CAJ | 학술논문

目的：了解武陵山区农村妇女生命质量影响因素，为提高该地区人群的生命质量提供参考依据。方法采用一般情况调查表和 WHOQOL-BREF 量表对随机整群抽样的武陵山区1521名农村妇女进行调查。结果生命质量各领域得分，生理领域、心理领域、社会关系领域、环境领域分别为12.66±1.34、12.26±1.32、14.74±1.42和12.19±1.68。单因素分析显示年龄、婚况、文化程度、体育锻炼、家庭收入、是否患慢性病及妇科病各因素中除家庭年收入对生理领域和文化程度对社会关系领域的影响经分析差异无统计学意义外，其余各因素在生命质量各领域的得分经分析差异均有统计学意义（P ＜0.05）。多元线性逐步回归分析结果表明，生理领域得分受7个因素影响，前3位是：睡眠质量、家庭成员和睦状况、是否患慢性病；心理领域得分受9个因素影响，前3位是：年龄、家庭年收入、婚况；社会关系领域得分受5个因素影响，前3位是：是否患慢性病、家庭成员和睦状况、是否患妇科病；环境领域得分受9个因素影响，前3位是：对居住环境的满意度、家庭年收入、体育锻炼。结论武陵山区农村妇女生命质量各领域得分高于本地留守老年人。影响武陵山区农村妇女生命质量的因素是多方面的，其中睡眠质量、家庭成员和睦状况、是否患妇科病和慢性病、年龄、家庭年收入、婚况、体育锻炼、对居住环境的满意度是主要影响因素。
목적：료해무릉산구농촌부녀생명질량영향인소，위제고해지구인군적생명질량제공삼고의거。방법채용일반정황조사표화 WHOQOL-BREF 량표대수궤정군추양적무릉산구1521명농촌부녀진행조사。결과생명질량각영역득분，생리영역、심리영역、사회관계영역、배경영역분별위12.66±1.34、12.26±1.32、14.74±1.42화12.19±1.68。단인소분석현시년령、혼황、문화정도、체육단련、가정수입、시부환만성병급부과병각인소중제가정년수입대생리영역화문화정도대사회관계영역적영향경분석차이무통계학의의외，기여각인소재생명질량각영역적득분경분석차이균유통계학의의（P ＜0.05）。다원선성축보회귀분석결과표명，생리영역득분수7개인소영향，전3위시：수면질량、가정성원화목상황、시부환만성병；심리영역득분수9개인소영향，전3위시：년령、가정년수입、혼황；사회관계영역득분수5개인소영향，전3위시：시부환만성병、가정성원화목상황、시부환부과병；배경영역득분수9개인소영향，전3위시：대거주배경적만의도、가정년수입、체육단련。결론무릉산구농촌부녀생명질량각영역득분고우본지류수노년인。영향무릉산구농촌부녀생명질량적인소시다방면적，기중수면질량、가정성원화목상황、시부환부과병화만성병、년령、가정년수입、혼황、체육단련、대거주배경적만의도시주요영향인소。
Objective To explore the influencing factors of quality of life (QOL)in rural women,and provide evidence for improving QOL of rural women in Wuling Mountain areas.Methods Random cluster sampling survey was con-ducted among 1521 rural women in the Wuling Mountain areas by general characters questionnaire and WHOQOL-BREF questionnaire.Results The mean scores of 4 domains were:physiological field (12.66 ±1.34),psychological field (12.26 ±1.32),social relationship field (14.74 ±1.42)and environmental field (12.19 ±1.68).Univariate analysis showed that there were significant difference between QOL scores in different age,marriage condition,degree of culture, sports,chronic diseases and gynecological diseases levels (P <0.05).Besides income on physiological domain and educa-tion on social relationships domain were no significant difference.According to multivariate analysis results,the physical do-main score was influenced by 7 factors,the top three were the quality of sleep,family harmony and whether suffering from chronic diseases.The psychological domain score was influenced by 9 factors,the top three were age,family income and marital status.The social score was influenced by 5 factors,the top three were chronic diseases condition,family harmony and gynecological diseases condition.The field of environment was influenced by 9 factors,the top three were the satisfaction at living environment,family income and physical exercise.Conclusion The score of QOL of rural women in Wuling Mountain areas is higher than local left-behind elderly people.There are many aspects that influence the QOL of rural women,including sleep quality,family harmony,whether had gynecological and chronic diseases,age,family income, marital status,physical exercise and the satisfaction at living environment.