Measurement of the Quality of Life of Elderly People and Construction of Summary QOL Indices

老年人生活质量的测量及QOL汇总指数的构建

基本信息

批准号：
09680309
负责人：
SAITO Takayuki
金额：
$ 1.28万
依托单位：
Tokyo Institute of Technology
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1997
资助国家：
日本
起止时间：
1997 至 1999
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-09680309/
关键词：
activity of daily living clinical data dementia elderly people index construction multivariate analysis quality of life therapeutic approaches ES Research Report, Series J. No. 6, 1-27, 2000 老人病棟知的退行

项目摘要

The Japanese society is aging rapidly. People of ages over 65 years shares 17 percent of the total population in 1999 and the share will increase. It is a serious problem how to keep or improve the quality of life (QOL) of elderly people. We aim to measure the QOL and develop composite indices to represent it.For the purpose we investigate structures to represent the QOL of old demented patients by analyzing clinical data obtained in a ward. We deal with the objective QOL on the basis of clinical data which indicate the attitudes and ways of behavior in their daily life in the ward. We design three sets of measurement items which are considered closely related to one other. The first set consists of nine items about QOL, the second of nine items about the activities of daily living (ADL), and the third of a single item to assess the intellectual level on a dementia scale.Multivariate analysis is performed for the data, and thus the spatial and the cluster structures of the nineteen items are obtained. The results are interpreted from a medical point of view, and new findings are presented on the correlated structure of the items. On the basis of those findings, we construct some indices to comprehend the QOL, which will serve for assessment, non-medical care and medical study. Furthermore, evaluation of therapeutic approaches are provided in a close connection with the QOL research. Lastly, we discuss the significance and the limitations of our findings, and examine the validity and the reliability of our study.

日本社会正在迅速衰老。 65岁以上的人占1999年总人口的17％，份额将增加。如何保持或改善老年人的生活质量（QOL）是一个严重的问题。我们旨在测量QoL并开发复合指数来表示它。出于目的，我们通过分析在病房中获得的临床数据来研究结构以表示旧痴呆症患者的QoL。我们根据临床数据来处理客观QOL，该数据表明病房日常生活中的态度和行为方式。我们设计了三组测量项目，这些测量项目被认为是彼此密切相关的。第一组由九个有关QOL的项目，有关日常生活活动（ADL）的九个项目中的第二个项目，以及单个项目中的第三个项目以评估痴呆症量表上的智力水平。对数据进行了多数分析，因此获得了十九项项目的空间和集群结构。从医学的角度来解释结果，并在项目的相关结构上提出了新的发现。根据这些发现，我们构建了一些索引来理解QOL，该指标将用于评估，非医学护理和医学研究。此外，在与QOL研究的密切联系中提供了治疗方法的评估。最后，我们讨论了我们发现的重要性和局限性，并检查我们研究的有效性和可靠性。