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The Relationship Between Fear of Falling and Physical Activity among Older Adults 老年人对跌倒的恐惧与身体活动的关系
Pub Date : 2023-07-01 DOI: 10.18502/ehj.v9i1.13107
H. Rezaeipandari, Najma Koochakinejad, F. Chahmatki, Parisa Taheri Tanjani, Maryam Shaker, Arefeh Dehghani Tafti
Introduction: Physical activity (PA) improves balance, walking, and muscle strength and reduces the prevalence of falls among the elderly. Fear of falling (FOF) is the most common fear among older adults and a major health problem among them. Therefore, this study was conducted to determine the relationship between FOF and PA among older adults in Iran.   Methods: This cross-sectional study was conducted on 687 elderly people aged ≥ 60 years in Yazd province, Iran using cluster sampling method. The data collection tools were The Falls Efficacy Scale International and the Physical Activity Scale for the Elderly. The data were analyzed by describing frequency distribution, Mann-Whitney, Spearman correlation tests and Hierarchical regression under SPSS software.   Results: The mean score of FOF and PA were 27.08 ± 12.30 (range 16-64) and 86.87 ± 79.15 (range 0-494), respectively. There was an inverse significant correlation between PA and FOF(r = -0.304) and with increasing age, PA of the elderly decreases, and the FOF increases. Demographic variables (age, gender, living status, and retirement status) which were entered into the model in the first stage, predicted 10.9 % of the variance of PA (p < 0.001). In step 2, chronic diseases predicted 3.5 % which was statistically significant and in step 3, FOF also significantly predicted 2.8% of the variance of PA (p < 0.001).   Conclusion: The level of PA among older adults is very low, so it is very important to know the factors influencing that, to take action to prevent the occurrence of these factors, and also to eliminate them. Considering that demographic variables and FOF can predict changes in PA, therefore, it is possible to improve the PA of older adults by performing appropriate interventions on these issues.
身体活动(PA)可以改善平衡、行走和肌肉力量,减少老年人跌倒的发生率。害怕跌倒(FOF)是老年人最常见的恐惧,也是他们的一个主要健康问题。因此,本研究旨在确定伊朗老年人FOF和PA之间的关系。方法:采用整群抽样方法对伊朗亚兹德省687名年龄≥60岁的老年人进行横断面研究。数据收集工具为国际跌倒功效量表和老年人身体活动量表。采用SPSS软件对数据进行描述频率分布、Mann-Whitney、Spearman相关检验和层次回归分析。结果:FOF和PA的平均评分分别为27.08±12.30(范围16 ~ 64)和86.87±79.15(范围0 ~ 494)。PA与FOF呈显著负相关(r = -0.304),随着年龄的增长,老年人PA降低,FOF增加。人口统计变量(年龄、性别、生活状况和退休状况)在第一阶段进入模型,预测了10.9%的方差(p < 0.001)。在步骤2中,慢性病对PA方差的预测率为3.5%,具有统计学意义;在步骤3中,FOF对PA方差的预测率为2.8%,具有统计学意义(p < 0.001)。结论:老年人的PA水平很低,了解其影响因素,采取措施预防这些因素的发生,并消除它们是非常重要的。考虑到人口变量和FOF可以预测PA的变化,因此,通过对这些问题进行适当的干预,有可能改善老年人的PA。
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引用次数: 0
Medication Use Status and Its Related Factors among Older Adults in Kerman, Iran 伊朗克尔曼地区老年人药物使用状况及其相关因素
Pub Date : 2023-07-01 DOI: 10.18502/ehj.v9i1.13104
Rezvan Davari, Mohammad Ali Morowatisharifabad, Alireza Beigomi, Sara Jam Barsang
Introduction: Older adults are the largest group of medication users in each society. Since medications act differently in seniors compared with younger patients, great considerations are required regarding the effects and side effects of medications in the older adults. The present study aimed to determine the status of medication use and its related factors among older adults in Kerman city, Iran.   Methods: In the cross-sectional study, 388 seniors were selected using multistage cluster sampling from the population covered by comprehensive health centers in Kerman in 2021. Demographic information questions (age, gender, education level, marital status, life status, substance abuse, income, and health insurance status), a question regarding medication usage status and a question regarding disease that the elderly are currently suffering from, Montreal Cognitive Assessment Questionnaire, Geriatric Depression Scale, and Sleep Disorder Questionnaire were used for data collection. The data were analyzed using SPSS software by running Chi-square and multiple logistic regression tests.   Results: The average number of medications used per day was 4.59 and 53.5% of the participants used five or more medications concomitantly. Antihypertensive medications had the highest prevalence (64.3%) followed by anti-hyperlipidemic (43.6%) and Supplements (41.3%). A significant correlation was found between the participants' frequency of medication use and their gender, income, primary insomnia, and cognitive impairment (p < 0.001). However, medication use had no significant association with the senior's age, marital status, education level, living status, substance abuse, and health insurance (p < 0.05). The risk of polypharmacy was 2.15 times higher in the elderly women than men (p = 0.001) and 0.45 times higher in participants with depression than non-depressed seniors (p = 0.011).   Conclusion: The high prevalence of polypharmacy indicates an unfavorable status of medication use among older adults in Kerman. So, authorities are required to provide educational information about polypharmacy to aged groups.
