摘要
目的调查海口市老年骨质疏松症( osteoporosis,OP)患者的生活质量状况并分析其危险因素,为提高OP 患者的生活质量提供依据。方法对904 例海口市老年OP 患者进行问卷调查,收集患者的生活质量相关资料,采用多元Logistic 回归分析老年OP 患者生活质量的影响因素。应用ROC 曲线评价Logistic 回归模型的预测效果。结果将患者的性别、年龄、居住情况、劳动类型、体质量指数( bone mass index,BMI)、病程、睡眠情况、家庭经济情况、骨折史、每天运动时间、关节疼痛和驼背情况的生活质量得分比较,差异有统计学意义( P< 0. 01)。多元Logistic 回归分析显示,年龄( OR= 2. 604,95% CI:1. 702 ~3. 913)、病程( OR= 5. 205,95% CI:3. 705 ~ 8. 614)、家庭经济情况( OR= 2. 411,95% CI:1. 518 ~ 3. 361)、每天运动时间( OR=4. 216, 95% CI:3. 102~ 6. 104)、关节疼痛( OR= 7. 115, 95% CI:5. 283~ 13. 726)、驼背( OR= 5. 702,95% CI:4. 108~ 8. 263)是影响老年OP 患者生活质量的危险因素。ROC 曲线评价Logistic 回归模型效果,其AUC 及95% CI 为0. 925( 0. 861~ 0. 984)。结论海口市老年OP 患者的生活质量水平较低,影响其生活质量的危险因素较多,应针对相关的危险因素采取有效的干预措施,改善OP 患者的生活质量。
Objective To investigate the quality of life( QOL) of elderly patients with osteoporosis( OP) in Haikou and analyze its risk factors,so as to provide evidence for improving the quality of life of OP patients. Methods A questionnaire survey was conducted among 904 elderly OP patients in Haikou to collect data on their quality of life. Multivariate logistic regression analysis was used to analyze the influencing factors of quality of life in elderly OP patients. ROC curve was applied to evaluate the prediction effect of logistic regression model. Results Comparison of quality of life scores of different sex,age,living condition,labor type,BMI,course of disease,sleep condition,family economic condition,fracture history,daily exercise time,joint pain and hump back condition,the differences were statistically significant( P<0. 01). Multivariate logistic regression analysis showed that age( OR= 2. 604,95% CI: 1. 702-3. 913),course of disease( OR= 5. 205,95% CI: 3. 705-8. 614),family economic status( OR= 2. 411,95% CI: 1. 518-3. 361),daily exercise time( OR= 4. 216,95% CI: 3. 102-6. 104),joint pain( OR= 7. 115,95% CI:5. 283-13. 726),and hump( OR = 5. 702,95% CI: 4. 108-8. 263) were risk factor that affects the quality of life in elderly OP patients. ROC curve was used to evaluate logistic regression model,and its AUC( 95% CI) were 0. 925( 0. 861-0. 984).Conclusion The quality of life of elderly OP patients in Haikou is low,and there are many risk factors affecting their quality of life. Effective intervention measures should be taken to improve the quality of life of OP patients.
作者
陈长凯
叶宝飞
张志伟
胡万钧
CHEN Changkai;YE Baofei;ZHANG Zhiwei;HU Wanjun(Department of Orthopaedics,The Fifth People’s Hospital of Hainan,Haikou 571127;Department of Orthopaedics,Hainan Provincial Hospital of Traditional Chinese Medicine,Haikou 571127,China.)
出处
《中国骨质疏松杂志》
CAS
CSCD
北大核心
2019年第8期1154-1158,共5页
Chinese Journal of Osteoporosis
关键词
骨质疏松症
老年人群
生活质量
危险因素
osteoporosis
elderly population
quality of life
risk factors
