CAJ | 학술논문

目的：了解老年人卫生服务需求与利用现况及其影响因素，为促进老年人卫生服务利用、延长寿命、提高生活质量提供理论基础。方法采用多阶段随机抽样方法抽取423名老年人，用自行设计调查表、简易应对方式量表和社会支持量表进行面对面调查。结果1）两周患病率为38.5％，近半年慢性病患病率为82.2％。2）近两周就诊率为24.3％，近一年的住院率为21.8％。3）两周患病率影响因素包括：受教育程度（χ2＝8.472，P＝0.037）、婚姻状况（χ2＝11.720，P＝0.003）、居住情况（χ2＝5.560，P＝0.018）、家庭月人均收入（χ2＝6.806，P＝0.078）、每天睡眠情况（χ2＝14.146，P＝0.001）差别均具有统计学意义。4）近两周就诊率影响因素包括：受教育程度（χ2＝7.882，P＝0.049）、居住情况（χ2＝7.933，P＝0.005）差别有统计学意义。积极应对（ t＝15.138，P＝0.000）、消极应对（t＝8.149，P＝0.005）对卫生服务利用的影响具有统计学意义。结论老年人卫生服务需求率较高，利用率较低，应采取综合措施促进老年人卫生服务利用。
목적：료해노년인위생복무수구여이용현황급기영향인소，위촉진노년인위생복무이용、연장수명、제고생활질량제공이론기출。방법채용다계단수궤추양방법추취423명노년인，용자행설계조사표、간역응대방식량표화사회지지량표진행면대면조사。결과1）량주환병솔위38.5％，근반년만성병환병솔위82.2％。2）근량주취진솔위24.3％，근일년적주원솔위21.8％。3）량주환병솔영향인소포괄：수교육정도（χ2＝8.472，P＝0.037）、혼인상황（χ2＝11.720，P＝0.003）、거주정황（χ2＝5.560，P＝0.018）、가정월인균수입（χ2＝6.806，P＝0.078）、매천수면정황（χ2＝14.146，P＝0.001）차별균구유통계학의의。4）근량주취진솔영향인소포괄：수교육정도（χ2＝7.882，P＝0.049）、거주정황（χ2＝7.933，P＝0.005）차별유통계학의의。적겁응대（ t＝15.138，P＝0.000）、소겁응대（t＝8.149，P＝0.005）대위생복무이용적영향구유통계학의의。결론노년인위생복무수구솔교고，이용솔교저，응채취종합조시촉진노년인위생복무이용。
Ob j ective To understand elderly health service needs and utilization and its influencing factors ,and provide scientifical basis for promoting the utilization of health service ,prolonging life ,improving the quality life of the elderly .Methods 423 cases of elderly over 60 years by Multi‐stage random sampling method were extracted , and face‐to‐face interviews by self‐designed questionnaire were applied .Results 1 )2‐week prevalence of empty nesters was 38 .5% and chronic disease prevalence was 82 .2% ;2 ) two weeks of treatment was 24 .3% and nearly a year of hospitalization was 21 .8% .3)2‐week prevalence rate factors were :education(χ2 =8 .472 ,P= 0.037) , marital status(χ2 =11 .720 ,P= 0 .003) ,living conditions(χ2 =5 .560 ,P= 0 .018) ,monthly family income per ca‐pita(χ2 = 6 .806 ,P= 0 .078 ) ,sleep situation every day (χ2 = 14 .146 ,P= 0 .001 ) were statistically significant differences .4 )2‐week attendance rate factors were :education (χ2 = 7.882 ,P= 0 .049 ) ,living conditions (χ2 =7.933 ,P= 0 .005) and the difference was statistically significant .Positive response( t= 15 .138 ,P= 0 .000) and negative coping( t= 8 .149 ,P= 0 .005) on health service utilization with statistical significance .Conclusion The elderly health services demand rate is high and the utilization rate is low .So comprehensive measurements should be taken to promote the utilization of health services of elderly people .