在每个社会中,老年人是最大的药物使用者群体。由于药物在老年患者中的作用与年轻患者不同,因此需要对药物在老年患者中的作用和副作用进行大量的考虑。本研究旨在了解伊朗克尔曼市老年人的药物使用状况及其相关因素。方法:采用横断面研究方法,采用多阶段整群抽样方法,从2021年克尔曼市综合卫生中心覆盖的人群中抽取388名老年人。人口统计信息问题(年龄、性别、受教育程度、婚姻状况、生活状况、药物滥用、收入和健康保险状况)、药物使用状况问题和老年人目前患有的疾病问题、蒙特利尔认知评估问卷、老年抑郁量表和睡眠障碍问卷进行数据收集。采用SPSS软件进行χ 2检验和多元logistic回归检验。结果:平均每天使用药物4.59种,53.5%的参与者同时使用5种及以上药物。降压药患病率最高(64.3%),其次是抗高脂血药(43.6%)和补充剂(41.3%)。受试者的用药频率与性别、收入、原发性失眠和认知障碍之间存在显著相关性(p < 0.001)。用药与老年人年龄、婚姻状况、文化程度、生活状况、药物滥用、健康保险无显著相关(p < 0.05)。老年女性服用多种药物的风险比男性高2.15倍(p = 0.001),抑郁症患者比非抑郁症老年人高0.45倍(p = 0.011)。结论:多种用药的高流行率表明克尔曼老年人用药状况不佳。因此,当局需要向老年人提供有关多种药物的教育信息。
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引用次数: 0
Diogenes Syndrome among the Elderly in Iran 伊朗老年人中的第欧根尼综合征
Pub Date : 2023-07-01 DOI: 10.18502/ehj.v9i1.13102
M. Rahimian
The Article Abstract is not available.
文章摘要不可用。
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引用次数: 0
The Impact of Sleep Quality on Cognitive Function in Community-Dwelling Older Adults 社区老年人睡眠质量对认知功能的影响
Pub Date : 2023-07-01 DOI: 10.18502/ehj.v9i1.13103
Mahjoobeh Betyar, F. Kheirkhah, S. Hosseini, Ali Bijani, S. Moudi
Introduction: Given the high prevalence of poor sleep quality in late adulthood, older adults might be involved with different physical, mental and social consequences of this disorder. Current research was conducted to examine the association between sleep quality and cognitive function in community-dwelling older adults.   Methods: This cross-sectional study was carried out on 800 community-dwelling people aged ≥ 60 years living in Amirkola, North of Iran. The participants were selected by simple random sampling method. Mini-Mental State Examination, and the Pittsburgh Sleep Quality Index (PSQI) were used for data collection. Seven components of the sleep quality were categorized into the four groups (very good, relatively good, relatively poor, and very poor condition). The participants were divided into the two groups based on their cognitive function, and sleep quality was compared between these two groups. Mann-Whitney, Spearman's correlation analysis, Chi-square, Pearson's correlation test and Logistic regression analysis were used to analyze the collected data.   Results: Mean PSQI score among the older adults with normal and abnormal cognitive function was 5.5 ± 3.2 and 5.8 ± 3.3, respectively (p = 0.508). Poor sleep quality was slightly more prevalent in the elderly with cognitive dysfunction (p = 0.775). Logistic regression analysis revealed age (adjusted OR = 1.06; 95% CI: 1.03-1.08; p < 0.001) and level of education (adjusted OR = 0.14; 95% CI: 0.09-0.20; p < 0.001) had a significant impact on cognitive function; PSQI score (p = 0.254), gender (p = 0.661), and administration of sleeping drugs  showed no significant effect (p = 0.081).   Conclusion: Among different components of sleep quality, a significant positive association was observed between the frequency of sleep disturbances with cognitive function in older adults; furthermore, older age and lower level of education showed a significant negative effect on cognitive function.
