【摘要】 目的　了解合肥市离退休老年人群生活质量现状及其影响因素。方法　采用分层随机抽样方法 ,对合肥市 63 3名 60岁以上离退休老年人的生活质量及相关因素进行横断面研究 ,使用标准化的生活质量相关量表和社会人口特征调查问卷进行询问调查。结果　有躯体残疾或患慢性疾病者占 70 6% ,生活活动功能完全正常者占71 9% ,孤独评分平均得分 3 7 85 ,生活满意度指数A平均得分 10 0 8,社会支持平均得分 3 3 95 ,家庭功能平均得分2 3 80 ,有 74 7%的老人对目前自己的身体健康状况满意。多因素分析表明孤独、家庭功能、社会支持、慢性疾病、经济收入、膳食营养、睡眠、体育锻炼、职业和年龄等是生活满意度的主要影响因素。逐步回归分析显示 ,孤独、社会支持、睡眠与体育锻炼是预测生活满意度指数的前三位变量。结论　重视老年人心理卫生保健 ,积极发挥家庭、社会在提高老年人生活质量中的作用 ,是今后老年卫生保健、老年社会服务的方向更多还原

【Abstract】 Objectives To study the present situation and the affecting factors of quality of life (QOL) among retired elderly people in Hefei.Methods A cross-sectional,epidemiological study was conducted with the participation of 633 elderly subjects,aged 60 years and over,selected randomly from 15 stratified sampling units.Data were collected through individual interviews using standardized health-related QOL questionnaires and a socio-demographic health information form.Results Of the 633 subjects,70.6% had chronic diseases or disabilities,and 71.9% had perfect activities of daily life,and 74.7% were satisfied with their fitness.The average scores of loneliness,Life Satisfaction Index A(LSIA),social support,and family function were 37.85,10.08,33.95,and 23.80 respectively.The results of multiple variables analysis indicated that loneliness,family function,social support,chronic diseases,economic situation,diet and nutrition,sleeping,exercise,occupation,age,and so on.were important determinants of life satisfaction.Loneliness,social support,sleep and exercise were the three powerful predicting variables of life satisfaction.Conclusion It was the future directions for elderly health care and social service to pay attention to elderly psychological and mental health care,and make use of the function of society and family in improving the QOL of the elderly people.更多还原