西部某市社区老年人生质量及影响因素分析毕业论文.docVIP

西部某市社区老年人生命质量及影响因素分析 摘 要 目的 探讨西部某市社区老年人的生命质量及影响因素,为提高该市老年人的生命质量提供有益的参考资料。 方法 采用EQ-5D量表和调查问卷，通过目的抽样，对中国西部某市社区60岁及以上的814名老年人进行调查，并采用单因素方法进行分析。 结果 西部某市社区老年人生命质量的总体评价较好，其EQ-5D评分中位数为0.796分。老年人对其行动能力、自我照顾能力、日常活动能力的评价较好，满意率分别为80.5%、93.6%和86.9%。而对躯体疼痛或不适以及情绪焦虑或沮丧的评价则相对较差，满意率分别为46.9%和79.2%。老年人常就诊的机构以大中型医院为主，占39.6%，去社区卫生服务机构就诊的仅占28.8%。年龄、性别、家庭人均月收入、主要经济来源、婚姻状况、睡眠质量、体育锻炼、是否患慢性病是影响老年人生命质量的重要因素。 结论 应改善老年人经济状况，改进老年人的生活方式，建立有效的提高老年人生命质量的机制。 关键词 老年人，生命质量，影响因素 Analysis of quality of life and its influence factors of elderly persons in a community of the western city Abstract Objective To investigate the influencing factors of Quality of Life for the elderly in a community of the western city. Methods A survey with EQ-5D and questionnaire was undertaken in 814 intentionally selected residents who were over 60 years ages. Univariate statistical method was employed to analyze the data. Results The general evaluation on quality of life of elderly persons in a community of the western city was better. The median of score of EQ-5D was 0.796. The evaluation of mobility, self-care and usual activities of elderly persons were better. The rates of satisfaction were 80.5%、93.6% and 86.9% respectively. The evaluation of body and emotion feeling was relatively poor .The rates of satisfaction were 46.9% and 79.2% respectively.39.58% of respondents used to go to the different hospitals for medical service, while only 28.75%of them choose community health service; The main influencing factors of Quality of Life for the elderly were age, gender ,average income per person in family, the main pocketbook, marital status, sleep quality, physical exercise and suffer from chronic disease or not. Conclusions It is necessary to enhance the economic situation of the elderly ,to improve the way of life ,and to establish an effective system of improve the life quality of the elderly. Key words elderly persons ,quality of life , influence factors 西部某市社区老年人生命质量及影响因素分析 1.前言 1995年世界卫生组织对生命质量作了如下定义：“an ind