目的 评价不同养老模式下离退休老年人健康相关生命质量(HRQoL)状况及其影响因素.方法采用欧洲五维健康量表(EQ-5D)对居家和机构养老者的HRQoL进行调查,并分析其影响因素.结果 老年人健康问题最多的是疼痛或不适维度.机构养老者中行动能力、自我照顾能力、日常活动、焦虑或抑郁4个维度存在问题的比例显著高于居家养老者(P<0.05);居家养老者EQ-5D指数和视觉模拟评分为(0.792 ±0.074)分、(77.352 ±10.240)分,均高于机构养老者[(0.745 ±0.105)分、(72.681 ±12.019)分],差异有统计学意义(P<0.01).居家养老者EQ-5D指数的影响因素主要有睡眠质量、性别、运动锻炼和慢性病,机构养老者EQ-5D指数影响因素有运动锻炼、慢性病和年龄.结论 不同养老模式下离退休老人的HRQoL有明显差异且受多因素影响,应积极采取措施改善离退休老人的生命质量.%Objective To evaluate the status of the health-related quality of life(HRQoL)and its influence factor among the retired elderly with different endowment patterns.Methods European quality of life 5-dimensions (EQ-5D)was used to analyze the HRQoL among the retired elderly with family endowment or institutional endowment. Results Pain or discomfort were the main health problem in both endowment patterns.The ratios of existing problems in the retired elderly with institutional endowment were much higher than family endowment on mobility,self-care,usual ac-tivities and anxiety or depression dimensions(P<0.05).The EQ-5D index and VAS scores of family endowment were (0.792 ±0.074)and(77.352 ±10.240),was higher than institutional endowment respectively[(0.745 ±0.105), (72.681 ±12.019)](P<0.01).Sleep quality,gender,exercise and chronic disease were major factors affecting the life quality in family endowment.However,exercise,chronic disease and age were major affecting factors in institutional endowment.Conclusion There is a significantly difference of HRQoL between different endowment patterns,which is affected by many factors.Active measures should be taken to improve the life quality of the retired elderly.
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