[[alternative]]A Predictive study of frailty status with quality of life among community-dwelling elderly

[[abstract]]目的：1.探討不同衰弱程度長者的個人基本資料。2.探討不同衰弱程度長者的生理指標、健康狀態。3.探討不同衰弱程度長者的生活品質。4.衰弱症可預測長者的生活品質。方法：本研究為相關性研究，採橫斷式調查，以社區的長者為研究對象，採立意取樣。研究時間為2013年7月至9月，在長者同意下，由研究生進行衰弱指數（SOF Frailty Index）的測量。使用自擬式問卷收集長者之基本資料及健康狀態包含性別、年齡、教育程度、職業、獨居、年收入、罹病數、跌倒史、骨折史、抽菸、飲酒、自覺健康狀況、自覺快樂狀況。由資深護理師進行生理檢測，放射師進行DXA檢測及長者自填生活品質問卷，收案期間共收得275名個案，共計回收問卷239份，完成率約86.91%。結果：本次研究在社區中取樣，三組長者中達顯著差異的有年齡、教育程度、年收入、獨居、腰圍、收縮壓、舒張壓、骨密度、握力、慢性疾病數、跌到史、抽菸習慣、自覺健康狀態、自覺快樂狀態、生活品質，期望可提供這些項目供社區護理人員參考，作為介入措施的參考依據，盡早逆轉衰弱程度，減少失能、住院甚至死亡的發生，減少醫療成本的支出。生活品質預測部份，有效預測生理範疇的變異量達65.6%，預測變項有年齡、年收入、BMI，骨密度，慢性疾病數、骨折史、自覺健康狀況、自覺快樂狀況；有效預測心理範疇的變異量達56.7%，可預測變項有衰弱、骨密度、慢性疾病數、自覺健康狀況及自覺快樂狀況；有效預測社會關係範疇的變異量達27.8%，預測變項有年齡、骨密度、自覺快樂狀況；有效預測環境範疇的變異量達40.6%，有效預測變項有性別、年齡、骨密度、慢性疾病數、跌倒史、骨折史、自覺健康狀況及自覺快樂狀況。期望提供這些預測因子供該鄉做為社區健康促進的依據。[[abstract]]Purpose: 1. Discussed personal information of different frailty level of elders. 2. Discussed physiological index of different frailty level of elders. 3. Discussed life quality of different frailty level of elders. 4. Predicted elders’ life quality by frailty. Method: This study is focus on elders of community. This research schedule is from July 2013 to September 2013. The researcher do SOF Frailty Index measurement and collect personal information and health status of elders. Those information include sex, age, education, occupation, live along, income, history of medical and fall down, fracture, smoke, drunk, self-awareness of health and self-awareness of happiness. Total survey is 275; the researcher takes back 239 surveys, so the completed rate is 86.91%. Result: In this study analysis, there is significantly different in age, education, income, live along, the waistline, systolic pressure, diastolic pressure, BMD, strength of grasp, number of chronic disease, history of fall down, smoke, self-awareness of health and self-awareness of happiness between three elder groups. About predict of life quality, R square value of predictable in physical domain is 65.7%. Variables are age, income, BMI, BMD, medical history, fracture, self-awareness of health, and self-awareness of happiness. R square value of predictable in psychological domain is 56.7%. Variables of predictable are frailty, BMD, number of chronic disease, self-awareness of health, and self-awareness of happiness. R square value of predictable in social relationship is 27.8%. Variables are age, BMD and self-awareness of happiness. R square value of predictable in environment is 40.6%. Variables are sex, age, BMD, number of chronic disease, history of fall down and fracture, self-awareness of health, and self-awareness of happiness. In this study, we hope that we can offer those variables of predictable to promote health of community elders