CAJ | 학술논문

目的：了解北京市城区失能老人家庭照顾者的生活质量，并分析其影响因素。方法：采用方便抽样的方法，抽取北京市东城区60岁及以上的失能老人和其照顾者各744名，使用SF-36、社会支持量表以及一般社会人口学指标对主要照顾者进行测量。结果：配偶照顾者生活质量8个维度的评分较常模中同龄居民的评分比较均有显著下降，差异均有统计学意义（P＜0．001）。子女照顾者中，男性照顾者在除生理机能（PF）、生命活力（VT）和心理健康（MH）以外的其他5个维度的评分均较常模中同龄居民的评分有显著下降，女性照顾者在除PF以外的其他7个维度的评分均较常模中同龄居民的评分有显著下降，差异均有统计学意义（ P＜0．001）。生活质量评分与其年龄、文化程度、患慢性病情况、与照顾者的关系以及每日照顾的时间有关。结论：长期居家照顾失能老人的模式导致照顾者生活质量显著降低，建议采取居家型照护和社区长期护理相结合的照护方式，减轻照顾者的负担，提高其生活质量。
목적：료해북경시성구실능노인가정조고자적생활질량，병분석기영향인소。방법：채용방편추양적방법，추취북경시동성구60세급이상적실능노인화기조고자각744명，사용SF-36、사회지지량표이급일반사회인구학지표대주요조고자진행측량。결과：배우조고자생활질량8개유도적평분교상모중동령거민적평분비교균유현저하강，차이균유통계학의의（P＜0．001）。자녀조고자중，남성조고자재제생리궤능（PF）、생명활력（VT）화심리건강（MH）이외적기타5개유도적평분균교상모중동령거민적평분유현저하강，녀성조고자재제PF이외적기타7개유도적평분균교상모중동령거민적평분유현저하강，차이균유통계학의의（ P＜0．001）。생활질량평분여기년령、문화정도、환만성병정황、여조고자적관계이급매일조고적시간유관。결론：장기거가조고실능노인적모식도치조고자생활질량현저강저，건의채취거가형조호화사구장기호리상결합적조호방식，감경조고자적부담，제고기생활질량。
Objective:To investigate the quality of life ( QOL) of family caregivers of Beijing urban disabled elderly , analyze its influencing factors.Methods: Select 744 disabled elderly who are 60 years old and above and their family caregivers respectively in Dongcheng District by the method of convenience sampling, to complete the health survey of SF-36 scale,Social Support Rating scale , and general socio-demographic indicators.Results: Compared with the general residents in the same age, the QOL scores of spouse caregivers group in eight dimensions were significantly lower, and the difference was statistically significant (P<0.001).In children caregivers group, the QOL scores of men caregivers in all other five dimensions except for physical functioning (PF), vitality (VT) and mental health (MH) decreased significantly than the general residents in the same age, and women caregivers in all other seven dimensions except for PF decreased significantly than the general residents in the same age.All the differences were statistically significant (P<0.001).The influence factors of QOL are age, education level, the conditions of chronic disease, the relationship to disabled elderly, and daily care time.Conclusion: Considering that long -term family care for disabled elderly results in significant reduction caregivers'QOL, we recommend the way combination of family care and community long-term care to re-duce the burden of caregivers and to improve their QOL .