31 • Hifu qui difiu trj cua khang sinh amoxicillin/clavulanate va ceftriaxone trong dieu trj viem phoi tre em tur 2 tiiang d^n 5 tuoi tgi Khoa Nhi Tong hgrp 1, B?nh vi?n Trung uong Hu^
Comparative effectiveness of amoxidllin/davulanate compared wilh ceftriaxone for children aged 2 months to 5 year old hospitalized with pneumonia in Department of Pediatric, Hue Centred Hospital
Trdn Nggc Nhdn, Le Thi Ciic 210-215 32 DiSu che thu6c nho mSt tao gel in situ chiia tobramycin 0,3% va dexamethasone 0,1%
Prepare in situ ophthalmic gelling system of tobramycin 0.3% and dexamethasone 0.1%
Phan Hoai Thdp. Luang Van D^g 216-221 33 Tim hieu ganh nang kinh t£ ciia tam than phan li^t tgi cac hQ gia dinh co nguoi benh b
thanh pho Hue
The research on economic burden of schizophrenia in the households wilh the patient in Hue dly
Nguyen Due Nhgt Quang, Nguyen Hodng Lem 222-230 34 Xay d ^ g quy trinh bao che kem ch6ng lao h6a co chua collagen
^search on ihe formulation of collagen cmti-ageing cream
Li Duy Minh Le Thi mnh Nguyit 231-239 35 NghiSn Clhi bio che gel tri myn chua erythromycin
Research on acne gel preparation containing erythromycin
Nguyin Ihi Thdo Nhi, Li Ihi Mmh Ngio/it 240-245 36 Kien thiic, tii\rc hanh ph6ng ch6ng bSnh vi6m gan B cilia ngufn dSn x3 Phii Duong, huyfn
Phii Vang, tinh Tliiia Thi8n Hue
Knowledge, practice cmd related/odors on prevention of hepatitis B among people Irving in Phu Duong commune, Phu Vang district. Thua Thien Hue province
Ton Nu Quynh Nhu, Nguyin Phd Binh, Nguyin Thi Thanh Nhan. Li Thf Phieang Thdo. Vo Minh Hodng 246-251 37 Ap dyng chi s6 SLEDAI trong danh gii muc dp hoat d^ng b?nh lupus ban do h?
thong tgi Khoa Npi th^n - OCT xuorng khop B^nh vi^n Trung ucmg Hue
Apply systemic lupus erythematosus disease activity index in assessment disease activity of systemic hqnis erythemcUosus at Department of Nephrology cmd Rheumatology in Hue Central Hospilal
Phgm Mmh Trdi, Vo Tam 252-257 38 N^isn ciiu bio che kem duSng da co chua hoat chat Quercetin
Formulation of a moisturizing cream containing quercetin
Trdn Qudc Himg. Nguyen Hdng Trang 258-266 39 Phan bo b?nh sot xuit huyet Dengue vl moi lien quan din mgt s6 ySu t6 thai tiet & tinh
Thira lliien Hue
Characterizing the relationship between climatic factors and Dengue fever in Thua Thien Hue province, Vietnam
Truang Thj Thity Dung. Nguyin Trgng Nhdn. Nguyin Vdn Hoa, Nguyin Thj Nam Liin 267-273 40 NghiSn ciiu chit lupng giic ngu ciia sinh vien hp chinh quy tnrong D?ii hpc Y Dupe Hue
Sleep quality and its related factors among students at Hue University of Medicine and Pharmacy in Viet Nam
Phgm Bd Bdo Ngdn, Dgng Hdng Nhung, Nguyin Thf Khdnh Linh, Vo Vdn Thdng, Nguyin Minh Tu
274-280
T a n f hf V Wirac hnp TVirAno R a i hn<> V Wtrni- TTii^ - fik flSc b i e t
NGHIEN CU'U CHAT LU'ONG CUOC S O N G VA MOT S6 Y^u T6 LIEN QUAN (y NGU-OI CAO "TUOI TAI XA THCIY VAN,
TH! XA HU-QNG THOY TINH THU'A THIEN HU^ NAM 2015
Nguyen Thi Thdy Hang', Vo Thi ^dn', Nguyin Hd Quoc Trung', Nguyen Hodng Thity Linh^
(1) Sinh vien lop YTCC4, Truang Dgi hgc YDugc Hui (2) Sinh viin ldp RHM4A, Truang Dgi hgc YDugc Hui (3) Khoa Y te Cong cgng. Trudng Bgi hgc Y Dugc Hui Tdm tat
Dat van de: Qua trinh gia hoa dang ting ISn nhanh chong d cac nuoc dang phat trien, trong do co Vift Nam. Theo dy bao cua Lien Hpp Quoc, t^ Ip ngucri cao tudi (NCT) nu6c ta se tang ISn 26% vio n3m 2050. Chinh vl v^y can c6 them nhilu nghien ciru vk chit lupng cuOc s6ng (CLCS) d nguai cao tuoi de gop phin vao cdng tic chim s6c siic khoe (SK) NCT tgi c^ng ddng. Muc tiSu: 1) Danh gia chit lupng song d ngucri cao tuoi tgi xS Thiiy Vfin, tiij xa Huang Thiiy, tinh Thiia Thien Hue nam 2015.2) Tim hi^u m$t s6 y^u t6 lien quan den chat lupng s6ng & ngu^i cao tu6i tai xa Thuy VSn, thj x3 Huong Thuy, tinh Thfra ThiSn H u i Phirong phdp nghiSn cihi: Dilu tra md t l cit ngang bing bp cau hoi SF-36 thuc hi$n trSn 350 NCT tgi xS Thuy Van, thj xa Hirong Thuy, tinh Thua ThiSn Hug. Ket qua: Diem trung binh CLCS ciia NCT 1164,6, ty 1? NCT c6 CLCS khdng t6t trong nghien ciiu la 20,3%, tim tiiay cac yeu t6 tiSn quan den CLCS nhu nhom tu6i, gi6i, trinh dd hpc vin, tinh trgng hdn nhan, nghe nghiep, kinh tl gia dinh, mic b^nh, cic thdi quen hlng ngiy va quan hp xa hdi. Kit lu$n: Ty 1§ NCT c6 CLCS khdng tot 6 xa Thiiy Van con khi cao vi till nSn c6 nhihig bi^n phip can thi^p dl ning cao CLCS d NCT.
Tir khda: Ngu&i cao tuoi. chdt lugng cu0c sSng.
Abstract
QUALITY OF LIFE AND SOME ASSOCIATED FACTORS OF ELDERLY PEOPLE AT THUY VAN COMMUNE, HUONG THUY TOWN
THUA THIEN HUE PROVINCE IN 2015
Nguyen Thi Thuy Hang', Vo Thi Van'. Nguyen Ha Quoc Trun^, Nguyen Hoang Thuy Linl^
(1) Students ofYTCC4 class. Hue University of Medicine and Pharmacy (2) Students ofRHM4A class. Hue University of Medicine and Pharmacy
(3) Faculty of Public Health, Hue University of Medicine cmd Pharmacy Background: The aging process is increasing rapidly in developmg countries, including Vietnam.
