exploring associated factors of empty-nest old men • • • • Study consents Demography ： gender ： age ： minority ： education level ect Chronic disease status; Using the UCLA measured ： Using the SF-36 scale to menstruate the quality of life Search target Fit into standard • • • • The people aged 60 years and over The permanent reside old people of year or over in community limiting survey deadline They freely participant under Informed consent Good cognitive ability Exclusion standard • Disease severity people • Bad cognitive ability • Refused to compliance Sampling and sample estimated • Using clustering sampling ： we select communities as study sitting • Chronic Diseases morbidity rate is 53.4% of old people in urban of China total rate =53.4%; • I error a=0.05 ： S=5% ： • n= = • The study Z (1 ) 382 2 Result (1) • Total sample is 402 • Male is 176 ： Female is 226 • Age group is 60-80 have 335 cases ： Han 329 ： minority is 73 ： • Married is 281 ： spouse is 110 ： • Education level is focus on primary school or junior middle school respective is129 and108 ：： • 188 old people is major worker job before retire Statistical analysis Gender is statistical significance among age 、 married 、 education level and occupation before retire The Chronic Diseases status Hypertension Blood vessel of brain diseases Coronary disease Diabetes mellitus COPD other Result(2) Impact factor analysis of chronic disease suffer from an illness status Risk factor Protect factor Whether or not ill Self-assessment status and age health occupation before retire 、 support money and self-care ability Hypertension Self-assessment health status and age self-care ability Blood vessel of brain diseases Self-assessment health status and age self-care ability Coronary disease Self-assessment health status ,age and marital occupation before retire 、 support money and if attend endowment insurance Diabetes mellitus Self-assessment health status and age COPD Whether or not offspring money and self-care ability Self-assessment health status and age Result(2)To Compare the loneliness scale in the difference demographic gender age Minority Marital characteristic N Mean S.D F p male 176 36.48 12.25 3.922 0.048* female 226 34.21 10.69 60-69 192 34.68 11.14 2.830 0.038* 70-79 143 34.66 11.79 80-89 59 36.81 11.30 over 67 37.85 11.35 han 329 35.67 11.21 3.038 0.082 minority 73 33.10 12.27 Married 281 34.84 10.87 0.446 0.720 unmarried 38.83 8.86 divorce 36.60 12.48 spouse 110 35.87 12.91 Result(2) Education status occupation before retire illiteracy 70 36.00 11.93 Primary 129 34.18 10.89 Junior middle school 108 34.07 11.26 High school 44 36.00 12.04 Junior college 28 37.89 10.43 University or over 23 39.00 13.23 worker 188 34.20 10.62 peasant 55 36.16 12.94 cadre 63 33.38 11.66 professional 50 39.20 12.49 other 46 36.52 10.72 Statistical analysis the loneliness status relate to factor is age 、 gender and occupation before retire 1.350 0.242 2.458 0.045* Result(2)To Compare the loneliness scale in the difference economic security N Mean S.D t P yes 265 35.03 11.26 0.166 0.684 no 137 35.53 11.82 yes 121 36.76 10.44 3.232 0.073 no 281 34.53 11.80 yes 138 34.14 9.73 1.821 0.178 no 264 35.76 12.22 yes 241 33.24 11.23 no 161 38.14 11.15 characteristic Whether or not economic security Whether or not deposit money offspring money Whether or