中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2010年
1期
72-76
,共5页
汤军克%李惠英%陈林利%尤佳恺%赵耐青
湯軍剋%李惠英%陳林利%尤佳愷%趙耐青
탕군극%리혜영%진림리%우가개%조내청
生活质量%危险因素%健康凋查
生活質量%危險因素%健康凋查
생활질량%위험인소%건강조사
Quality of life%Risk factors%Health surveys
目的 了解社区、敬老院、老年病房在住老年人生活质量及其影响因素,为有关部门制定提高老年人生活质量的决策提供依据. 方法 采用分层整群抽样方法抽取上海市某区9个社区居委会和3个村(统称社区)、12家敬老院、5家老年病房在住老年人,用健康状况调查简易量表(SF-36)进行调查,并对社区、敬老院、老年病房老年人生活质量及其影响因素进行分析. 结果 社区老年人生活质量情况为躯体功能(71.9±23.3)分、躯体角色(73.6±43.0)分、肌体疼痛(80.2±20.3)分、一般健康状况(53.2±19.1)分、生命力(70.4±15.6)分、社会功能(83.8±20.3)分、情感角色(81.1±37.2)分、心理健康(78.1±15.4)分、加权平均分为(74.1±17.5)分;敬老院老年人生活质量情况为躯体功能(42.1±30.7)分、躯体角色(57.9±48.1)分、肌体疼痛(78.0±23.0)分、一般健康状况(50.2±19.5)分、生命力(66.0±19.5)分、社会功能(70.8±26.3)分、情感角色(66.8±45.7)分、心理健康(73.6±19.6)分、加权平均分为(63.2±21.0)分;老年病房在住老年人生活质量情况为躯体功能(20.4±26.0)分、躯体角色(36.1±46.9)分、肌体疼痛(65.4±29.5)分、一般健康状况(43.1±17.1)分、生命力(59.0±18.0)分、社会功能(57.9±25.3)分、情感角色(49.5±48.7)分、心理健康(66.2±18.3)分、加权平均分为(49.7±18.3)分.影响社区老年人生活质量的因素为性别、文化程度、婚姻、以前从事的职业、年龄、所患疾病、对居住环境的满意度、对娱乐活动场所的满意度、体育锻炼状况;影响敬老院老年人生活质量的因素为年龄、所患疾病、对居住环境的满意度、对娱乐活动场所的满意度. 结论 社区老年人人口学因素对生活质量的影响比较明显,而敬老院、老年病房则不明显.对居住环境、娱乐活动场所、看病、交通状况满意程度不同及体育锻炼状况不同的社区、敬老院老年人生活质量明显不同.
目的 瞭解社區、敬老院、老年病房在住老年人生活質量及其影響因素,為有關部門製定提高老年人生活質量的決策提供依據. 方法 採用分層整群抽樣方法抽取上海市某區9箇社區居委會和3箇村(統稱社區)、12傢敬老院、5傢老年病房在住老年人,用健康狀況調查簡易量錶(SF-36)進行調查,併對社區、敬老院、老年病房老年人生活質量及其影響因素進行分析. 結果 社區老年人生活質量情況為軀體功能(71.9±23.3)分、軀體角色(73.6±43.0)分、肌體疼痛(80.2±20.3)分、一般健康狀況(53.2±19.1)分、生命力(70.4±15.6)分、社會功能(83.8±20.3)分、情感角色(81.1±37.2)分、心理健康(78.1±15.4)分、加權平均分為(74.1±17.5)分;敬老院老年人生活質量情況為軀體功能(42.1±30.7)分、軀體角色(57.9±48.1)分、肌體疼痛(78.0±23.0)分、一般健康狀況(50.2±19.5)分、生命力(66.0±19.5)分、社會功能(70.8±26.3)分、情感角色(66.8±45.7)分、心理健康(73.6±19.6)分、加權平均分為(63.2±21.0)分;老年病房在住老年人生活質量情況為軀體功能(20.4±26.0)分、軀體角色(36.1±46.9)分、肌體疼痛(65.4±29.5)分、一般健康狀況(43.1±17.1)分、生命力(59.0±18.0)分、社會功能(57.9±25.3)分、情感角色(49.5±48.7)分、心理健康(66.2±18.3)分、加權平均分為(49.7±18.3)分.影響社區老年人生活質量的因素為性彆、文化程度、婚姻、以前從事的職業、年齡、所患疾病、對居住環境的滿意度、對娛樂活動場所的滿意度、體育鍛煉狀況;影響敬老院老年人生活質量的因素為年齡、所患疾病、對居住環境的滿意度、對娛樂活動場所的滿意度. 結論 社區老年人人口學因素對生活質量的影響比較明顯,而敬老院、老年病房則不明顯.對居住環境、娛樂活動場所、看病、交通狀況滿意程度不同及體育鍛煉狀況不同的社區、敬老院老年人生活質量明顯不同.