导读:鉴于睡眠质量差在成年后期的高患病率,老年人可能与这种疾病的不同生理、心理和社会后果有关。目前的研究是在社区居住的老年人中进行的,以检查睡眠质量和认知功能之间的关系。方法:对伊朗北部Amirkola地区800名≥60岁的社区居民进行横断面研究。研究对象采用简单随机抽样方法。采用Mini-Mental State Examination和匹兹堡睡眠质量指数(PSQI)进行数据收集。睡眠质量的七个组成部分被分为四组(非常好、相对好、相对差和非常差)。研究人员根据参与者的认知功能将他们分为两组,并对两组之间的睡眠质量进行比较。采用Mann-Whitney、Spearman相关分析、卡方检验、Pearson相关检验和Logistic回归分析对收集到的资料进行分析。结果:认知功能正常与异常的老年人PSQI评分均值分别为5.5±3.2分和5.8±3.3分(p = 0.508)。睡眠质量差在老年认知功能障碍患者中更为普遍(p = 0.775)。Logistic回归分析显示年龄(调整OR = 1.06;95% ci: 1.03-1.08;p < 0.001)和教育水平(调整后OR = 0.14;95% ci: 0.09-0.20;P < 0.001)对认知功能有显著影响;PSQI评分(p = 0.254)、性别(p = 0.661)、是否服用安眠药物对患者无显著影响(p = 0.081)。结论:在睡眠质量的不同组成部分中,老年人睡眠障碍频率与认知功能之间存在显著正相关;年龄越大、受教育程度越低对认知功能有显著的负向影响。
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引用次数: 0
Online Misinformation against Older Adults During the COVID-19 Pandemic: A Brief Overview COVID-19大流行期间针对老年人的在线错误信息:简要概述
Pub Date : 2023-07-01 DOI: 10.18502/ehj.v9i1.13108
H. Matlabi, H. Allahverdipour, A. Ahmadi
Lack of knowledge about COVID-19 and increased use of social networks contributed to the spread of misinformation about the disease in society, harming older adults’ health. In this review, we define misinformation and its condition during the COVID-19 pandemic and provide an overview of the characteristics of older adults and the impact of misinformation on this demographic group.  
缺乏对COVID-19的了解以及越来越多地使用社交网络,导致有关该疾病的错误信息在社会上传播,损害了老年人的健康。在这篇综述中,我们定义了COVID-19大流行期间的错误信息及其状况,并概述了老年人的特征以及错误信息对这一人口群体的影响。
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引用次数: 0
Impact of Exercise on Fall and Its Consequences among Elderly People 运动对老年人跌倒及其后果的影响
Pub Date : 2023-07-01 DOI: 10.18502/ehj.v9i1.13109
Mehdi Kushkestani, Mohsen Parvani, Raheleh Baradaran, Alireza Rezaei, Hamed Pourhamzeh
Falls are a threat to the health of older adults and can reduce their ability to remain independent. Furthermore, fall is known as one of the geriatric syndromes and is more common in older people and about 20 to 40 percent of older people have reported a history of falling per year. It should be noted that fall or fear of falling causes immobility in the elderly and immobility is linked with various non-communicable diseases, geriatric syndromes development, and mortality in the long term. As a result, finding a cost-effective, safe, and proper approach to prevent, control, and even treat of falls is absolutely crucial. Regarding the exercise benefits in all ages especially in the elderly, we supposed that various types of exercise such as aerobic, balance, and resistance training with different intensities have variant advantages in these subjects. Therefore, in this review study, we investigated the charter of different types of exercise in preventing and controlling fall based on recent evidence, providing involved mechanisms, as well as the effects of exercises on fall-related risk factors.
