文章摘要
李心怡,李 忠,许张娣,陈家应.苏北农村地区老年人生命质量及影响因素分析[J].南京医科大学学报(社会科学版),2017,(1):7~11
苏北农村地区老年人生命质量及影响因素分析
Analysis of elderly people’s health quality and its influencing factors in the northern rural areas of Jiangsu Province
投稿时间:2016-08-19  
DOI:10.7655/NYDXBSS20170102
中文关键词: 老年人  生命质量  江苏  农村  EQ-5D
英文关键词: the aged  quality of life  Jiangsu  rural area  EQ-5D
基金项目:国家自然科学基金项目“基于患者体验的公立医院改革绩效评价研究”(71473129)
作者单位
李心怡 南京医科大学医政学院江苏 南京 211166 
李 忠 华中科技大学医药卫生管理学院湖北 武汉 430074 
许张娣 南京医科大学基础医学院江苏 南京 211166 
陈家应 南京医科大学医政学院江苏 南京 211166 
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中文摘要:
      目的:了解江苏省北部地区农村老年人生命质量状况及其影响因素,为相关政策的制定与执行提供参考依据。方法:采用欧洲五维健康量表(EQ-5D量表)和自制调查问卷,对苏北四市农村地区1 889名老年人进行调查,分析农村老年人生命质量状况,探讨其影响因素。结果:苏北农村地区老年人EQ-VAS平均得分为(71.3±16.7)分,老年人对其行动能力、自我照顾能力、焦虑或抑郁的评价较高,满意率分别为75.2%、83.2%和78.2%;而对疼痛或不舒服以及日常生活能力的评价相对较低,满意率分别为56.2%和72.9%。年龄、经济收入、婚姻状况、患慢性病情况、居住方式等均可影响老年人生命质量状况。结论:苏北农村地区低收入、独居的空巢老年人需要更多关怀,政府应加强农村老年居民慢性病健康管理,完善农村社会保障制度,为老年人提供一个健康和谐的养老环境。
英文摘要:
      To investigate the quality of life and its influencing factors on elderly people in the northern rural areas of Jiangsu, and provide reference for policy-making and implementing. Methods: A survey with EQ-5D and self-made questionnaire was used to investigate 1889 elderly person in four cities from northern rural of Jiangsu. Then, we analyzed the factors which affect the quality of life among the elderly in rural area. Results: The average score of EQ-VAS was 71.3±16.7. Compared with pain/discomfort and usual activities, elderly people had fewer problems in mobility, self-care and anxiety/depression. The rates of satisfaction were 75.2%, 83.3%, 78.2%, 56.2% and 72.9% respectively in five dimensions. The quality of life among elderly person was influenced by age, economic income, marital status, chronic disease and living way. Conclusion: Empty-nesters with low-income in the northern rural areas of Jiangsu need more cares. The government should strengthen health management of chronic diseases, improve social welfare system in rural and provide a healthy and harmonious atmosphere for the aged.
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