中文摘要：

目的了解老年慢性病患者的生命质量,并探讨其影响因素。方法采用整群随机抽样法,选取2013年3—12月在南京市秦淮医院进行体检的老年人1 454名。按是否患有慢性病,将其分为慢性病组和无慢性病组。采用本课题组前期研究制定的生命质量评价量表对2组老年人的生命质量进行评价,分析老年慢性病患者生命质量的影响因素。结果老年人的慢性病患病率为72.2%（1 050/1 454）。老年慢性病患者的躯体机能、情绪性格、社会适应及总体健康得分与无慢性病老年人比较,差异有统计学意义（P〈0.05）;生活自理和记忆功能得分与无慢性病老年人比较,差异无统计学意义（P〉0.05）。患有高血压、糖尿病、冠心病、高血脂及白内障的老年人,其总体健康得分与未患该病的老年人比较,差异有统计学意义（P〈0.05）。年龄、饮酒情况及退休前职业对老年慢性病患者躯体机能得分的影响有统计学意义（P〈0.05）;年龄和学历对老年慢性病患者生活自理得分的影响有统计学意义（P〈0.05）;退休前职业和居住状况对老年慢性病患者情绪性格得分的影响有统计学意义（P〈0.05）;年龄和居住状况对老年慢性病患者记忆功能得分的影响有统计学意义（P〈0.05）;退休前职业、居住状况、学历及年龄对老年慢性病患者社会适应得分的影响有统计学意义（P〈0.05）;年龄、居住状况、饮酒情况及学历对老年慢性病患者总体健康得分的影响有统计学意义（P〈0.05）。结论老年慢性病患者的生命质量较差,影响因素主要包括年龄、学历、退休前职业、居住状况及饮酒情况,加强慢性病的防治是提高其生命质量的重要途径。

英文摘要：

Objective To investigate the quality of life of elderly patients with chronic diseases,and to explore its influencing factors. Methods We recruited 1 454 elderly people who received physical examination in Nanjing Qinhuai Hospital from March to December in 2013 using cluster random sampling method and allocated them into chronic -disease group and non-chronic-disease group. A self - designed evaluation scale was used to assess the quality of life of the subjects. The influencing factors for the quality of life of the elderly with chronic diseases were examined. Results The prevalence of chronic diseases in the subjects was 72. 2% （ 1 050/1 454 ） . The two groups were significantly different （ P ﹤0. 05 ） in physical function,disposition and personality,social adaptability and score of overall health and were not significantly different （ P ﹥0. 05） in self - care ability and memory function. The subjects with hypertension, diabetes, coronary heart disease, hyperlipidemia and cataracts were significantly different （ P ﹤0. 05 ） from the subjects without those diseases in the score of overall health. For the elderly with chronic diseases,the impact of age,alcohol consumption and pre -retirement career on physical function was statistically significant（P﹤0. 05）;the influence of age and education background on self-care ability was statistically significant （ P ﹤0. 05 ）;the impact of pre - retirement career and living condition on the disposition and personality was statistically significant（P﹤0. 05）;the influence of age and living condition on memory function was statistically significant（ P﹤ 0. 05 ）;the impact of pre - retirement career, living condition, education background and age on social adaptability was statistically significant（P ﹤0. 05）;the impact of age,living condition,alcohol consumption and education background on the score of overall health was statistically significant （ P ﹤0. 05 ） . Conclusion The elderly with chronic diseases have poorer qualit