中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2013年
5期
745-747
,共3页
王凤琴%赵瑛%韦泾云%张桂红
王鳳琴%趙瑛%韋涇雲%張桂紅
왕봉금%조영%위경운%장계홍
中老年妇女%健康状况%社区护理%保健需求
中老年婦女%健康狀況%社區護理%保健需求
중노년부녀%건강상황%사구호리%보건수구
middle-aged and aged women%health status%community nursing%health care requirements
目的:了解社区女性中老年人的健康状况及对医疗保健的需求,为老年人的健康保健及护理服务提供参考依据。方法采用整群抽样的方法,在西安市4个社区随机抽取90位50岁及以上的妇女进行调查,有效回收问卷83份。调查内包括健康状况及影响因素,以及医疗卫生服务需求。采用单因素χ2检验和多因素Logistic回归模型分析社区女性中老年人健康的影响因素。结果被调查的社区中老年女性小学及初中文化者占50.6%,丧偶独居者占19.3%,空巢家庭占37.3%,退休人数占77.1%,65.1%的妇女家庭经济状况一般。目前身体健康状况良好者仅占39.8%,确诊至少患有1种慢性疾病者高达71.1%。经济因素是影响女性中老年人健康状况的最主要因素,其在回归模型中有极为显著性的意义(B=2.413,P<0.05)。对体检态度积极的中老年人,其身体状况明显优于态度不积极者(χ2=11.611,P=0.020<0.05)。结论在老龄化加速和家庭养老功能减退的情况下,应该充分发挥社区卫生服务中心的作用,并以健康教育的干预为手段,增强中老年妇女的自我照顾能力及正确的生活信念和态度,使她们有自尊的体现生命意义及价值。
目的:瞭解社區女性中老年人的健康狀況及對醫療保健的需求,為老年人的健康保健及護理服務提供參攷依據。方法採用整群抽樣的方法,在西安市4箇社區隨機抽取90位50歲及以上的婦女進行調查,有效迴收問捲83份。調查內包括健康狀況及影響因素,以及醫療衛生服務需求。採用單因素χ2檢驗和多因素Logistic迴歸模型分析社區女性中老年人健康的影響因素。結果被調查的社區中老年女性小學及初中文化者佔50.6%,喪偶獨居者佔19.3%,空巢傢庭佔37.3%,退休人數佔77.1%,65.1%的婦女傢庭經濟狀況一般。目前身體健康狀況良好者僅佔39.8%,確診至少患有1種慢性疾病者高達71.1%。經濟因素是影響女性中老年人健康狀況的最主要因素,其在迴歸模型中有極為顯著性的意義(B=2.413,P<0.05)。對體檢態度積極的中老年人,其身體狀況明顯優于態度不積極者(χ2=11.611,P=0.020<0.05)。結論在老齡化加速和傢庭養老功能減退的情況下,應該充分髮揮社區衛生服務中心的作用,併以健康教育的榦預為手段,增彊中老年婦女的自我照顧能力及正確的生活信唸和態度,使她們有自尊的體現生命意義及價值。
목적:료해사구녀성중노년인적건강상황급대의료보건적수구,위노년인적건강보건급호리복무제공삼고의거。방법채용정군추양적방법,재서안시4개사구수궤추취90위50세급이상적부녀진행조사,유효회수문권83빈。조사내포괄건강상황급영향인소,이급의료위생복무수구。채용단인소χ2검험화다인소Logistic회귀모형분석사구녀성중노년인건강적영향인소。결과피조사적사구중노년녀성소학급초중문화자점50.6%,상우독거자점19.3%,공소가정점37.3%,퇴휴인수점77.1%,65.1%적부녀가정경제상황일반。목전신체건강상황량호자부점39.8%,학진지소환유1충만성질병자고체71.1%。경제인소시영향녀성중노년인건강상황적최주요인소,기재회귀모형중유겁위현저성적의의(B=2.413,P<0.05)。대체검태도적겁적중노년인,기신체상황명현우우태도불적겁자(χ2=11.611,P=0.020<0.05)。결론재노령화가속화가정양로공능감퇴적정황하,응해충분발휘사구위생복무중심적작용,병이건강교육적간예위수단,증강중노년부녀적자아조고능력급정학적생활신념화태도,사저문유자존적체현생명의의급개치。
Objective To investigate the health status and health care requirements of middle-aged and aged women in community and to provide evidence for health care and nursing services for the aged .Methods The cluster sampling method was adopted to select 90 female cases aged 50 or more than 50 years old from 4 communities in Xi ’ an city.Totally 83 effective questionnaires were taken back .The content included health status and relative influencing factors and medical health care requirements .Single factor χ2 test and multifactor Logistic regression model analysis were used to analyze the influencing factors of health status among middle -aged and aged women in community.Results Among the investigated cases , women who had elementary school and junior high school education level occupied 50.6%, solitary women without spouse took 19.3%, empty nest family took 37.3%, retired women took 77.1%, and 65.1% families had general economic status .At present, only 39.8%women had good health status , and 71.1%women suffered from at least one type of chronic diseases .Economic factor was the major factor affecting the health status of middle -aged and aged women .It showed significant meaning in the regression model (B=2.413,P<0.05).The middle-aged and aged women, who had the positive attitude toward physical examination, had better health status than those who had negative attitude toward physical examination (χ2 =11.611, P=0.020<0.05). Conclusion In the condition of fast aging and family supporting decreasing , the function of community health service center should be called into play .And health education intervention should be considered as the ways to enhance the self care ability and correct life belief and attitude in order to reveal the meaning and value of life with pride among middle -aged and aged women .