跌倒是对老年人健康的威胁,会降低他们保持独立的能力。此外,跌倒是众所周知的老年综合症之一,在老年人中更为常见,每年约有 20% 至 40% 的老年人有跌倒史。值得注意的是,跌倒或害怕跌倒会导致老年人行动不便,而行动不便与各种非传染性疾病、老年综合症的发展以及长期死亡率有关。因此,找到一种具有成本效益、安全且适当的方法来预防、控制甚至治疗跌倒绝对是至关重要的。关于运动对所有年龄段尤其是老年人的益处,我们认为各种类型的运动,如有氧运动、平衡运动和不同强度的阻力训练,对这些受试者都有不同的优势。因此,在本综述研究中,我们根据最新证据调查了不同类型的运动在预防和控制跌倒中的作用,提供了相关机制以及运动对跌倒相关风险因素的影响。
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引用次数: 0
The Role of Errors based on the Complexity in Learning a Motor Sequential Task in Elderly Women 基于复杂性的错误在老年妇女动作顺序任务学习中的作用
Pub Date : 2023-07-01 DOI: 10.18502/ehj.v9i1.13106
Faeghe Askarinejad, H. Samadi, Farahnaz Ayatizadeh Tafti
Introduction: One of the most important topics in the field of movement behavior is the acquisition of movement sequences, which is an important part of every person's life and the basis of many intelligent human behaviors. The aim of the study was to investigate the effectiveness of errorfull and errorless training based on complexity in the acquisition, retention and transfer of a motor sequential task in elderly women with emphasis on processing needs.   Methods: This semi-experimental study was conducted on 30 healthy elderly women over 60 years of age that were selected and randomly allocated into errorless and errorful groups. Then, they performed a sequence motor task assigned by the Serial Reaction Time Task software in the three phases of acquisition, retention, and transfer. In order to analyze the data, ANOVA with repeated measures, Wilcoxon test, Mann-Whitney U test and the independent samples t-test were conducted.     Conclusion: Errorfull and errorless training are effective on reaction time and amount of errors in the retention and transfer stages of a motor sequential task in elderly women.  However, It is suggested that trainers use errorfull training methods in motor sequential tasks in order to reduce the error rate and provide a more optimal learning environment.
动作序列的习得是动作行为领域的重要课题之一,它是每个人生活的重要组成部分,也是许多人类智能行为的基础。本研究的目的是探讨基于复杂性的错误和无错误训练在老年妇女运动顺序任务的习得、保留和转移中的有效性,重点是加工需求。方法:将30名60岁以上健康老年妇女随机分为无错组和有错组,进行半实验研究。然后,他们在获得、保留和转移三个阶段执行由序列反应时间任务软件分配的序列运动任务。为了对数据进行分析,采用重复测量方差分析、Wilcoxon检验、Mann-Whitney U检验和独立样本t检验。结论:错误性训练和无错误性训练对老年妇女运动序列任务保留和转移阶段的反应时间和错误量有显著影响。然而,建议训练者在运动序列任务中使用错误训练方法,以减少错误率并提供更优化的学习环境。
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引用次数: 0
The Effect of Dynamic Neuromuscular Stabilization Exercises on Balance and Fear of Falling in Female Elderly 动态神经肌肉稳定训练对老年女性平衡及跌倒恐惧的影响
Pub Date : 2023-07-01 DOI: 10.18502/ehj.v9i1.13105
Gazizeh Mohseni, Ebrahim Mohammad Ali Nasab Firouzjah
Introduction: The present study was an attempt to investigate the effect of a course of dynamic neuromuscular stabilization (DNS) exercises on balance and fear of falling in female elderly with a history of falling.   Methods: In this quasi-experimental study, 30 female elderly people with a history of falling based on entry and exit criteria were purposefully selected as a sample of study. Then, they were randomly assigned into two control and exercise groups. The variables related to static balance and dynamic balances were assessed by sharpened Romberg Test and Standing Up and Walking Test, respectively. Also, Falls Efficacy Scale International was used to measure the fear of falling. The exercise group performed DNS exercises for 8 weeks, 3 sessions, and 50 minutes per session. Data were analyzed by using paired t-test and analysis of covariance in SPSS24 software at the significant level of p < 0.05.   Results: A significant difference between pretest and posttest in static balance with open eyes (p = 0.0001, t = -7.19), static balance with closed eyes (p = 0.0001, t = -8.02), dynamic balance (p = 0.0001, t = 6.49) and fear of falling (p = 0.0001, t = 7.29) in DNS exercise group. Also, there were significant differences between DNS and control groups in static balance with open eyes (p = 0.0001, F = -14.67), static balance with closed eyes (p = 0.0001, F = 14.002), dynamic balance (p = 0.0001, F = 20.12) and fear of falling (p = 0.006, F = 09.07).   Conclusion: It is recommended that therapists use dynamic neuromuscular stabilization exercises in female elderly to improve balance and reduce the fear of falling.
