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|本期目录/Table of Contents|

东部地区社区居家医养结合服务老年人生命质量研究(PDF)

《现代预防医学》[ISSN:1003-8507/CN:51-1365/R]

期数:
2022年17期
页码:
3154-3158
栏目:
基层卫生服务
出版日期:
2022-09-15

文章信息/Info

Title:
Quality of life of elderly people in community-based home health care integration services in the eastern area
作者:
韦慧燕; 万乐平; 杨光媚; 梁笑笑; 董海颖; 何燕
郑州大学公共卫生学院社会医学与卫生事业管理学系,河南 郑州 450001
Author(s):
WEI Hui-yan;  WAN Le-ping;  YANG Guang-mei;  LIANG Xiao-xiao;  DONG Hai-ying;  HE Yan
College of Public Health, Zhengzhou University, Zhengzhou, Henan 450001, China
关键词:
老年人;  生命质量;  Tobit模型;  影响因素;  EQ-5D量表
Keywords:
Elderly;  Quality of life;  Tobit model;  Influencing factors;  EQ-5D scale
分类号:
R197.1
DOI:
10.20043/j.cnki.MPM.202202340
文献标识码:
A
摘要:
目的 了解东部地区社区居家医养结合服务老年人生命质量状况,并探讨其影响因素,为我国政府制定促进健康老龄化政策提供理论依据。方法 采用多阶段分层抽样的方法,对苏州、广州两地接受社区居家医养结合服务的老年人进行问卷调查。使用欧洲5维健康量表(EQ-5D量表)计算其健康效用值,单因素分析使用秩和检验,多因素分析使用Tobit回归模型。结果 社区居家医养结合服务老年人健康效用值中位数为0.699。在5个维度中,存在困难比例依次为日常活动能力(56.8%)、行动能力(55.0%)、自我照顾能力(50.8%)、疼痛/不适(42.0%)、焦虑/抑郁(24.7%)。Tobit回归模型结果显示:城镇职工基本医疗保险、月收入1 001～5 000元、未患有慢性病、每日睡眠时间6～8 h是东部地区社区居家医养结合服务老年人健康相关生命质量的保护因素。结论 东部地区社区居家医养结合服务老年人生命质量较差,需采取针对性措施改善社区居家医养结合服务老年人生命质量。
Abstract:
Objective To understand the quality of life of elderly in community-based home health care integration services in the eastern area and explore the influencing factors, so as to provide a theoretical basis for our government to formulate policies to promote healthy aging. Methods A multi-stage stratified sampling method was used to conduct a questionnaire survey of elderly people receiving community-based home health care integration services in Suzhou and Guangzhou. Their health utility values were calculated using the European 5-Dimensional Health Scale(EQ-5D scale), and rank-sum test was used for single-factor analysis, with Tobit regression model used for multi-factor analysis. Results The median health utility value of community-based home health care services for the elderly people was 0.699. The difficulties and their proportions in the 5 dimensions were, in order, ability to perform daily activities(56.8%), mobility(55.0%), self-care(50.8%), pain/discomfort(42.0%)and anxiety/depression(24.7%). Tobit regression model results showed that urban employees’ basic medical insurance, monthly income of 1 001-5 000 yuan, not suffering from chronic diseases and sleep time of 6-8 h were protective factors of the health-related quality of life of elderly people in community-based home health care integration services in the eastern area. Conclusion The quality of life of elderly people in community-based home health care integration services in the eastern area is poor, and targeted measures are needed to improve the quality of life of elderly people community-based home health care integration services.

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备注/Memo

备注/Memo:
基金项目:国家重点研发计划项目(2020YFC2006100); 河南省哲学社会科学规划年度项目(2020BSH017); 河南省重点研发与推广专项(科研攻关)项目(212102310814); 郑州大学研究生教改与质量提升工程及优质课程建设项目(YJSZXKC201908)
作者简介:韦慧燕(1996—),女,硕士在读,研究方向:社会医学与卫生事业管理学
通讯作者:何燕,E-mail:810231581@qq.com
更新日期/Last Update: 2022-09-15