not Join endowment insurance 18.450 0.000 Result(2)To Compare the loneliness scale in the difference health status characteristic Health status Selfcare ability Illness status N Mean S.D F/t P good 88 32.60 10.16 3.938 0.020 generalizati on 200 35.25 10.88 mistake 114 37.12 12.95 All selfcare 57 34.28 10.82 16.460 0.000 Part-care 345 40.79 11.29 yes 367 42.57 11.22 16.530 0.000 no 35 34.49 11.30 Result(2) Impact factor analysis of loneliness status variable β S.E constant 18.699 3.506 Whether or not Join endowment insurance -5.579 1.118 Self-care ability -7.052 Health status Gender Sβ T-value P 5.334 0.000 -0.239 -4.992 0.000 2.014 -0.172 -3.501 0.001 2.243 0.804 0.138 2.789 0.006 2.285 1.103 0.099 2.071 0.039 Result(3) to compare If have chronic disease QOL scale Function Chronic disease GH 44.95±20.20 PF un- Chronic disease T-value P-value 62.67±19.25 -8.472 ﹤0.000 76.17±20.40 84.96±19.60 -4.151 ﹤0.000 RF 61.60±46.72 79.38±36.99 -3.870 ﹤0.000 BF 69.60±20.90 78.71±14.06 -4.593 ﹤0.000 VT 68.87±18.63 76.57±15.47 -4.153 ﹤0.000 SF 84.39±23.76 93.70±20.68 -3.891 ﹤0.000 RE 67.55±44.61 83.70±32.11 -3.763 ﹤0.000 MH 65.52±14.71 65.28±11.69 0.166 0.868 Result(3) to compare QOL among difference chronic disease Section GH PF RP BP … Hypertension 46.48±20.67 76.91±19.81 61.91±45.57 70.44±20.39 … Blood vessel of brain diseases 32.09±14.20 68.52±27.01 43.75±48.86 63.39±25.02 … Coronary disease 36.39±16.51 65.46±26.10 45.45±48.13 63.26±26.03 … Diabetes 40.94±21.20 76.80±20.59 55.47±48.48 70.59±23.60 … COPD 33.67±16.53 58.33±24.90 26.67±41.69 57.20±25.42 … other 44.46±19.02 76.29±17.19 60.88±46.36 62.46±22.61 … F-value 5.943 5.071 1.166 2.841 … P-value ﹤0.000 0.008 0.015 … ﹤0.000 Result(3) Be related to the Loneliness total scale & QOL scale SF-36 scale QOL scale Loneliness total scale & QOL scale ﹤ R ﹤ p-value GH 50.99±21.56 -0.215 ﹤0.000 PF 79.17±20.53 -0.375 ﹤0.000 RP 67.66±44.41 -0.177 ﹤0.000 BP 72.70±19.32 -0.235 ﹤0.000 VT 71.50±17.97 -0.392 ﹤0.000 SF 87.56±23.16 -0.410 ﹤0.000 RE 73.05±41.46 -0.191 ﹤0.000 MH 65.44±13.74 -0.312 ﹤0.000 Result(3) Difference groups QOL Test Emptynesters Un-emptynesters T-value P-value GH 50.99±21.56 54.48±11.76 3.245 0.001 PF 79.17±20.54 83.15±17.23 3.889 ﹤ 0.000 RP 67.66±44.41 72.09±35.78 1.999 0.046 BP 72.70±19.32 76.15±17.26 3.579 ﹤ 0.000 VT 71.49±17.97 79.37±15.92 8.787 ﹤ 0.000 SF 87.56±23.16 93.65±24.53 5.271 ﹤ 0.000 RE 73.05±41.46 80.97±35.71 3.830 ﹤ 0.000 MH 65.44±13.74 68.24±10.51 4.082 ﹤ 0.000 Conclusion: -Communities and families should take care of emptynesters both psychological and physical health The government should continue to improving the social security system, to decrease the loneliness of urban empty-nesters and improve their quality of life ... HRQOL to examine the prevalence of chronic disease and quality of life, its related factors among people aged 60 years and over in Yunnan province Methods • Cross-sectional study • A randomly selected... significance among age 、 married 、 education level and occupation before retire The Chronic Diseases status Hypertension Blood vessel of brain diseases Coronary disease Diabetes mellitus COPD other Result(2)... study explores the chronic illness situation and health-related quality of life (HRQOL) of empty-nest elderly in Yunnan province of China • And aims to arouse more social concern for their HRQOL