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.

日本社会正在迅速老龄化。 1999年，65岁以上人口占总人口的17%，而且这一比例还会增加。如何保持或提高老年人的生活质量（QOL）是一个严峻的问题。我们的目标是测量生活质量并开发综合指数来表示它。为此，我们通过分析在病房获得的临床数据来研究代表老年痴呆患者生活质量的结构。我们根据临床数据来处理客观的生活质量，这些数据表明了他们在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，它们被认为是密切相关的。第一组包括九个关于生活质量的项目，第二组是关于日常生活活动 (ADL) 的九个项目，第三组是评估痴呆量表智力水平的单个项目。对数据进行多变量分析，从而得到19个项目的空间结构和聚类结构。从医学角度解释结果，并就项目的相关结构提出新的发现。在此基础上，我们构建了一些衡量生活质量的指标，用于评估、非医疗护理和医学研究。此外，治疗方法的评估与生活质量研究密切相关。最后，我们讨论了我们研究结果的意义和局限性，并检验了我们研究的有效性和可靠性。