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

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

1 Faculty of Public Health, Kunming Medicine University, China

2 Institute for Adult Education, Kunming Medicine University, China

3 The Second Affiliated Hospital, Kunming Medicine University, China

• 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

• 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

ect

• Chronic disease status;

• Using the SF-36 scale to menstruate the quality of life

Search target

• The people aged 60 years and

over

• The permanent reside old people

of 1 year or over in community

limiting survey deadline

• They freely participant under

Informed consent

• Good cognitive ability

• Disease severity people

• Bad cognitive ability

• Refused to compliance

Fit into standard Exclusion standard

Sampling and sample estimated

communities as study sitting

• Chronic Diseases morbidity rate is 53.4% of old people in urban of China

• The study total rate =53.4%;

• n=

2

) 1

(

2







Z

Result (1)

• Total sample is 402

• Education level is focus on primary school or junior

• 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

170

44 54 64

15

85

0 20 40 60 80 100 120 140 160 180

患病例数

1 Hypertension

2 Blood vessel of brain diseases

3 Coronary disease

4 Diabetes mellitus

5 COPD

6 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

characteristic N Mean S.D F p gender male 176 36.48 12.25 3.922 0.048*

female 226 34.21 10.69

age 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

Minority han 329 35.67 11.21 3.038 0.082

minority 73 33.10 12.27

Marital Married 281 34.84 10.87 0.446 0.720

Result(2)

Education status illiteracy 70 36.00 11.93 1.350 0.242

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

occupation before

retire worker 188 34.20 10.62 2.458

0.045*

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

Result(2)To Compare the loneliness scale in the

difference economic security

characteristic N Mean S.D t P

Whether or not

economic security yes 265 35.03 11.26 0.166 0.684

Whether or not

deposit money yes 121 36.76 10.44 3.232 0.073

offspring money yes 138 34.14 9.73 1.821 0.178

Whether or not

Join endowment

insurance

Result(2)To Compare the loneliness scale in the

difference health status

characteristic N Mean S.D F/t P

Health

status generalizatigood 88 32.60 10.16 3.938 0.020

Self-care

ability

All

Illness

status yes 367 42.57 11.22 16.530 0.000

Result(2) Impact factor analysis of loneliness status

Whether or not

Join endowment

insurance

Result(3) to compare If have chronic disease QOL scale

Function Chronic disease un- Chronic

Result(3) to compare QOL among difference

chronic disease

Blood vessel

of brain

Coronary

F-value 5.943 5.071 1.166 2.841 …

Result(3) Be related to the Loneliness total scale & QOL scale

SF-36 scale QOL scale Loneliness total scale &

QOL scale （ R ） p-value

Result(3) Difference groups QOL Test

Empty-nesters Un-empty-nesters T-value P-value

-Communities and families should take care of

empty-nesters 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