OBJECTIVE:(i) To assess quality of life (QoL) profiles in hypertensive geriatrics with SF-36; (ii) to assess the compliance of geriatrics to medications; (iii) to estimate clinical outcomes (reduction in systolic and diastolic blood pressure); (iv) to assess life satisfaction and (v) to explore the interrelationships of QoL, compliance, clinical outcomes and life satisfaction in hypertensive geriatrics. METHOD:Fifty-nine hypertensive geriatric patients in cardiology and 65 Plus clinics in West Virginia Hospitals were studied. RESULTS:Age showed a significant negative correlation with physical functioning (r = 0.339, P< or =0.0127) and physical role (r=0.335, P< or =0.0148). The physical role facet of SF-36 is correlated with life satisfaction in geriatrics (r = 0.316, P < or =0.0219). A regression analysis (backward stepwise) not including bodily pain (BP) and general health (GH) resulted in a model explaining 22.3% of variance (n = 54, F = 2.252, P < or = 0.0543). Physical role (P < or = 0.0084) and mental health facets (P< or = 0.0184) of SF-36 emerged as the predictors of life satisfaction in elderly hypertensive patients. Emotional role functioning (P < or = 0.0257) and social functioning (P < or = 0.0033) scores predicted levels of diastolic blood pressure in elderly hypertensive patients. However, all eight concepts of SF-36 failed to predict compliance behaviour in geriatrics (n = 53, P < or = 0.6913, R2= 0.110).

译文

目的:(i)用SF-36评估高血压老年患者的生活质量(QoL); (ii)评估老年医学对药物的依从性; (iii)评估临床结局(收缩压和舒张压的降低); (iv)评估生活满意度,以及(v)探索高血压老年患者的生活质量,依从性,临床结果和生活满意度之间的相互关系。
方法:对西弗吉尼亚医院的59例心脏病患者和65多家诊所进行了研究。
结果:年龄与身体机能(r = 0.339,P <或= 0.0127)和身体角色(r = 0.335,P <或= 0.0148)呈显着负相关。 SF-36的生理角色与老年人的生活满意度相关(r = 0.316,P <或= 0.0219)。不包括身体疼痛(BP)和总体健康(GH)的回归分析(向后逐步)产生了一个解释22.3%方差的模型(n = 54,F = 2.252,P <或= 0.0543)。 SF-36的生理作用(P <或= 0.0084)和心理健康方面(P <或= 0.0184)已成为老年高血压患者生活满意度的预测指标。情绪角色功能(P <或= 0.0257)和社会功能(P <或= 0.0033)得分可预测老年高血压患者的舒张压水平。但是,SF-36的所有八个概念均无法预测老年病患者的依从性行为(n = 53,P <或= 0.6913,R2 = 0.110)。

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