摘要:本研究旨在探讨动态神经肌肉稳定(DNS)训练对有跌倒史的老年女性平衡感和跌倒恐惧的影响。方法:在准实验研究中,有针对性地选择30名有跌倒史的女性老年人作为研究样本。然后,他们被随机分为对照组和锻炼组。静态平衡和动态平衡相关变量分别通过锐化Romberg测试和站立行走测试进行评估。此外,国际瀑布功效量表被用来衡量对跌倒的恐惧。运动组进行为期8周的DNS练习,3次,每次50分钟。数据分析采用配对t检验和SPSS24软件协方差分析,p < 0.05为显著水平。结果:DNS运动组睁眼静平衡(p = 0.0001, t = -7.19)、闭眼静平衡(p = 0.0001, t = -8.02)、动态平衡(p = 0.0001, t = 6.49)、害怕跌倒(p = 0.0001, t = 7.29)测试前后差异有统计学意义。在睁眼静态平衡(p = 0.0001, F = -14.67)、闭眼静态平衡(p = 0.0001, F = 14.002)、动态平衡(p = 0.0001, F = 20.12)和害怕摔倒(p = 0.006, F = 09.07)方面,DNS组与对照组存在显著差异。结论:建议治疗师在女性老年人中使用动态神经肌肉稳定练习来改善平衡,减少跌倒恐惧。
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引用次数: 0
Aging, Anxiety and Inequality: The Relation between Anxiety about Aging and Gender Inequality among Women in Shiraz City (Iran) 老龄化、焦虑与不平等:伊朗设拉子市女性老龄化焦虑与性别不平等的关系
Pub Date : 2023-01-01 DOI: 10.18502/ehj.v8i2.11544
Mohammad Taghi Abbasi Shavazi, M. Hosseini, Ghazal Ariaei Gohar, Asma Ranjbaran
Introduction: Taking into account the growth of increase in the elderly population in Iran and the world, and the emergence of the phenomenon of feminization of aging, the present study has been conducted, with aim of examining the relationship between anxiety about aging and the perceived  and experienced gender inequality among the women of Shiraz city (Iran).   Methods: This cross-sectional study has been carried on 30 to 70 years old women in the city of Shiraz. The requied sample size is estimated to be 405 individuals, and the participants selected through a stratified random sampling. Data collection has taken place by a questionnaire which some of the questions of that were made by the authors and some are borrowed from anxiety about aging scale.The collected data were analyzed with SPSS 21 using pearson corellation tests.   Results: Experienced inequality has a significant positive correlation with anxiety about aging (total) (r = 0.226; p < 0.01). The relation between perceived inequality has also been positive and significant with anxiety about aging (total) (r = 132; p < 0.05). Furthermore, there is a significant relationship between gender inequality (perceived and experienced) and anxiety about aging in different aspects, including social and economic fears, psychological fears, fear of losing the feminine position, fear of losing health, and fear of physical changes and changes in appearance.   Conclusion: The anxiety about aging increases among women who experience and percive gender inequality. According to the accelerating process of population aging and the importance of paying attention to the social, psychological, and physical health of elderly women, it is necessary to take more considerations into account. In this regard, planning for decreasing the gender gap and inequality can be effective to some extent. Seemingly, the intersection of “the phenomenon of feminization of poverty,” due to gender inequality, with the phenomenon of “feminization of aging” in the future brings to the fore the necessity of paying attention to “anxiety about aging.”