According to forecasts by the United Nations, in our country, the proportion of elderly people (EP) will rise to 26% in 2050. Therefore, we need more and more the studies related to quality of life among the elderly people that can contribute to health care for the elderly at the community. Objectives: 1) To assess quality of life in the elderly in Thuy Van commune, Huong Thuy district, Thua Thien Hue province in 2015.2) To learn several factors related to quality of life in elderly people in Thuy Van commune, Huong Thuy town, Thua Thien Hue province. Methods: A cross-sectional study was conducted on 350 elderly tf. ,'Dia chi liSn hi Nguyen Th/Thu} Hang email nguyenlhi'ihuyhang2805(^gmad cor.
I -Ngdynhdnbdt 25/3/2016 * Ngay ddng y ddng 22/4/2016* Ngay xudt ban 29/4/2016
T^p chf Y Duyc hfc - TriWyng Dfi h9c Y Du^c Hue - sS D$c bi$t
people at Thuy Van^ Huong Thuy town, Thua Thien Hue province based on questionnaire using SF-36 scale. Results: Mean score for quality of life score (SF-36) of elderly people is 64.6, the proportion of elderly people who do not have a good quality of life in this study is 20.3%. We found out factors related to quality of life such as the group age, sex, education level, marital status, occupation, household economics, disease, daily activities and social relationships. Conclusions: The proportion of older persons who do not have a good quality of life in Thuy Van commune is quite high. Consequently, we should have intervention measures to improve the quality of life for elderly people.
Key words: The quality of life, elderly.
1. DiJ-T VAN Tit
Gia hda dan s6 da va dang trd thinh hipn tupng toan cau. Theo bao cao cua Quy Dan so Lien Hpp Qu6c (UNFPA), giai doan 2010-2015, tu6i thp trung binh cr cic nude phat trien 11 7S tuoi va d cac nude dang phat trien 11 68 tuoi.
Den giai dogn nam 2045-2050, d\f bio tudi thp trung binh se ting tdi 83 tudi d cic nude phit trien vl 74 tuoi d cic nuac dang phat triln[6].
Qui trinh gia hda dang t&ng nhanh d cac nuac dang phat trien, trong dd cd Vi?t Nam.
Theo Tong eye Thong kSj nam 1999 s6 ngucri tren 65 tuoi chi mdi chiem 5,8% din $6 thi din 1/4/2012 t^ 1$ nly da ting ISn miic 7,1%. Theo dy bio ciia LiSn H^p Qudc, !>• Ip ngudi cao tuoi nude ta se tang Ien 26% vio nlm 2050[1]. Vdi tdc dd gii hda dan so dang tang nhanh nhu hipn nay thi cd nhieu thich thiic d§t ra can phai giii quySt. Tuy tudi thp trung binh cua Vipt Nam cao hem nhilu nuoc cd ciing thu nhap nhung chit luprng dan so con 6 mirc trung binh . Chi sd phit trien con ngudi cua Vipt Nam nSm 2015 110.666 xSp thii 116 trSn tong 185 niidc[13].
Nghien cuu vl CLCS dl dupe kha nhieu tac gia quan tam, dl gdp phan vio cdng tic cham sdc stic khde NCT t?i cOng ddng, chiing toi tien hanh nghiSn ciiu dl tli: "Nghien ciiu chat lupng cuge sdng vl m0t so ylu to lien quan d nguiri cao tu6i tgi xa Thiiy VIn, tiij xl Hucmg Thuy, tinh Thiia Thien Hue nlm 2015". Vdi 2 myc tieu sau: 1) Ddnh gid chdt lugng song a ngu&i cao tuoi tgi xa Ihiiy Vdn, huy?n Huang Thuy. tinh Thiea Thiin Hui. 2) Tm hiiu mgt sSyiu to lien quan din chdt lugmg sdng
& ngu&i cao ludi tgi xa Thuy Vdn. huy^n Huang Thuy. linh Thira Thiin Hui
2. D 6 I TUQfNG VA PHlTONG PHAP NGHIEN CUtJ
2.1. Doi tiring Dghien ciru: Ngudi cao tu6i (til 60 tuoi trd ISn) c6 hO khau thudng trii t^i xl Thiiy Van, huypn Huang Thiiy, tinh Thira Thien Hue tgi thai diem nghien ciiu va d^ng y tham gia phdng vin, lo^i trii nhihig ddi tugng khdng dSng y tham gia nghiSn ciiu, den nha 3 lin khdng ggp, cd b^nh ve tam thin ho^c cic bpnh sa sijt tri tup, mat tri nhd khong the tham gia nghien cuu.
2.2. Thiet ke ngbiSn cuu: Sii dyng phuang phip n^iSn ciiu dieu tra mo t l cit ngang
23. C& miu va phuong phap chpn mau:
Chpn mau theo phucmg phip phan ting tj-1$
Cd mlu dupe tinh theo cong thiic:
„ _ 7-2 _ p ( i - p )
Trong dd: n: Ll cd mau nghien cihi. d = 0,05 (dg chinh xac mong udc)
Z: gii trj thu dugc tii bing Z iing vdi miic ^ nghia tii6ng ke a.
Chgn a = 0,05 ta cd Z,,,^ = 1,96.
P = 0,212 (ty Ip NCT cd chat lugng song khdng tot trong nghien ciiu CLCS ngudi cao tudi tgi thj xa Huang Tri, tinh Thua Thien Hue cua Le Diic Thjnh nlm 2012 bing bg cau hdi SF-36)
Tinh dugc
n = (1.96)^ 0.212.q -0,212) (0,05)'
= 256,7 Dy phong 10% nhihig tmdng hgp khdng dieu tra dupe do nhieu nguySn nhin, ta cd cd mlu can la n> 283 ngucri. C& mlu tiiyc trong nghien cihi nay 11350 ngudi.
C6 tat cl 4 thon vdi tong s6 523 NCT, chgn so mlu ciJa 1 thdn bing phuong phip phan ting ty IS,
trong mdi thon chgn nglu nhiSn so NCT vio mlu CLCS trung binh kha (>50-75 diem), CLCS tot de tien hinh nghiSn ciru. (>75-100 dilm).
2.4. Phuong phdp thu th^p so li^u: Phdng De giup cho viSc phan tich cac ylu t6 lien van tryc tiep theo bg cau hdi cd sin sii dyng thang quan, chiing tdi chia CLCS thanh 2 mirc dg chung do chit lugng cudc song SF-36 dd la: CLCS tot (>50-100 dilm) vl CLCS khong
2.5. Gidi thl^u vl b$ cong cu do chSt lu-i^ng tot (0-50 diem).
CUQC song SF36 va each tinb diem CLCS Bd clu hdi CLCS gom 11 clu hdi ldn, chiia 36 cau hdi nho, chia lam 8 lmh vyc cau thanh (hogt d$ng chiic ning, gidi hgn chiic ning, clm nhgn dau ddn, danh gii siic khoe, clm nh$n siic song, hogt dgng xa hpi, gidi hgn tam 1;^, danh gii tim than) va hai tinh trgng chinh (SK tinh thin vl SK till chit).
