Glaucoma prevalence and its impact on physical and mental health among elderly residents in Hebei province
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摘要: 目的 了解城乡老年人青光眼患病情况,探讨青光眼老年人健康现状及其影响因素。方法 采用多阶段分层整群抽样法于2012年7月-2013年5月对河北省唐山市、石家庄市、张家口市3个城市共6173名≥60岁老年人进行青光眼患病调查及健康调查简表(SF-36)、社会支持评定量表(SSRS)、家庭功能量表(FAD)、日常生活能力量表(ADL)评定。结果 河北省老年人青光眼患病率为4.5%;青光眼老年人SF-36评分为(500.7±151.0)分,低于非青光眼老年人的(544.1±157.2)分,差异有统计学意义(P<0.05)。青光眼老年人社会功能(64.4±22.3)分、情感职能(62.2±42.0)分、生理职能(47.2±43.5)分、躯体疼痛(64.2±23.3)分、生命活力(61.7±18.5)分、一般健康(53.2±16.7)分,均低于非青光眼老年人,差异有统计学意义(P<0.05);生理机能及精神健康维度评分差异无统计学意义。性别、文化程度、婚姻状况、日常生活能力、睡眠障碍、社会支持、家庭功能、自我健康管理、养老方式、是否长期用药及是否患其他慢病与青光眼老年人健康状况有关(P<0.05)。多因素分析显示,日常生活能力、社会支持、家庭功能、是否长期用药是青光眼老年人身心健康的影响因素。结论 青光眼老年人身心健康状况堪忧,应注重通过控制影响因素采取针对性措施改善其健康状况,提高其生存质量。Abstract: Objective To investigate the prevalence of glaucoma and its influences on health status among urban and rural elderly residents.Methods Multi-stage stratified cluster sampling method was used to recruit 6 173 old residents aged 60 years and above from urban and rural areas in three municipalities of Hebei province for a face-to-face interview.The Medical Outcomes Study 36-Item Short From Health Survey(SF-36),Social Support Rating Scale(SSRS),Family Function Assessment Scale(FAD),and Activity of Daily Living Scale(ADL) were used in the survey.Results The glaucoma prevalence in the elderly was 4.5%.The elderly with glaucoma had a significantly lower SF-36 score than the elderly without the disease(500.7±151.0 vs.544.1±157.2)(P<0.05);the elderly with glaucoma also had significantly lower scores for social function(64.4±22.3),emotional function(62.2±42.0),physiological function(47.2±43.5),body pain(64.2±23.3),life activity(61.7±18.5),and overall health(53.2±16.7) compared to those without the disease(all P<0.05),whereas no significant differences in scores for physiological function and mental health were observed between the elderly with and without glaucoma.Gender,education level,marital status,daily life ability,sleep disorder,social support,family function,self health management,pension mode,whether having long-term medication and or other chronic diseases were related to the health status of elderly glaucoma patients.Multivariate analyses showed that daily life ability,total symptom index,social support,family function,and whether having long-term medication were influence factors for physical and mental health among the elderly with glaucoma.Conclusion The health status of the elderly with glaucoma is very poor and specific attentions should be paid to control relevant influence factors to improve health status of the elderly.
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Key words:
- urban and rural areas /
- the elderly /
- glaucoma /
- health
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