新疆社区居家养老模式下老年人慢性病共病与生命质量关系的研究  

A Study on the Influence Factors of the Quality of Life of Elderly People Under the Community Home Care Model in Xinjiang

作　　者：王文星[1,2] 卫香楠 吴娇健 戴江红 蒋红[4] 张猛 高发水 Wang Wenxing;Wei Xiangnan;Wu Jiaojian(School of Public Health,Xinjiang Medical University,Urumqi 830000)

机构地区：[1]新疆医科大学公共卫生学院,830000 [2]新疆医科大学第六附属医院 [3]泰安市中心医院 [4]新疆医科大学第二附属医院

出　　处：《中国卫生统计》2024年第6期834-839,共6页Chinese Journal of Health Statistics

基　　金：新疆维吾尔自治区社会科学基金项目(2023BPK069);新疆医科大学医学科学研究所开放课题重点项目(YXYJ20230104)。

摘　　要：目的了解新疆社区居家养老模式下老年人生命质量状况及其影响因素。方法采用分层整群随机抽样方法在新疆抽取四个地州1910名享受社区居家养老服务的老年人,采用健康调查简表(the MOS item short from health survey,SF-36)量表进行调查,运用单因素分析和多元线性回归分析研究老年人生命质量的主要影响因素。结果新疆社区居家老年人生命质量(quality of life,QOL)得分为67.93±21.04分,生理健康(physical component summary,PCS)得分为66.26±22.67分,心理健康(mental component summary,MCS)得分为69.60±21.15分。文化程度、居住在养老机构、享受养老保险、稳定的经济来源等因素是生命质量得分的积极影响因素(P<0.05);年龄、慢性病共病情况等因素是生命质量得分的危险因素(P<0.05)。结论新疆社区居家老年人生命质量状况较好,受多种因素影响并呈线性相关关系,文化程度越高得分越高,居住在养老机构的得分更高,而年龄越大得分越低,有2种以上慢性病共病的得分越低,需要政府、社区及家庭多方共同努力,重点关注年龄大、学历低、有多种慢性病的老年人群,进一步普及和优化社区居家养老服务,为老年人健康提供更好的保障。Objective To understand the quality of life of elderly people elderly and its influence factors under the community-based care model in Xinjiang.Methods A stratified cluster random sampling method was used to select 1910 elderly people who enjoy community home-based elderly care services from four prefectures in Xinjiang,the SF-36 scale was used for investigation,and single factor and multiple linear regression analysis were used to study the main influence factors and related relationships of the quality of life of the elderly.Results The QOL score of quality of life is 67.93±21.04,the PCS score is 66.26±22.67,and the MCS score is 69.60±21.15 for elderly people living in Xinjiang communities.Education level,living in elderly care institutions,pension insurance,and stable economic sources are positive factors for the quality of life score(P<0.05).Age,comorbidity of chronic diseases,and other factors are risk factors for quality of life scores(P<0.05).Conclusion It is relatively good for the quality of life of elderly people living in Xinjiang communities,that is influenced by multiple factors and linearly correlated.The higher the education level,the higher the score,and the higher the score living in elderly care institutions.The older the age,the lower the score,and the lower the score for two or more chronic disease comorbidities.It is necessary for the government,community and family to work together,and they should focus on the elderly population with lower age and multiple chronic diseases,further popularizing and optimizing community home-based elderly care services,and providing better protection for the health of the elderly.

关 键 词：生命质量 社区居家养老 影响因素 

分 类 号：R195.1[医药卫生—卫生统计学]