* Cac hien so sie difng de tim cdc yeu to lien quan din CLCS: gioi, nghe nghipp hipn tgi, trinh dg hgc van, tinh trgng hdn nhan, so the hp, tinh t^mg kinh te, thi nhgp cl nhan, du tiln chi tiSu, mic cac bpnh man tinh, bpnh c ^ tinb, quan tim tim hiiu sire khde, nai khim b§nh, kham SK djnh 1^, cd bao hiim y tl, sii dyng bio hilm y tl, kilu nhi, vudn rpng, miii hdi, tieng on, vai trd trong gia dinh, cac thdi quen + SK the chat = trung binh cpng ciia S ITnh tgp the dye, hut thuoc la, uong rugu bia, cl phe vl vyc: hogt dpng chiic nang, gidi hgn chiic ning, quan hp xa hpi, tu tudng bin than,
cam nhin dau ddn, dinh gii siic khde, clm nhgn 2.6. Thdi gian thu th^p sd lipu: Tir thing siic song. 9/2015 din tiling 11/2015
+ SK tinh than = trung binh cpng ciia 5 linh 2.7. Phirong pbap xir ly so li|u: Sir dyng cic vyc: danh gia sire khde, clm nhan sue song, hogt phan mem epidata 3.1, spss 16.0 vl excell 2010.
dpng xa hpi, gidi hgn tam 1;^, dinh gia tam thin. Kiem djnh moi lien quan bing phep kiem djnh Chi + Tong diem CLCS ciia NCT se la trung binh
cpng cua 8 linh vyc tren.
*Cdch tinh diim theo bg cdu hoi SF'36 Cic cau tri Idi dugc ghi diem tir 1 den 100,
binh phuang (y^) vdi dd tin cgy 95%.
2.8. Han che va d^o dih: nghien cihi:
DiSu tra CLCS NCT khdng gay ton hgi siic khde nio cho doi tugng tham gia nghiSn ciiu, dupe miic dilm 100 dgi dipn cho chat lugng cuge tien hanh trSn ca sd ty nguydn vl khdng bit huge, song tot nhit ciia NCT. Clu hdi vdfi cic clu tri Vipc thu tiigp so lipu bing phucmg phip phdng vin Idi cd 3, 5 ho|c 6 mirc dg c6 each tinh dilm theo bg cau hdi in sin nSn cd the cd cac sai sdt khic nhau. trong qui trinh thu nhip ve kj nang phdng van,
*Cdch ddnh gid muc dg dugc gui djnh nhu quan sat cua dieu tra vien va thieu hgp tic ciia sau: Quy udc dilm CLCS tir 1 den 100, diem d6i tupng nghien ciiu. Bg cau hoi SF-36 tuy da CLCS dupe chia thanh 4 miic dO: CLCS kSm (tir dugc djch sang tilng Vipt va Ip dyng tgi Vipt Nam 0-25 diem)i CLCS trung binh (>25-50 dilm), nhung vin khd khin vi doi tugng la NCT.
3. KET QUA VA BAN L U i ^ 3.1. Danh gia chat lirgng sSng cua NCT
Bang 1. Dilm CLCS theo 8 ITnh vyc SK Diem CLCS/IInh y\rc SK
Ho^t dOng chljrc n3ng Gi6i h^n chi^c nSng Cam nh^n dau ddn Danh gid sure khoe Cam nh^n siic s6ng Ko9t dpng xS hOi Gidi han tam 1^
Danh gia tinh t h ^
Siem truDg binh 58,24 64,14 70,58 45,30 61,98 73,61 73,29 69,71
±SD 31,47 29,25 25,09 19,80 17,51 24,22 25,87 16,99 Tgp chf Y Dup^c hpc - Trirdrng Dgi hpc Y Duwc Hui - Sd D$G bi$t
Bang 2. Diem CLCS theo cac tinh trgng sire khde Diem CLCS/tmh tran^ SK
SK tiiS chat SK tmh tiian CLCS chung
Diem trung binh 60,05 64,78 64,6
±SD 19,67 16.29 18,40 Diem tnmg buih CLCS d 2 ITnh vyc hogt dpng
^ hdi (73,61) vl gidi hgn tim Iy (73,29) 11 cao nhat, tii^ nhit 11 dilm CLCS trong tihh vyc danh gii SK (45,3). Kit qui nay khic vdi nghien ciiu cua LS Due Thjnh khi sii dyng cung tiiang do CLCS[3].
Diem trung binh CLCS chung II 64,6 ± 18,4 khdng chenh Ipch nhilu so vdi nghien ciiu ciia Ducmg Huy Luang (2010) vl nghien ciru ciia LS Dire Thjnh (2012) vdi kit qua lan lugt la 62,5 ± 10,3 vl 62,16 ± 16,74 [2][3]. Vl SK till chat va SK tinh than, dilm trung binh CLCS d nghiSn cijru Bang 3. Phan logi CLCS t6t hay
nay cao han nhung chSnh Ipeh khdng nhieu so vdi nghien curu cua LS Diic Thjnh, lin lupt II 57,79 ± 17,5; 61,03 ± 16,01. Ket qua nly ciing eao hem so vdi nghiSn ciru khic tgi An D$ v l Dai Loan vdi diem trung buih SK thd chat v l tinh than tgi An Dp lin lugt la 53,6 ± 11,0 vi 57,0 ± 14,1[10][14].
CLCS chung va theo 2 khia cgnh SK tbS chit vl SK tinh than diu d miic diem trung binh so vdi thang diem cua WHO (thang diem 1-100). Ket qui nay phii hpp vdi kit qua cic nghiSn ciiu khic tgi Vi$tNam[3][4][5].
khdng tdt theo cac tJnh trgng siic khde Tinh tr^ng
sire khoe SK thi chat SK tinh than Chung
Chit linmt T6t
• 248 292 279
70,9
%
83,4 79,7
Icuoc song Khdng tdt n 102
58 71
29,1
%
ie,e 20^
TA n 350 350 350
100
%
100 100 man xel: C6 20,3% NCT CO CLCS khdng tat ct tinh fr?ng chung, SK the chit va SK tinh thin lin liUtt la 29,1% va 16,6%. Ty 1$ NCT c6 CLCS khong t6t thip htm so vod nghien clhi cua LS Die Thjnh' khi sii dung cOng bO clu hoi do CLCS (21,2%)[3].
3.2. Mft so yeu to lien quan den CLCS ciia NCT
Bang 4. M6i liSn quan giita mOt s6 yeu t6 chung voi CLCS Yeu to
Gioi Nh6m ni6i
TDHV Tinhtr^ng hon nhan NghS nghiep Kinhte gia dinh
Nam Nit.
