河北省老年人生存质量现状及影响因素研究  

Status of Life Quality of Elderly People in Hebei Province and Its Influencing Factors

作　　者：刘海娟[1] 刘俊杰[1] 张敏[1] 李淑杏[1] 陈长香[1] 吴保平[1] 

机构地区：[1]河北联合大学护理与康复学院,河北省唐山市063000

出　　处：《中国全科医学》2013年第10期1137-1139,共3页Chinese General Practice

基　　金：国家社科基金项目(12BRK017);河北省社科课题(HB12GL047)

摘　　要：目的了解河北省老年人生存质量现状及影响因素。方法采用世界卫生组织生存质量测定表简表(WHOQOL-BREF)、家庭功能评估量表(APGAP)和自编一般情况问卷(包括被调查者的年龄、性别、居住地、文化程度、婚姻状况、收入、家庭居住方式、家庭功能、慢性病等)以入户访谈方式逐个调查。所有的调查问卷当日回收,并逐份检查,对缺项及漏项问卷及时补充填写及统计学分析。结果河北省老年人生存质量生理领域、心理领域、社会领域、环境领域等得分依次为(59.1±16.9)、(59.3±14.9)、(63.6±15.0)、(56.6±14.7)分,除社会领域外均低于常模水平,差异有统计学意义(P<0.05)。月收入〔OR=1.969,95%CI(1.396,2.833)〕、家庭功能〔OR=0.597,95%CI(0.395,0.903)〕、日常活动能力〔OR=5.406,95%CI(3.736,7.823)〕和慢性病史〔OR=1.528,95%CI(1.095,2.133)〕对河北省老年人生存质量的影响有统计学意义(P<0.05)。结论河北省老年人生存质量整体较差,应引起社会及社区卫生服务部门的足够重视。对月收入低、家庭功能差、日常活动能力不足及有慢性病史的老年人应提高社会和家庭支持,以帮助其提高健康水平和生存质量。Objective To investigate the status of life quality of the elderly in Hebei Province and to explore its influ- encing factors. Methods The World Health Organization Quality of Life Assessment - Brief Version （ WHOQOL - BREF） and self - designed general questionnaire including age, sex, residence, education background, marital status, income, family liv- ing style, family function and chronic diseases were used for household interview. All the questionnaires were retrieved and checked one by one, the omitted or missed items were timely complemented at the same day. The informed data were statistically analyzed. Results The scores of life quality of the elderly in Hebei Province were （59. 1±16. 9 ） physiologically, （59. 3±14. 9） psychologically, （63.6±15.0） sociologically, and （56. 6±14.7） environmentally, which were all significantly lower than the norms （P 〈 0. 05） . The monthly income [ OR = 1. 969, 95% CI （ 1. 396, 2. 833） ], family function [ OR = 0. 597, 95% CI （0. 395, 0. 903） ], daily exercise ability [ OR = 5.406, 95% CI （3. 736, 7. 823 ） ] and chronic disease [ OR = 1. 528, 95 % CI （1. 095, 2. 133） ] exerted significant impacts on their quality of life （P 〈 0.05 ） . Conclusion The quality of life of the elderly in Hebei Province is generally not good, to which enough attention from the society and community should be given. For the elderly whose monthly income is lower, family function is not good, daily exercise ability is short, or who has a history of chronic disease, it is necessary to raise social and family support so as to improve their health level and quality of life.

关 键 词：老年人 生存质量 影响因素 

分 类 号：R181.37[医药卫生—流行病学]