成都市社区老年人口生命质量及其影响因素分析  

A nalysis of quality of life of elderly persons and relevant influence factors in Chengdu

作　　者：陈娜[1] 李宁秀[1] 高博[1] 赵娜[1] 

机构地区：[1]四川大学华西公共卫生学院社会医学教研室,四川成都610041

出　　处：《现代预防医学》2012年第15期3904-3907,共4页Modern Preventive Medicine

摘　　要：目的了解成都市社区老年人口的生命质量现状并探讨其影响因素,为政府和社区制定相关决策提供依据。方法采用自制问卷和EQ-5D量表对成都市社区随机抽取的416名65岁及以上的老年人进行入户面对面问卷调查,采用单因素和多因素相结合的统计方法进行分析。结果成都市社区的老年人生命质量的总体评价较好,调查得到老年人生命质量平均得分为0.888分,95%可信区间为(0.869,0.908)。65岁及以上老年人对自身的活动能力、自我照顾能力以及日常生活能力的评价较好,而对躯体疼痛和情感焦虑的评价则相对较差。通过统计分析发现影响老年人生命质量的主要因素有是否享有医疗保险、经济状况好与差和是否患慢性病等。结论重视老年人的医疗保障体系,采取适宜的方式扩大医疗保险覆盖面,加强慢性病的防治,减轻老年人的疾病经济负担等途径可有效改善老年人生命质量。OBJECTIVE To investigate the quality of life of elderly persons in urban in Chengdu and its influence factors, and to provide scientific basis for governments and communities. METHODS A survey with EQ-5D and questionnaire was undertak- en in 416 randomly selected residents who were over 65 years age in urban communities in Chengdu.Univariate and multivariate statistical methods were employed to analyze the data. RESULTS The general evaluation on quality of life of elderly persons in urban in Chengdu was better. The average score of quality of life of the elderly was 0.888, 95%CI was （0.869, 0.908）. The e- valuations of mobility, self-care and usual activities of elderly persons over 65 years age were better. The evaluation of body and emotion feeling were relatively poor. The statistical analysis showed that the quality of life of elderly persons was mainly influ- enced by medical insurance, income and chronic disease. CONCLUSION Quality of life of elderly persons can be effectively improved by expanding medical insurance coverage, enhancing chronic disease prevention and control, and reducing disease burden of elderly persons.

关 键 词：老年人 生命质量 影响因素 

分 类 号：R195[医药卫生—卫生统计学]