60-74 75-90
>90 Mil chi}
Tieu hpc THCS tro \in Dii vgf chong
Khac Co vice lam Khong c6 viSc lam
Ngheo Khdng ngheo
So ilTQUg (n = 350)
159 191 203 135 12 67 193 90 234 116 134 216 33 317
Chat lirgug cu$c sdng T6t
n 140 139 183 91
5 40 154 85 201 78 120 159 18 261
88,1
%
72,8 90,1 67,4 41,7 59,7 79,8 94,4 85,9 67,2 89,6 73,6 54,5 82,3
Khong tot n 19 52 20 44 7 27 39 5 33 38 14 57 15 56
11,9
%
27,2 9,9 32,6 58,3 40,3 20,2 5,6 14,1 32,8 10,4 26,4 45,5 17,7
P
<0,05
<0,05
<0,05
<0,05
<0,05
<0,05 Nhgn xet: Tim thiy moi lien quan cd y nghTa
tiiong ke (p<0,05) giita cic yeu to gidi, nhdm tuoi, trhih dp hpc van, ngh^ nghipp hipn tgi, kinh te gia
dinh vdi CLCS cr NCT. Gidi nam cd CLCS t6t hem gidi nu. Nghien ciiu cua Le Diic Thjnh, Duong Huy Luang, nghien ciru cua Warig tgi Thupng Hii Tap chf Y Dutrc hoc - TrmViiE Dai hoc V Dinrc Hui - S6 D$c bi$t
31 • Hifu qui difiu trj cua khang sinh amoxicillin/clavulanate va ceftriaxone trong dieu trj viem phoi tre em tur 2 tiiang d^n 5 tuoi tgi Khoa Nhi Tong hgrp 1, B?nh vi?n Trung uong Hu^
Comparative effectiveness of amoxidllin/davulanate compared wilh ceftriaxone for children aged 2 months to 5 year old hospitalized with pneumonia in Department of Pediatric, Hue Centred Hospital
Trdn Nggc Nhdn, Le Thi Ciic 210-215 32 DiSu che thu6c nho mSt tao gel in situ chiia tobramycin 0,3% va dexamethasone 0,1%
Prepare in situ ophthalmic gelling system of tobramycin 0.3% and dexamethasone 0.1%
Phan Hoai Thdp. Luang Van D^g 216-221 33 Tim hieu ganh nang kinh t£ ciia tam than phan li^t tgi cac hQ gia dinh co nguoi benh b
thanh pho Hue
The research on economic burden of schizophrenia in the households wilh the patient in Hue dly
Nguyen Due Nhgt Quang, Nguyen Hodng Lem 222-230 34 Xay d ^ g quy trinh bao che kem ch6ng lao h6a co chua collagen
^search on ihe formulation of collagen cmti-ageing cream
Li Duy Minh Le Thi mnh Nguyit 231-239 35 NghiSn Clhi bio che gel tri myn chua erythromycin
Research on acne gel preparation containing erythromycin
Nguyin Ihi Thdo Nhi, Li Ihi Mmh Ngio/it 240-245 36 Kien thiic, tii\rc hanh ph6ng ch6ng bSnh vi6m gan B cilia ngufn dSn x3 Phii Duong, huyfn
Phii Vang, tinh Tliiia Thi8n Hue
Knowledge, practice cmd related/odors on prevention of hepatitis B among people Irving in Phu Duong commune, Phu Vang district. Thua Thien Hue province
Ton Nu Quynh Nhu, Nguyin Phd Binh, Nguyin Thi Thanh Nhan. Li Thf Phieang Thdo. Vo Minh Hodng 246-251 37 Ap dyng chi s6 SLEDAI trong danh gii muc dp hoat d^ng b?nh lupus ban do h?
thong tgi Khoa Npi th^n - OCT xuorng khop B^nh vi^n Trung ucmg Hue
Apply systemic lupus erythematosus disease activity index in assessment disease activity of systemic hqnis erythemcUosus at Department of Nephrology cmd Rheumatology in Hue Central Hospilal
Phgm Mmh Trdi, Vo Tam 252-257 38 N^isn ciiu bio che kem duSng da co chua hoat chat Quercetin
Formulation of a moisturizing cream containing quercetin
Trdn Qudc Himg. Nguyen Hdng Trang 258-266 39 Phan bo b?nh sot xuit huyet Dengue vl moi lien quan din mgt s6 ySu t6 thai tiet & tinh
Thira lliien Hue
Characterizing the relationship between climatic factors and Dengue fever in Thua Thien Hue province, Vietnam
Truang Thj Thity Dung. Nguyin Trgng Nhdn. Nguyin Vdn Hoa, Nguyin Thj Nam Liin 267-273 40 NghiSn ciiu chit lupng giic ngu ciia sinh vien hp chinh quy tnrong D?ii hpc Y Dupe Hue
Sleep quality and its related factors among students at Hue University of Medicine and Pharmacy in Viet Nam
Phgm Bd Bdo Ngdn, Dgng Hdng Nhung, Nguyin Thf Khdnh Linh, Vo Vdn Thdng, Nguyin Minh Tu
274-280
T a n f hf V Wirac hnp TVirAno R a i hn<> V Wtrni- TTii^ - fik flSc b i e t
NGHIEN CU'U CHAT LU'ONG CUOC S O N G VA MOT S6 Y^u T6 LIEN QUAN (y NGU-OI CAO "TUOI TAI XA THCIY VAN,
TH! XA HU-QNG THOY TINH THU'A THIEN HU^ NAM 2015
Nguyen Thi Thdy Hang', Vo Thi ^dn', Nguyin Hd Quoc Trung', Nguyen Hodng Thity Linh^
(1) Sinh vien lop YTCC4, Truang Dgi hgc YDugc Hui (2) Sinh viin ldp RHM4A, Truang Dgi hgc YDugc Hui (3) Khoa Y te Cong cgng. Trudng Bgi hgc Y Dugc Hui Tdm tat
Dat van de: Qua trinh gia hoa dang ting ISn nhanh chong d cac nuoc dang phat trien, trong do co Vift Nam. Theo dy bao cua Lien Hpp Quoc, t^ Ip ngucri cao tudi (NCT) nu6c ta se tang ISn 26% vio n3m 2050. Chinh vl v^y can c6 them nhilu nghien ciru vk chit lupng cuOc s6ng (CLCS) d nguai cao tuoi de gop phin vao cdng tic chim s6c siic khoe (SK) NCT tgi c^ng ddng. Muc tiSu: 1) Danh gia chit lupng song d ngucri cao tuoi tgi xS Thiiy Vfin, tiij xa Huang Thiiy, tinh Thiia Thien Hue nam 2015.2) Tim hi^u m$t s6 y^u t6 lien quan den chat lupng s6ng & ngu^i cao tu6i tai xa Thuy VSn, thj x3 Huong Thuy, tinh Thfra ThiSn H u i Phirong phdp nghiSn cihi: Dilu tra md t l cit ngang bing bp cau hoi SF-36 thuc hi$n trSn 350 NCT tgi xS Thuy Van, thj xa Hirong Thuy, tinh Thua ThiSn Hug. Ket qua: Diem trung binh CLCS ciia NCT 1164,6, ty 1? NCT c6 CLCS khdng t6t trong nghien ciiu la 20,3%, tim tiiay cac yeu t6 tiSn quan den CLCS nhu nhom tu6i, gi6i, trinh dd hpc vin, tinh trgng hdn nhan, nghe nghiep, kinh tl gia dinh, mic b^nh, cic thdi quen hlng ngiy va quan hp xa hdi. Kit lu$n: Ty 1§ NCT c6 CLCS khdng tot 6 xa Thiiy Van con khi cao vi till nSn c6 nhihig bi^n phip can thi^p dl ning cao CLCS d NCT.
Tir khda: Ngu&i cao tuoi. chdt lugng cu0c sSng.
Abstract
QUALITY OF LIFE AND SOME ASSOCIATED FACTORS OF ELDERLY PEOPLE AT THUY VAN COMMUNE, HUONG THUY TOWN
THUA THIEN HUE PROVINCE IN 2015
Nguyen Thi Thuy Hang', Vo Thi Van'. Nguyen Ha Quoc Trun^, Nguyen Hoang Thuy Linl^
(1) Students ofYTCC4 class. Hue University of Medicine and Pharmacy (2) Students ofRHM4A class. Hue University of Medicine and Pharmacy
(3) Faculty of Public Health, Hue University of Medicine cmd Pharmacy Background: The aging process is increasing rapidly in developmg countries, including Vietnam.