목적 료해사구、경로원、노년병방재주노년인생활질량급기영향인소,위유관부문제정제고노년인생활질량적결책제공의거. 방법 채용분층정군추양방법추취상해시모구9개사구거위회화3개촌(통칭사구)、12가경로원、5가노년병방재주노년인,용건강상황조사간역량표(SF-36)진행조사,병대사구、경로원、노년병방노년인생활질량급기영향인소진행분석. 결과 사구노년인생활질량정황위구체공능(71.9±23.3)분、구체각색(73.6±43.0)분、기체동통(80.2±20.3)분、일반건강상황(53.2±19.1)분、생명력(70.4±15.6)분、사회공능(83.8±20.3)분、정감각색(81.1±37.2)분、심리건강(78.1±15.4)분、가권평균분위(74.1±17.5)분;경로원노년인생활질량정황위구체공능(42.1±30.7)분、구체각색(57.9±48.1)분、기체동통(78.0±23.0)분、일반건강상황(50.2±19.5)분、생명력(66.0±19.5)분、사회공능(70.8±26.3)분、정감각색(66.8±45.7)분、심리건강(73.6±19.6)분、가권평균분위(63.2±21.0)분;노년병방재주노년인생활질량정황위구체공능(20.4±26.0)분、구체각색(36.1±46.9)분、기체동통(65.4±29.5)분、일반건강상황(43.1±17.1)분、생명력(59.0±18.0)분、사회공능(57.9±25.3)분、정감각색(49.5±48.7)분、심리건강(66.2±18.3)분、가권평균분위(49.7±18.3)분.영향사구노년인생활질량적인소위성별、문화정도、혼인、이전종사적직업、년령、소환질병、대거주배경적만의도、대오악활동장소적만의도、체육단련상황;영향경로원노년인생활질량적인소위년령、소환질병、대거주배경적만의도、대오악활동장소적만의도. 결론 사구노년인인구학인소대생활질량적영향비교명현,이경로원、노년병방칙불명현.대거주배경、오악활동장소、간병、교통상황만의정도불동급체육단련상황불동적사구、경로원노년인생활질량명현불동.
Objective To understand the life quality of elderly person in communities, nursing homes and elderly wards, and to find out the related influencing factors for providing references for policy-makers to improve the life quality of the elderly. Methods The senior citizens in 9 communities, 3 villages, 12 nursing homes and 5 elderly wards in Shanghai Minhang District were enrolled by stratified cluster sampling. And the life quality and its influential factors among the inhabitants in communities, nursing homes and elderly wards were compared by adopting Short-Form 36 (SF-36) questionnaire. Results Regarding to the life qualities of senior citizens, community showed that physical functioning was (71. 9 ± 23. 3)scores, role physical was (73. 6 ± 43. 0) scores, bodily pain was (80. 2±20. 3)scores, general health was (53. 2± 19. 1)scores, vitality was (70. 4± 15. 7)scores, social function was ( 83. 8 ± 20. 2) scores, role emotional was ( 81. 1 ± 37. 2 ) scores, mental health was (78. 1 ± 15. 4) scores, weighted average was (74. 1 ± 17. 5) scores. Nursing home showed that physical functioning was (42. 1 ±30. 7) scores, role physical was (57. 9 ±48. 1) scores, bodily pain was (78.0±23.0)scores, general health was (50. 2± 19. 5)scores, vitality was (66. 0± 19. 5)scores, social function was (70. 8 ± 26. 3) scores, role emotional was (66. 8 ± 45. 7) scores, mental health was (73. 6 ± 19. 6) scores, weighted average was (63. 2 ± 21. 0) scores. Elderly ward showed that physical functioning was (20. 4 ± 26. 0) scores, role physical was (36. 1 ± 47. 0) scores, bodily pain was (65. 4±29. 5)scores, general health was (43. 1±17. 1)scores, vitality was (59. 0± 18. 0)scores, social function was (57. 9 ± 25. 3) scores, role emotional was (49. 5 ± 48. 7) scores, mental health was (66. 2 ± 18. 3) scores, weighted average was (49. 7 ±18. 3) scores. The major influential factors on the life quality were gender, education, marriage, profession, age, disease, residence, entertainment, physical exercise for community; Age, disease, residence, entertainment, physical exercise for nursing home; Age, etc for elderly ward. Conclusions The influences of demographic factors on life quality of the senior citizens in communities are more significant than in nursing home and elderly wards. Variations on the degree of satisfaction (in residence, entertainment, health care and transportation) and the situation of physical exercise have made vast difference in the life quality of the senior citizens both in communities and nursing homes.