导言:考虑到伊朗和世界老年人口的增长,以及老龄化女性化现象的出现,本研究旨在研究伊朗设拉子市妇女对老龄化的焦虑与感知和经历的性别不平等之间的关系。方法:对设拉子市30 ~ 70岁妇女进行横断面研究。所需样本量估计为405人,参与者采用分层随机抽样的方式选择。数据的收集是通过问卷调查进行的,其中一些问题是作者自己做的,有些问题是借用了老龄化焦虑量表。收集的数据采用SPSS 21进行pearson相关检验。结果:经历不平等与衰老焦虑(总)呈显著正相关(r = 0.226;P < 0.01)。感知不平等与衰老焦虑之间也存在显著正相关(r = 132;P < 0.05)。此外,性别不平等(感知到的和经历到的)与对衰老的不同方面的焦虑之间存在重要关系,包括社会和经济恐惧、心理恐惧、对失去女性地位的恐惧、对失去健康的恐惧、对身体变化和外表变化的恐惧。结论:经历和感知性别不平等的女性对衰老的焦虑增加。根据人口老龄化进程的加快和关注老年妇女的社会、心理、身体健康的重要性,有必要给予更多的考虑。在这方面,减少性别差距和不平等的规划在某种程度上是有效的。从表面上看,由于性别不平等导致的“贫困女性化现象”与未来“老龄化女性化”现象的交集,凸显了关注“老龄化焦虑”的必要性。
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引用次数: 1
The Prediction of Quality of Life - based on Personality Traits and Spiritual Intelligence in the Elderly 基于人格特征和精神智力的老年人生活质量预测
Pub Date : 2023-01-01 DOI: 10.18502/ehj.v8i2.11546
Fardin Farmani, Shabnam Gholami Sehchek, M. Sarmadi, Morteza Jahanshahloo
Introduction: Considering the increasing trend of the elderly population in Iran, attention paid to this critical phase, both socially and psychologically, is essential in improving their quality of life. The present study aimed to investigate prediction of quality of life - based on personality traits and spiritual intelligence in the elderly.   Methods: This correlational study  carried out on older adults in Tehran who lived in nursing homes in 2020 and 182 of them were selected by convenience sampling. The NEO Personality Inventory (NEO-PI), The Spiritual Intelligence Self-Report Inventory (SISRI-24) and Leiden-Padua Questionnaire (LEIPAD questionnaire) were used for data collection. Descriptive statistics (mean, standard deviation) and inferential statistics (correlation and stepwise regression analysis) were used for data analysis. The correlation matrix and stepwise regression were used to predict the quality of life scores based on personality and spiritual intelligence.   Results: There was a significant relationship between personality traits with spiritual intelligence and quality of life (r: 0.361, p < 0.05). Also, there was a significant relationship between spiritual intelligence and quality of life (p < 0.05). Personality traits of neuroticism, extraversion, and spiritual intelligence could predict a total of 38.5% of the variance in quality of life (p < 0.05).   Conclusion: The quality of life has a significant relationship with both spiritual intelligence and personality traits, so, spiritual intelligence and personality components can predict the quality of life in the elderly.  
导言:考虑到伊朗老年人口的增长趋势,在社会和心理上关注这一关键阶段,对于提高他们的生活质量至关重要。本研究旨在探讨以人格特质和精神智力为基础的老年人生活品质预测。方法:对2020年在德黑兰居住的老年人进行相关性研究,采用方便抽样法抽取182名老年人。采用NEO- pi人格量表(NEO- pi)、SISRI-24精神智力自我报告量表(SISRI-24)和leidan - padua问卷(LEIPAD问卷)收集数据。采用描述性统计(均值、标准差)和推理统计(相关和逐步回归分析)进行数据分析。采用相关矩阵和逐步回归预测人格和精神智力的生活质量得分。结果:人格特质与精神智力、生活质量之间存在显著相关(r: 0.361, p < 0.05)。精神智力与生活质量存在显著相关(p < 0.05)。神经质、外向性和精神智力的人格特征可以预测38.5%的生活质量方差(p < 0.05)。结论:老年人的生活质量与精神智力和人格特征均存在显著相关关系,因此,精神智力和人格成分可以预测老年人的生活质量。
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引用次数: 0
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Elderly Health Journal
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