According to forecasts by the United Nations, in our country, the proportion of elderly people (EP) will rise to 26% in 2050. Therefore, we need more and more the studies related to quality of life among the elderly people that can contribute to health care for the elderly at the community. Objectives: 1) To assess quality of life in the elderly in Thuy Van commune, Huong Thuy district, Thua Thien Hue province in 2015.2) To learn several factors related to quality of life in elderly people in Thuy Van commune, Huong Thuy town, Thua Thien Hue province. Methods: A cross-sectional study was conducted on 350 elderly tf. ,'Dia chi liSn hi Nguyen Th/Thu} Hang email nguyenlhi'ihuyhang2805(^gmad cor.
I -Ngdynhdnbdt 25/3/2016 * Ngay ddng y ddng 22/4/2016* Ngay xudt ban 29/4/2016
T^p chf Y Duyc hfc - TriWyng Dfi h9c Y Du^c Hue - sS D$c bi$t
people at Thuy Van^ Huong Thuy town, Thua Thien Hue province based on questionnaire using SF-36 scale. Results: Mean score for quality of life score (SF-36) of elderly people is 64.6, the proportion of elderly people who do not have a good quality of life in this study is 20.3%. We found out factors related to quality of life such as the group age, sex, education level, marital status, occupation, household economics, disease, daily activities and social relationships. Conclusions: The proportion of older persons who do not have a good quality of life in Thuy Van commune is quite high. Consequently, we should have intervention measures to improve the quality of life for elderly people.
Key words: The quality of life, elderly.
1. DiJ-T VAN Tit
Gia hda dan s6 da va dang trd thinh hipn tupng toan cau. Theo bao cao cua Quy Dan so Lien Hpp Qu6c (UNFPA), giai doan 2010-2015, tu6i thp trung binh cr cic nude phat trien 11 7S tuoi va d cac nude dang phat trien 11 68 tuoi.
Den giai dogn nam 2045-2050, d\f bio tudi thp trung binh se ting tdi 83 tudi d cic nude phit trien vl 74 tuoi d cic nuac dang phat triln[6].
Qui trinh gia hda dang t&ng nhanh d cac nuac dang phat trien, trong dd cd Vi?t Nam.
Theo Tong eye Thong kSj nam 1999 s6 ngucri tren 65 tuoi chi mdi chiem 5,8% din $6 thi din 1/4/2012 t^ 1$ nly da ting ISn miic 7,1%. Theo dy bio ciia LiSn H^p Qudc, !>• Ip ngudi cao tuoi nude ta se tang Ien 26% vio nlm 2050[1]. Vdi tdc dd gii hda dan so dang tang nhanh nhu hipn nay thi cd nhieu thich thiic d§t ra can phai giii quySt. Tuy tudi thp trung binh cua Vipt Nam cao hem nhilu nuoc cd ciing thu nhap nhung chit luprng dan so con 6 mirc trung binh . Chi sd phit trien con ngudi cua Vipt Nam nSm 2015 110.666 xSp thii 116 trSn tong 185 niidc[13].
Nghien cuu vl CLCS dl dupe kha nhieu tac gia quan tam, dl gdp phan vio cdng tic cham sdc stic khde NCT t?i cOng ddng, chiing toi tien hanh nghiSn ciiu dl tli: "Nghien ciiu chat lupng cuge sdng vl m0t so ylu to lien quan d nguiri cao tu6i tgi xa Thiiy VIn, tiij xl Hucmg Thuy, tinh Thiia Thien Hue nlm 2015". Vdi 2 myc tieu sau: 1) Ddnh gid chdt lugng song a ngu&i cao tuoi tgi xa Ihiiy Vdn, huy?n Huang Thuy. tinh Thiea Thiin Hui. 2) Tm hiiu mgt sSyiu to lien quan din chdt lugmg sdng
& ngu&i cao ludi tgi xa Thuy Vdn. huy^n Huang Thuy. linh Thira Thiin Hui
2. D 6 I TUQfNG VA PHlTONG PHAP NGHIEN CUtJ
2.1. Doi tiring Dghien ciru: Ngudi cao tu6i (til 60 tuoi trd ISn) c6 hO khau thudng trii t^i xl Thiiy Van, huypn Huang Thiiy, tinh Thira Thien Hue tgi thai diem nghien ciiu va d^ng y tham gia phdng vin, lo^i trii nhihig ddi tugng khdng dSng y tham gia nghiSn ciiu, den nha 3 lin khdng ggp, cd b^nh ve tam thin ho^c cic bpnh sa sijt tri tup, mat tri nhd khong the tham gia nghien cuu.
2.2. Thiet ke ngbiSn cuu: Sii dyng phuang phip n^iSn ciiu dieu tra mo t l cit ngang
23. C& miu va phuong phap chpn mau:
Chpn mau theo phucmg phip phan ting tj-1$
Cd mlu dupe tinh theo cong thiic:
„ _ 7-2 _ p ( i - p )
Trong dd: n: Ll cd mau nghien cihi. d = 0,05 (dg chinh xac mong udc)
Z: gii trj thu dugc tii bing Z iing vdi miic ^ nghia tii6ng ke a.
Chgn a = 0,05 ta cd Z,,,^ = 1,96.
P = 0,212 (ty Ip NCT cd chat lugng song khdng tot trong nghien ciiu CLCS ngudi cao tudi tgi thj xa Huang Tri, tinh Thua Thien Hue cua Le Diic Thjnh nlm 2012 bing bg cau hdi SF-36)
Tinh dugc
n = (1.96)^ 0.212.q -0,212) (0,05)'
= 256,7 Dy phong 10% nhihig tmdng hgp khdng dieu tra dupe do nhieu nguySn nhin, ta cd cd mlu can la n> 283 ngucri. C& mlu tiiyc trong nghien cihi nay 11350 ngudi.
C6 tat cl 4 thon vdi tong s6 523 NCT, chgn so mlu ciJa 1 thdn bing phuong phip phan ting ty IS,
trong mdi thon chgn nglu nhiSn so NCT vio mlu CLCS trung binh kha (>50-75 diem), CLCS tot de tien hinh nghiSn ciru. (>75-100 dilm).
2.4. Phuong phdp thu th^p so li^u: Phdng De giup cho viSc phan tich cac ylu t6 lien van tryc tiep theo bg cau hdi cd sin sii dyng thang quan, chiing tdi chia CLCS thanh 2 mirc dg chung do chit lugng cudc song SF-36 dd la: CLCS tot (>50-100 dilm) vl CLCS khong
2.5. Gidi thl^u vl b$ cong cu do chSt lu-i^ng tot (0-50 diem).
CUQC song SF36 va each tinb diem CLCS Bd clu hdi CLCS gom 11 clu hdi ldn, chiia 36 cau hdi nho, chia lam 8 lmh vyc cau thanh (hogt d$ng chiic ning, gidi hgn chiic ning, clm nhgn dau ddn, danh gii siic khoe, clm nh$n siic song, hogt dgng xa hpi, gidi hgn tam 1;^, danh gii tim than) va hai tinh trgng chinh (SK tinh thin vl SK till chit).
