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ID 111627
Title Alternative
地域で生活している55歳以上の方の慢性疾患,年齢の捉え方,睡眠の質,健康関連QOL,日常生活行動との関係性
Author
Sugimoto, Hiroko Tokushima University
Kurokawa, Arisa Tokushima University
Sato, Miki Shikoku University
Ozawa, Kazuhiro Gifu College of Nursing
Honda, Soichi Minami Hospital
Keywords
Elderly
Health-Related Quality of Life
Sleep Quality
Activities of Daily Living
Content Type
Thesis or Dissertation
Description
Japan’s aging population rate is increasing and healthy life expectancy has decreases by 10 years shorter than average life expectancy. The aim of this study is to determine the relationship among chronic disease, sleep quality, health-related quality of life (HRQOL), and activities of daily living in people over 55 years old who live in the community. Subjects were 161 persons aged 57 to 90 years who were treated with chronic disease in the outpatient department of the A hospital. Exclusion criteria included patients with dementia, cancer and severe heart disease. The survey evaluation questionnaires included the Pittsburgh Sleep Quality Index (PSQI), HRQOL by Short-Form 8 Health Survey (SF-8), and activities of daily living. Variables associated with quality of sleep, HRQOL in univariate analysis with p < 0.05 were entered into multivariate analysis using logistic regression with a stepwise forward selection procedure to determine independent variables and their association with major causes. The logistic regression analysis was done using SPSS software and the post-hoc power of the study was estimated using G*power. The level of significance was set at p < 0.05. The risk factor of poor sleep quality was because of history of cancer [odds ratio (OR): 3.53, 95% confidence interval (CI): 1.06 - 11.77], and insomnia (OR: 3.25, 95% CI: 1.55 - 6.79). The risk factors of poor physical HRQOL were motor disease (OR: 2.62, 95% CI: 1.36 - 5.07), respiratory disease (OR: 3.24, 95% CI: 1.27 - 8.26) and having pain (OR: 11.71, 95% CI: 5.35 - 25.66). In addition, anemia was found to be a risk factor of poor mental HRQOL (OR: 4.87, 95% CI: 1.11 - 21.33). The feeling-for-their-body-age (OR: 0.30, 95% CI: 0.15-0.59) was as “younger than actual age” and advanced the risk factor of poor sleep quality. In addition, feeling-for-their-age (OR: 0.44, 95% CI: 0.21 - 0.92) resulted in reduced risk factor of poor physical HRQOL. The risk factor of poor sleep quality was due to a patient with history of cancer. The factor for good sleep quality and the good factor for physical HRQOL were indications of feeling younger than the actual age.
Journal Title
Open Journal of Psychiatry
ISSN
21617325
21617333
Publisher
Scientific Research Publishing
Volume
8
Issue
1
Start Page
20
End Page
34
Published Date
2017-11-29
Remark
内容要旨・審査要旨・論文本文の公開
本論文は, 著者Hiroko Sugimotoの学位論文として提出され, 学位審査・授与の対象となっている。
Rights
© 2018 by authors and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
ETD
MEXT report number
甲第3153号
Diploma Number
甲保第33号
Granted Date
2018-03-23
Degree Name
Doctor of Health Science
Grantor
Tokushima University
departments
Medical Sciences