4.5 Article

Investigation and influencing factors about well-being level of elderly chronic patients during COVID-19 postpandemic period in Beijing

Journal

MEDICINE
Volume 101, Issue 9, Pages -

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MD.0000000000028976

Keywords

coronavirus disease 2019; postpandemic period; elderly patients with chronic diseases; influencing factors; well-being level

Funding

  1. Science and Technology Support Plan of Beijing Federation of Trade Unions [2020-018]

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This study investigates the well-being level of elderly people with chronic diseases in Beijing during the postpandemic period of COVID-19 and identifies factors that influence their well-being. The study found that education level, number of chronic diseases, medical expenses, frequency of children's visits, and participation in group activities significantly affect the well-being of these patients. Most elderly patients with chronic diseases had moderate or above well-being levels during the postpandemic period, but attention should be given to those with low education level, multiple comorbidities, higher medical expenses, fewer visits by children, and lack of participation in group activities.
The Corona Virus Disease 2019 (COVID-19) pandemic has huge impacts on the world, including human health and economic decline. The COVID-19 has severe infectivity, especially the elderly with chronic diseases will cause various complications after infection and accelerate the disease process. In addition, COVID-19 will also affect their mental health. Therefore, the mental health of elderly patients with chronic diseases cannot be ignored. The aim of this study was to investigate the well-being level of elderly people with chronic disease during COVID-19 postpandemic period in Beijing and analysis related influencing factors, so as to provide a basis for improving the well-being level of elderly chronic patients during the postpandemic period. Elderly patients with chronic diseases who met the inclusion criteria in 5 different administrative regions in Beijing were selected to carry out a questionnaire survey. The contents of the questionnaire included general data, the Memorial University of Newfoundland Happiness scale and the awareness situation of the COVID-19 pandemic. A total of 500 questionnaires were distributed by WeChat and 486 valid questionnaires were collected. The t test and one-way analysis of variance were used to compare Memorial University of Newfoundland Happiness scores between 2 or more groups, multiple linear regression analysis was used to conduct multiple factor analysis to explore the related factors about well-being level of elderly chronic patients. A total of 109 cases (22.43%) were evaluated high well-being level, 319 cases (65.64%) were evaluated moderate well-being level and 58 cases (11.93%) were evaluated low well-being according to the Memorial University of Newfoundland Happiness (MUNSH) scores rating. The multiple linear regression indicated that the education level, number of chronic diseases, medical expenses, frequency of children's visits, taking care of grandchildren or not, and group activity frequency significantly affected the well-being of patients with chronic diseases during COVID-19 postpandemic period in Beijing (P < .05). Most elderly patients with chronic diseases had moderate or above sense of well-being during postpandemic period, but we should still pay attention to the mental health of those elderly chronic patients with low education level, much comorbidity, more medical expenses, less visits by children, not take care of grandchildren and never participate in group activities.

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