* Cac hien so sie difng de tim cdc yeu to lien quan din CLCS: gioi, nghe nghipp hipn tgi, trinh dg hgc van, tinh trgng hdn nhan, so the hp, tinh t^mg kinh te, thi nhgp cl nhan, du tiln chi tiSu, mic cac bpnh man tinh, bpnh c ^ tinb, quan tim tim hiiu sire khde, nai khim b§nh, kham SK djnh 1^, cd bao hiim y tl, sii dyng bio hilm y tl, kilu nhi, vudn rpng, miii hdi, tieng on, vai trd trong gia dinh, cac thdi quen + SK the chat = trung binh cpng ciia S ITnh tgp the dye, hut thuoc la, uong rugu bia, cl phe vl vyc: hogt dpng chiic nang, gidi hgn chiic ning, quan hp xa hpi, tu tudng bin than,
cam nhin dau ddn, dinh gii siic khde, clm nhgn 2.6. Thdi gian thu th^p sd lipu: Tir thing siic song. 9/2015 din tiling 11/2015
+ SK tinh than = trung binh cpng ciia 5 linh 2.7. Phirong pbap xir ly so li|u: Sir dyng cic vyc: danh gia sire khde, clm nhan sue song, hogt phan mem epidata 3.1, spss 16.0 vl excell 2010.
dpng xa hpi, gidi hgn tam 1;^, dinh gia tam thin. Kiem djnh moi lien quan bing phep kiem djnh Chi + Tong diem CLCS ciia NCT se la trung binh
cpng cua 8 linh vyc tren.
*Cdch tinh diim theo bg cdu hoi SF'36 Cic cau tri Idi dugc ghi diem tir 1 den 100,
binh phuang (y^) vdi dd tin cgy 95%.
2.8. Han che va d^o dih: nghien cihi:
DiSu tra CLCS NCT khdng gay ton hgi siic khde nio cho doi tugng tham gia nghiSn ciiu, dupe miic dilm 100 dgi dipn cho chat lugng cuge tien hanh trSn ca sd ty nguydn vl khdng bit huge, song tot nhit ciia NCT. Clu hdi vdfi cic clu tri Vipc thu tiigp so lipu bing phucmg phip phdng vin Idi cd 3, 5 ho|c 6 mirc dg c6 each tinh dilm theo bg cau hdi in sin nSn cd the cd cac sai sdt khic nhau. trong qui trinh thu nhip ve kj nang phdng van,
*Cdch ddnh gid muc dg dugc gui djnh nhu quan sat cua dieu tra vien va thieu hgp tic ciia sau: Quy udc dilm CLCS tir 1 den 100, diem d6i tupng nghien ciiu. Bg cau hoi SF-36 tuy da CLCS dupe chia thanh 4 miic dO: CLCS kSm (tir dugc djch sang tilng Vipt va Ip dyng tgi Vipt Nam 0-25 diem)i CLCS trung binh (>25-50 dilm), nhung vin khd khin vi doi tugng la NCT.
3. KET QUA VA BAN L U i ^ 3.1. Danh gia chat lirgng sSng cua NCT
Bang 1. Dilm CLCS theo 8 ITnh vyc SK Diem CLCS/IInh y\rc SK
Ho^t dOng chljrc n3ng Gi6i h^n chi^c nSng Cam nh^n dau ddn Danh gid sure khoe Cam nh^n siic s6ng Ko9t dpng xS hOi Gidi han tam 1^
Danh gia tinh t h ^
Siem truDg binh 58,24 64,14 70,58 45,30 61,98 73,61 73,29 69,71
±SD 31,47 29,25 25,09 19,80 17,51 24,22 25,87 16,99 Tgp chf Y Dup^c hpc - Trirdrng Dgi hpc Y Duwc Hui - Sd D$G bi$t
Bang 2. Diem CLCS theo cac tinh trgng sire khde Diem CLCS/tmh tran^ SK
SK tiiS chat SK tmh tiian CLCS chung
Diem trung binh 60,05 64,78 64,6
±SD 19,67 16.29 18,40 Diem tnmg buih CLCS d 2 ITnh vyc hogt dpng
^ hdi (73,61) vl gidi hgn tim Iy (73,29) 11 cao nhat, tii^ nhit 11 dilm CLCS trong tihh vyc danh gii SK (45,3). Kit qui nay khic vdi nghien ciiu cua LS Due Thjnh khi sii dyng cung tiiang do CLCS[3].
Diem trung binh CLCS chung II 64,6 ± 18,4 khdng chenh Ipch nhilu so vdi nghien ciiu ciia Ducmg Huy Luang (2010) vl nghien ciru ciia LS Dire Thjnh (2012) vdi kit qua lan lugt la 62,5 ± 10,3 vl 62,16 ± 16,74 [2][3]. Vl SK till chat va SK tinh than, dilm trung binh CLCS d nghiSn cijru Bang 3. Phan logi CLCS t6t hay
nay cao han nhung chSnh Ipeh khdng nhieu so vdi nghien curu cua LS Diic Thjnh, lin lupt II 57,79 ± 17,5; 61,03 ± 16,01. Ket qua nly ciing eao hem so vdi nghiSn ciru khic tgi An D$ v l Dai Loan vdi diem trung buih SK thd chat v l tinh than tgi An Dp lin lugt la 53,6 ± 11,0 vi 57,0 ± 14,1[10][14].
CLCS chung va theo 2 khia cgnh SK tbS chit vl SK tinh than diu d miic diem trung binh so vdi thang diem cua WHO (thang diem 1-100). Ket qui nay phii hpp vdi kit qua cic nghiSn ciiu khic tgi Vi$tNam[3][4][5].
khdng tdt theo cac tJnh trgng siic khde Tinh tr^ng
sire khoe SK thi chat SK tinh than Chung
Chit linmt T6t
• 248 292 279
70,9
%
83,4 79,7
Icuoc song Khdng tdt n 102
58 71
29,1
%
ie,e 20^
TA n 350 350 350
100
%
100 100 man xel: C6 20,3% NCT CO CLCS khdng tat ct tinh fr?ng chung, SK the chit va SK tinh thin lin liUtt la 29,1% va 16,6%. Ty 1$ NCT c6 CLCS khong t6t thip htm so vod nghien clhi cua LS Die Thjnh' khi sii dung cOng bO clu hoi do CLCS (21,2%)[3].
3.2. Mft so yeu to lien quan den CLCS ciia NCT
Bang 4. M6i liSn quan giita mOt s6 yeu t6 chung voi CLCS Yeu to
Gioi Nh6m ni6i
TDHV Tinhtr^ng hon nhan NghS nghiep Kinhte gia dinh
Nam Nit.
