Family function and its influencing factors among urban and rural elderlies in Hebei province
-
摘要: 目的 了解河北省城乡老年人家庭功能影响因素,为改善老年人家庭功能,促进健康及提高老年人生活质量提供依据。方法 采用多阶段分层整群抽样方法对河北省唐山、石家庄、张家口3市抽取的6 173名≥60岁城乡老年人进行问卷调查。结果 河北省城乡老年人的家庭功能良好者占13.64%,一般或差者占86.36%;城市老年人家庭功能评定量表(FAD)中问题解决、沟通、角色、情感反应、情感介入、行为控制、总的功能7个维度得分分别为(11.24±2.80)、(18.83±3.37)、(26.34±3.29)、(13.63±2.45)、(16.94±3.20)、(21.95±2.60)、(24.65±4.48)分,均低于农村老年人的(11.83±2.39)、(19.69±2.97)、(27.10±2.95)、(14.25±2.23)、(17.28±3.09)、(22.31±2.49)、(25.94±3.96)分,差异均有统计学意义(均P=0.000);多元线性逐步回归分析显示,影响河北省老年人家庭功能问题解决、沟通、角色、情感反应、情感介入、行为控制、总的功能7个维度的因素主要有城乡、年龄、文化程度、婚姻状况、月人均收入、子女数、健康状况量表(SF-36)得分、日常生活能力量表(ADL)得分、卧床与否、医保类型、有无养老保险、有无债务等。结论 河北省城乡老年人家庭功能水平较低,影响因素复杂,应综合考虑其改善措施。Abstract: Objective To examine the status of family function and its influencing factors among urban and rural elderly residents in Hebei province and to provide envidences for improving quality of life in the elderlies.Methods Multi-stage stratified cluster sampling method was used to select 6 173 residents aged 60 years and above from urban and rural areas in Hebei province for a questionnaire survey.Results Among the elderlies,only 13.64% reported good family function and 86.36% reported common or bad family function.The urban elderlies had lower Family Assessment Device(FAD) scores than rural elderlies in problem solving(11.24±2.80 vs. 11.83±2.39),communication(18.83±3.37 vs. 19.69±2.97),roles(26.34±2.45 vs. 27.10±2.45),affective responsiveness(13.69±2.45 vs. 14.25±2.23),affective involvement(16.94±3.20 vs. 17.28±3.09),behaviour control(21.95±2.60 vs. 22.31± 2.49),and general functioning(24.65±4.48 vs. 25.95±3.96)(all P=0.000).Multivariate linear regression analyses indicated the factors influencing the 7 dimensions of family function among the elderlies included living area,age,educational level,marital status,number of children,health condition,activity of daily life(ADL),whether being ill abed,monthly income,type of medical insurance,status of endowment insurance,and debt condition.Conclusion The family function level of urban and rural elderly people in Hebei province is low and its influencing factors are complex.Comprehensive measures need to be considered to solve the problem.
-
Key words:
- the elderly /
- family function /
- influence factor
-
[1] Miller IW,Ryan CE,Keitner GI,et al.The McMaster Approach to Families:theory,assessment,treatment and research[J].Journal of Family Therapy,2000,22:168-189. [2] Skinner H,Steinhauer R.Family assessment measure and process model of family functioning[J].Journal of Family Therapy,2000,22(2):190-210. [3] Jennifer K,Bambara MA,Virginia W,et al.Family functioning and low vision:a systematic review[J].J Vis Impair Blind,2009,103(3):137-149. [4] Wang JK,Zhao XD,Liu L,et al.Family functioning social support and depression in a Chinese population[J].Psychopathology,2012,45:334-336. [5] Herzer M,Godiwala N,Hommel KA,et al.Family functioning in the context of pediatric chronic conditions[J].J Dev Behav Pediatr,2010,31(1):1-14. [6] 张惠,刘堃.老年人健康状况和家庭功能的调查[J].中国老年学杂志,2012,32(22):4974-4976. [7] 邢华燕,柳璐,张遂柱,等.郑州市不同养老模式老年人生存质量及影响因素[J].中国公共卫生,2013,29(1):15-18. [8] 李淑杏,陈长香,刘瑞华,等.日常生活能力对社区老年女性认知功能障碍发生的影响[J].中国老年学杂志,2011,31(3):492-493. [9] 苏银花,段功香.家庭功能评定量表及临床应用进展[J].护理研究,2008,7(22):1794-1796. [10] 吴振强,崔光辉,张秀军,等.老年人家庭功能状况及影响因素分析[J].中国公共卫生,2009,25(2):138-140. [11] 陈洁,王珍,金蕾蕾,等.湖州城区中老年居民婚姻状况比较[J].中国老年学杂志,2010,9(30):682-683. [12] 杨丽全,郑建盛,连志明,等.老年高血压患者生存质量与家庭功能关系[J].中国公共卫生,2008,24(10):1165-1166. [13] 王昕.2型糖尿病家庭功能与应付方式调查分析[D].兰州:兰州大学硕士学位论文,2009. [14] 谈荣梅,屠春雨,高向华,等.浙江省绍兴地区老年人家庭功能状况评估及其影响因素分析[J].中国流行病学杂志,2009,30(11):1213-1214.
点击查看大图
计量
- 文章访问数: 1145
- HTML全文浏览量: 207
- PDF下载量: 83
- 被引次数: 0