Quality of life and its influencing factors among the elderly in rural Bazhong of Sichuan province
-
摘要: 目的了解四川巴中农村老年人生活质量现状及其影响因素。方法以村为抽样单位,整群随机抽取四川省巴中市8个村共1 183名农村老年人为研究对象,采用自行编制的健康状况问卷及健康调查简表(SF-36)进行匿名面访调查并分析生活质量影响因素。结果1 183名农村老年人生活质量总得分为(63.55±15.36)分(95%CI=62.67~64.42),生理健康得分为(62.23±17.00)分(95%CI=61.26~63.20),心理健康得分为(64.56±16.92)分(95%CI=63.60~65.53)。各维度得分从低到高依次为:一般健康状况(56.32±17.46)分、精力(59.12±19.32)分、生理职能(59.55±30.15)分、生理机能(62.35±23.00)分、精神健康(62.78±19.67)分、情感职能(67.75±32.97)分、社会功能(72.75±21.80)分、躯体疼痛(74.65±21.53)分。多因素分析结果显示,四川巴中农村老年人生理健康得分的影响因素为年龄、文化程度、婚姻状况、近2周是否患病、居住方式、生活满意度和社会支持程度7个因素;心理健康得分的影响因素为年龄、性别、文化程度、婚姻状况、经济状况、近2周是否患病、是否患慢性病、居住方式、生活满意度、社会支持程度和子女孝顺程度11个因素。结论巴中市农村老年人生活质量较差,多种人口学特征及其他因素均可影响其生活质量。Abstract: ObjectiveTo investigate the status of quality of life (QOL) and its influencing factors among rural elderly in rural Bazhong of Sichuan province.MethodsA total of 1 183 elderly persons from 8 villages were selected with random cluster sampling.The quality of life was measured with the Medical Outcomes Study Item Short Form Health Survey (SF-36).A self-designed questionnaire was used to collect information on demography,health status and relevant factors simultaneously.ResultsThe total QOL score of the subjects was 63.55±15.36 (95%confidence interval [95%CI]=62.67-64.42) and the scores for physical health and mental health were 62.23±17.00 (95%CI=61.26-63.20) and 64.56±16.92 (95%CI=63.60-65.53),respectively.The scores for dimensions from to low high were 56.32±17.46 for general health,59.12±19.32 for vitality,59.55±30.15 for role-physical,62.35±23.00 for physical function,62.78±19.67 for mental health,67.75±32.97 for role-emotional,72.75±21.80 for social functioning,and 74.65±21.53 for bodily pain,respectively.Multivaritate analyses suggested that age,education,mar status,illness within two weeks,living style,life satisfaction,and social support degree affected physical component summary score;age,gender,education,marital status,economic status,illnesses within two weeks,chronic disease,living style,life satisfaction,social support degree and children filial piety degree influenced mental component summary score.ConclusionThis survey showed that the QOL of rural elderly in rural Bazhong of Sichuan province was poor and several demographic factors and other determinants could affect the QOL of the elderly.
-
Key words:
- rural elderly /
- quality of life /
- influencing factor /
- optimal scaling regression
-
[1] 盛来运, 张芃, 钟守洋.中国统计年鉴2011[M].北京:中国统计出版社, 2011:356. [2] 曹文静, 孙建萍, 张露, 等.老年人生活质量研究进展[J].护理研究, 2008, 22(3):661-663. [3] 张亚琴, 曾慧, 程红平.社区老年人生活质量的研究进展[J].长治医学院学报, 2010, 24(1):3. [4] Lam CLK, Tse EYY, Gandek B, et al.The SF-36 summary scales were valid, reliable, and equivalent in a Chinese population[J].Journal of Clinical Epidemiology, 2005, 58(8):815-822. [5] 刘朝杰, 李俊, 李宁秀, 等.用SF-36评价健康状态效用[J].华西医科大学学报, 2001, 32(3):397-401. [6] 张磊, 邵晨, 王波, 等.中文版SF-36量表用于中国老年军人生活质量调查的信度与效度评价[J].中华老年医学杂志, 2004, 23(2):112-114. [7] 姜宝法, 徐涛, 廖玫珍, 等.SF-36量表在深圳市农村老年人中的应用[J].中国心理卫生杂志, 2003, 17(5):291-295. [8] 齐金玲, 李红.黑龙江省农村居民生活质量人口学特征分析[J].中国公共卫生, 2011, 27(7):924-926. [9] 郑玉仁, 柯雪梅, 柯朝晖, 等.老年人生活质量及影响因素分析[J].中国公共卫生, 2006, 22(6):746-747. [10] 张秀军, 孙业桓, 苏虹, 等.安徽省农村老年人群生活质量的综合评价[J].中华流行病学杂志, 2005, 26(1):5-8. [11] 李德明, 陈天勇, 吴振云.中国老年人的生活满意度及其影响因素[J].中国心理卫生杂志, 2008, 22(7):543-548. [12] 张琳, 宁艳花, 姚丽, 等.银川市老年人生活质量状况及影响因素分析[J].中国公共卫生, 2011, 27(2):162-164. [13] Poppe C, Crombez G, Hanoulle I, et al.Mental quality of life in chronic fatigue is associated with an accommodative coping style and neuroticism:a path analysis[J].Qual Life Res, 2012, 21(8):1337-1345.
点击查看大图
计量
- 文章访问数: 1349
- HTML全文浏览量: 179
- PDF下载量: 68
- 被引次数: 0