60-74 75-90
>90 Mil chi}
Tieu hpc THCS tro \in Dii vgf chong
Khac Co vice lam Khong c6 viSc lam
Ngheo Khdng ngheo
So ilTQUg (n = 350)
159 191 203 135 12 67 193 90 234 116 134 216 33 317
Chat lirgug cu$c sdng T6t
n 140 139 183 91
5 40 154 85 201 78 120 159 18 261
88,1
%
72,8 90,1 67,4 41,7 59,7 79,8 94,4 85,9 67,2 89,6 73,6 54,5 82,3
Khong tot n 19 52 20 44 7 27 39 5 33 38 14 57 15 56
11,9
%
27,2 9,9 32,6 58,3 40,3 20,2 5,6 14,1 32,8 10,4 26,4 45,5 17,7
P
<0,05
<0,05
<0,05
<0,05
<0,05
<0,05 Nhgn xet: Tim thiy moi lien quan cd y nghTa
tiiong ke (p<0,05) giita cic yeu to gidi, nhdm tuoi, trhih dp hpc van, ngh^ nghipp hipn tgi, kinh te gia
dinh vdi CLCS cr NCT. Gidi nam cd CLCS t6t hem gidi nu. Nghien ciiu cua Le Diic Thjnh, Duong Huy Luang, nghien ciru cua Warig tgi Thupng Hii Tap chf Y Dutrc hoc - TrmViiE Dai hoc V Dinrc Hui - S6 D$c bi$t
v l Tajvar tgi Dli Loan cho elc kit qua tuang ty. vdi NCT gda vp ho|c chong. Kit qui phii hgp vdi [2][3][12][15]. Cd sy khac biSt vdi kit qui ti-ong nhihig nghiSn cihi khlc[2][3].
nghiSn ciru ciia Td K^' Nam, nghien cihi cho ring NCT edn lam v i ^ hlng ngiy cd CLCS tot han khdng cd sy^ khic bipt CLCS giita nam vl ntt, sy nhihig NCT khdng lim viSc vai ^ Ip CLCS tot khac bipt nly cd the do sii dyng 2 bd cdng cy do chiim 89,6% so vdi 73,6%. Tuang ty vdi nghiSn CLCS khic nhau[5]. Ty 1$ NCT cd CLCS tot giim
din theo nhdm hioi tir >90,75-90 vl 60-74 lin lugt 11 90,1%; 67,4% va 41,7%. Kit qua phii hgp vdi nghien cuu eua LS Diic Thjnh va Le VIn Hgi[3][8].
Nghien cihi ciia Duang Huy Luang m$c dii cd cich phan nhom tuoi khic nhau, nghien ciiu cua Td Ky Nam mgc dii sir dyng 2 bg cdng ey khic nhau ciing van cd ket l u ^ chung 11 tuoi cang cao thi CLCS t6t
curu ciia LS Dire Thjnh, NCT cdn lim vipc hlng ngiy cd CLCS t6t han nhihig NCT khdng lim vipc vcfi ty Ip CLCS tot chiem 90,6% va 70,4%
(p<0,001). Nghien cihi ve CLCS cua Le Van H$i cung nhgn djnh ring: nhutig NCT hipn tgi cdn lim vi$c cd CLCS cao han nhdm NCT khdng Iim vipc[8]. Cd sy khde bipt so vdi nghien cihi ciia Td Ky Nam, t^ 1^ NCT cd CLCS t6t kha cao d nhdm cIng gilm[2][S]. Trhih dd hgc vin cang cao thi t^ nghi huru[5]. C6 liSn quan CLCS theo kinh te gia Ip NCT cd CLCS tot cang eao. Cic nghiSn cihi ciia dinh giua NCT s6ng trong hp gia dinh ngheo vl Le Dure Thjnh, Td Ky Nam va mpt nghiSn ciru ve NCT spng trong hg gia dinh khdng ngheo. Nghien CLCS diran ciing cho ketquatuangty.[3][5][12]. cihi cua Td K^ Nam v l Le Dire Thjnh cQng cho Cd ty 1? CLCS tot hon cf NCT ed dii vp ch6ng so kit qui tuong ty[3][5].
Bang 5. Moi lien quan giira mgt s6 ylu t6 vl l6i s6ng vdi CLCS Yeu to ve loi song
Tap the d^c Uong r u ^ , bia
Hut thuoc la Cham soc cay trSng,
v|t nuoi Tim hieu thdng tin
site kh6e Quan h$ xH hpi va tu tuong bin than Vai tro trong gia dinh
C6 Khong
Co Khong
C6 Khong
Co Khong
Co Khong
T6t Khong tot DuiTc quyet djnh Kh6ng duiye
quylt djnh
Solirgug (n = 350) 242 108 61 289 99 251 215 135 202 148 210 140 213 137
Chat lirQ^ng cufc sdng Tot
n 206
73 56 223 88 191 195 84 170 109 179 100 183 96
85,1
%
67,6 91,8 77,2 88,9 76,1 90,7 62,2 84,2 73,6 85,2 71,4 85,9 70,1
Khong tot n 36 35 5 66 11 60 20 51 32 39 31 40 30- 41
14,9
%
32,4 8,2 22,8 11,1 23,9 9,3 37,8 15,8 26,4 14,8 28,6 14,1 29,9
P
<0,05
<0,05
<0,05
<0,05
<0,05
<0,05
<0,05
Nhgn xet: NCT cd thdi quen tgp thi dye, chim sdc cly trong v^t nudi vl tim hieu cic thdng tin siic khde cd CLCS tot han nhOtig NCT khdng cd cdc thdi quep nly. Ket qui phii hpp vdi cac nghiSn ciiu khac tgi Vipt Nam[2][3][5]. Cic nghiSn cim tren the gidi vl thdi quen t^p till dye cung phu hgp vdi kit qua trong nghien cihi nly, nghien ciru ciia Ho Tsung tgi Dai Loan bing bd clu hdi SF 36, phan tich diem CLCS ket qui khic bipt cd ^ nghTa
tiidng ke d tat cl cae ITnh vyc SK[7]. NCT cd tiidi quen uong rugu bia va hiit thuoc 11 cd xu hudng cd CLCS tot hem nhung NCT khdng cd cac thdi quen nly, kit qui nly phii hgp vdi nghiSn ciiu ciia Ducmg Huy Luang, Le Diic Thjnh vl Td Ky Nam ve thdi quen uong nipfu bia[2][3][5]. Nghien cuu ciia chiing tdi khdng di slu nghien cihi ve miic dg u6ng bia, rugfu ciia NCT tuy rtiiiSn nghien cihi cila Td K>' Nam cung da cd kit qui ring khdng cd sy T9P chf Y Duvc hpc - Tnrlrng D^i hpc Y Du^c Hui - S6 D$c bift 11
khic bipt giBa nhdm u6ng nhieu vl nhdm uong it tuang ty trong nghiSn cim ciia Td Ky Nam[2][5].
(p>0,05)[5]. KSt qui cua nhieu nghien cihi khae Tuy nhien, d nghien euu eua LS Diic Thjnh, khdng nhau cho thiy uong nrpu bia Inh hudng theo xu tim thiy m6i liSn quan co -^ nghTa thong ke giiia hudng tdt doi vdi CLCS mgc dii u6ng rupu bia la hiit thuoc 11 va CLCS v l mgt nghien euu cua Lima mpt thdi quen khdng tot, phy thupe vao lugng con, M.G d 1958 NCT, phan tich lien quan ylu t^hfit nong dd c6n vl thdi gian uong ho|c yeu to nay
thyc sy khdng anh hudng nhieu den CLCS bing cic ylu to khic. Trong nghien ciru cua chiing tdi chua tim hieu sau ve vin dk nly, cin cd cae nghien cihi khac de tim hieu rd ring hon.
thu6c 11 Inh hudng din CLCS eho ket qua NCT hiit thu6c cd dilm CLCS thap han nhdm NCT chua bao gid hut[3][9].
Nhiing NCT giii vai trd quyet djnh trong gia dinh, cd quan hp xa hpi tot va hr tudng lgc quan.
