【作者】 龚鹤琴；

【导师】 祁秉先； 姜润生；

【作者基本信息】 昆明医学院 ， 社会医学与卫生事业管理， 2003， 硕士

【摘要】 健康老龄化是应对社会人口老龄化挑战的重要举措，也是以人为本社会发展的主要目标之一。提高老年人生活质量是实现健康老龄化运动的核心内容。本文采用WHOQOL-BREF量表和自行设计的老年社区医疗保健情况调查表，对云南省楚雄市303名城市社区老年生活质量进行测评和影响因素分析。结果显示：楚雄城市社区老年人生活质量平均百分得分从高到低依次为：Q₁（70.6931±13.5874）、Q₂（67.3627±14.3544）、社会（60.6161±13.6835）、生理（60.2074±13.7784）、心理（59.6672±12.4723）、环境（59.0965±12.3367），差异有非常显著性（P＜0.001）；老年人生活质量和健康状况的总的主观感受（自评）百分平均得分均高于四领域评价得分（P＜0.001）；78.8％～84.5％的老年人四领域得分集中在50～80分之间，但在四领域之间，得分无显著性差异（P＞0.05）。四领域相互关联，相互影响，共同构成并决定着老年人生活质量水平的高低。年龄、慢性病患病率、两周患病率、一年住院率是影响老年人生理领域得分的主要因素；家庭月平均收入、生活来源、职业、文化程度是影响老年人心理领域得分的主要因素；年龄、婚姻状况、居住方式、文化程度、职业是影响老年人社会领域得分的主要因素；婚姻状况、职业、医保满意度是影响老年人环境领域得分的主要因素。为了实现健康老龄化，提高老年人生活质量，本文从个人、家庭和社区三个层次，围绕“五个老有”目标提出了相应的对策和建议。更多还原

【Abstract】 Healthy aging is one of the very important measures which cope with the population aging, and is also one of the major goals for the development of society.The improvement of quality of life for the elderly is the core content of achieving healthy aging.Totally,303 permanent residents aged over 60 years were selected to be interviewed with WHOQOL-BREF and questionaire related to community medical health care for the aged. The results show that: the marks of QOL for the 303 elderly is respectively Q₁ （70.6931 ± 13.5874）, Q₂ （67.3627±14.3544）, SOCIL （60.6161 ±13.6835）, PHYS （60.2074± 13.7784）, PSYCH （59.6672± 12.4723）, ENVIR （59.0965 ± 12.3367） （P<0.001） ; evaluation marks by self is higher than that by four domains （P<0.001）; 78.8%⁸4.5% elderly marks mainly varies from 50 to 80,and the marks in four domains is no significant difference （P>0.05） .The four domains are interrelated and interaffected,which consist of and embody the level of QOL.Age,the prevalence rate of chronic disease ,the 2-week prevalence rate,the admission rate are the mainly affecting factors in PHYS;family average income monthly,living sources,occupation,education level are the mainly affecting factors in PSYCH; Age, marital status,resident mode, education level, occupation are the mainly affecting factors in SOCIL; marital status, occupation.satisfaction degree with medical security are the mainly affecting factors in ENVIR. The author puts forword the strategies and recommendations from individuality , family and community three facets to achieve the grand goal of healthy aging and improve the quality of life.更多还原