Ket qui ciia tie gll Duong Huy Lucmg eung ySu ddi thi cd CLCS tot hon, cac nghiSn ciiu khac eho kit qui CLCS d NCT dang hut thuoc 11 cao cung ehi m vi^c tham gia cac hogt dpng xl hdi cd han so vdi nhdm khdng hiit thudc 11 (p<0,001), tic ddng tich eye den CLCS[5][I1].
Bang 6. Moi liSn quan giiia bpnh vl CLCS B|nh
B$nh m3n tinh B$nh cip tuih
C6 Khdng
C6 Khong
So Imjing (n = 350)
266 84 226 123
Chat lirgrng cu9C song Tot
n 203
76 162 116
%
76,3 90,5 71,7 94,3
Khdng tht a 63 8 64 7
%
23,7 9,5 28,3 5,7
P
<0,05
<0,05 Nhgn xet: Da so NCT cd mic cac bpnh cap
tinh va min tinh, NCT mac cae bpnh cap tinh vl man tinh cd CLCS khdng tot chiim ty Ip cao han NCT khdng mac elc bpnh nay, t^ IS CLCS khdng tot theo thii ty la 28,3% v l 23,7%, kit qua phu hgp vdi cic nghien eiiu khae trong va ngoai nude. NghiSn ciru ciia Dircmg Huy Luang, CLCS d nhdm NCT khdng mic bSnh man tinh cao hon han so vdi nhdm cd mac bSnh man tinh, sy khie biSt cd ;y nghTa th6ng kS (p<0,001).
Tucmg ty kit qui trong nghien ciru ciia LS Dtie Thinh, NCT dang m3c va dieu trj cic bpnh man tinh vl cip tinh cd CLCS t6t thip hon so vdi NCT khdng mic va dilu trj cac bpnh nay (p<0,001)[2][3][ll].
4. KET UJ^
Qua nghien cihi 350 NCT (tir 60 tuoi ti-d ISn) tai xa Thiiy VIn, tiij xa Huang Thuy, tinh Thua ThiSn Hui bing bp clu hdi dinh gii CLCS SF_36, chiing tdi nit ra mdt so ket lu§n sau:
1. Ty Ip NCT cd CLCS tot chiem tJ- Ip 31,4%;
48,3% NCT cd CLCS trung binh khi vl cdn tJ Ip
17,1% va 3,2% NCT cd CLCS trung binh vl kSm.
Dinh gii theo 2 miic dp tdt va khdng tot, nghlSn ciru eho thiy cd 20,3% NCT c6 CLCS khdng tot.
2. Cd moi lien quan giiia CLCS vdi cac ylu td gidi tinh, nhdm tu6i, trinh dd hpc vin, tinh tr^ng hdn nhan, nghe nghipp, kinh tl gia dinh, bpnh cip tinh, man tinh, cac thdi quen tgp thS dye, uong rupu bia, hiit thu6c la, tim hiiu thdng tin stic khde, eham sdc cay trdng vgt nudi, quan hS xs hdi va vai trd trong gia dinh vdi p<0,05.
5.KD&NNGHI
1. Quan tam cham sdc sure khde cho cac doi tugng ngudi cao tudi nii', ngudi cao tuoi song cd dan, ngudi cao tudi thudc dipn hp ngheo va dang mac bpnh trSn dja bin.
2. Khuyen khich ngudi cao tuoi t$p till dye, cham sdc cay trong v^y nudi, tang cudng cic moi quan hp xl hpi vl cd tu tudng Igc quan yeu ddi.
3. To chiic cac clu lgc bO ngudi cao tuoi, clu lgc bp dudng sinh,... tgi dja phuang, tgo mdi tiudng sinh hogt linh mgnh, vui ve eho ngudi cao tuoi tren dja ban xl.
12 Tap chf Y Duwc hgc - Tru*ng D^i hpc Y Dug-c Hui - S6 Die bi§t
TAILI|;U 1. CycTTifingk^ Thinh ph6H6 Chi Minh.
2. Duong Huy Luang (2010), "Nghi6n ciru chit lupng cupc s6ng ngu&i cao m i i v i thii nghiem giii phip can tiiilp 6 huy|n Chf Linh, tinh Hii Duong"
3. Lfi Dlic Thjnh (2012), "Nghian cihi chit lupng cudc song ngudi cao tu6i tgi thj x l Huong Tri, tinh Thita Thien Hui".
4. Lfi Thj Holn, Trin Thj Thoa, Nguyin Phucmg Hoa, Biii Thj Lya (2014), "M$t s6 ylu t6 lifin quan den chit lupng cupc s6ng cua ngu&i cao m6i tgi x l Trung Luang, huypn Binh Lye, tinh H I Nam nam 2014".
5. T6 Kj' Nam (2013), "Nghien ciiu chit lupng s6ng cua ngudi cao tu6i tgi thinh pho QuIng Ngii nlm 2013".
6. UNFPA, G i l hda trong till ky 2 1 : TTilnh tyu v l thich thiic.
7. Ho T-J, Christiani D. C, Ma T-C , Jang T-R , Lieng C-H, Yeh Y-C, Lin S-Z, Lin J-G, Lai J-S, Lan T-Y. (2011), "Effect of Qigong on quality of life: a cross-sectional population-based comparison study in Taiwan", BMC public health, I I , http://www.
biomedcentraI.com/1471-2458/ll/546.
8. Le V Hoi, Nguyen T. Chuc, Lmdholm L. (2010),
"Health-related quali^ of life, and its determinants, among older people in rural Vietnam", BMC Public HeallhBMC, 10, http://www.biomedcenUaI.
com/1471-2458/10/549.
9. Lima M.G; Banos M. B. A; Cisar C. L. G;
Goldbaum M; Carandina L; Alves M. C. G. P.
T H A M K H A O
(2011), "Health-related behavior and quality of life among the elderly: a population-based study", h t t p : / / w w w . s c i e l o . b r / s c i e l o . p h p ? s c r i p t = s c i _ arttext&pid=S0034-89102011000300006.
10. Lin C-C, Li C-I, Chang C-K, Liu C-S, Lin C-H, Meng N-H, Lee Y-D, Chen F-N, Li T-C. (2011),
"Reduced Health-Related Quality of Life in Elders with Frailty: A Cross-Sectional Study of Community-Dwelling Elders in Taiwan", Plos ONE, 6(7), ht^://www.plosone.org/article/
info%3Adoi%2F10.1371%2Fjoumal.pone.00218.
l l . O y e G, Lola K, Ebenezer A. E. A. (2008).
Determinants of qualily of life of elderly Nigerians:
result from the Ibadan Study of Ageing Afr J Med Med Sci.
12. Tajvar M, Arab M, Montazeri A. (2008),
"Determinants of health-related quality of life in elderly in Tehran, Iran", BMC Public Health, http://
www.biomedcentral.coni/1471 -2458/8/323.
13.UNDP: Human Development Report 2015 M.Vamia G. R. Kusuma Y. S, Babu B. V. (2010),
"Health-related quality of life of elderly living in the rural community and homes for the elderly in a district of India".
15. Wang R, Wu C, Zhao Y, Yan X, Ma X, Wu M. Liu W, Gu Z, Zhao J, Zhao J. (2008), "Health related quality of life measured by SF-36: a population- based study in Shanghai, China", BMC Public Health, http://www.biomedcentral.com/I47l- 2458/8/292.
Tgp chf Y Dirp-c hpc - Trirdmg Dgi hpc Y Dirge H u i - S6 D^c bift 13