本文關(guān)鍵詞： 廣西壯族自治區(qū) 農(nóng)村老年人 生命質(zhì)量 健康相關(guān)生命質(zhì)量測(cè)定量表　出處：《桂林醫(yī)學(xué)院》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:對(duì)廣西壯、瑤、苗、侗、仫佬、毛南、回、京族等8個(gè)少數(shù)民族地區(qū)農(nóng)村老年人和漢族農(nóng)村老年人生命質(zhì)量狀況進(jìn)行評(píng)估,旨在為促進(jìn)優(yōu)化廣西農(nóng)村老年人的生命質(zhì)量提供政治依據(jù),促進(jìn)少數(shù)民族農(nóng)村老年人的健康老齡化發(fā)展。方法:采用分層和整群抽樣的多階段抽樣方法獲取調(diào)查對(duì)象,使用自制的《家庭調(diào)查表》、自制的《老年人調(diào)查表》,用于了解調(diào)查老年人基本情況,應(yīng)用《歐洲生命質(zhì)量測(cè)定量表(EQ-5D)》反映老年人生命質(zhì)量狀況。統(tǒng)計(jì)學(xué)方法使用Epidata 3.1,雙人錄入校驗(yàn);應(yīng)用SPSS12.0對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析。統(tǒng)計(jì)方法主要為t檢驗(yàn)、單因素方差分析、秩和檢驗(yàn)、多元逐步回歸分析等。檢驗(yàn)水準(zhǔn)為α=0.05。結(jié)果:1、此次調(diào)查問(wèn)卷應(yīng)用的EQ-5D總量表的Cronbach’sα系數(shù)為0.775,平均測(cè)量的類內(nèi)相關(guān)性為0.472,EQ-5D指數(shù)與EQ-VAS得分之間Pearson相關(guān)系數(shù)為0.431。2、廣西少數(shù)民族地區(qū)農(nóng)村老年人EQ-VAS平均得分為(69.82±10.63)分,EQ-5D指數(shù)評(píng)分為(0.784±0.153)分。3、老年人對(duì)其自我照顧能力評(píng)價(jià)相對(duì)較高,滿意率為93.1%,而對(duì)疼痛或不適的評(píng)價(jià)較差,滿意率為30.1%。其中,壯族老年人EQ-5D健康指數(shù)得分最高,為0.81;回族老年人EQ-5D健康指數(shù)得分最低,為0.76。健康水平處于一般的民族為瑤族、苗族、侗族、仫佬族、毛南族、京族以及漢族。4、廣西少數(shù)民族地區(qū)農(nóng)村老年人生命質(zhì)量狀況受性別、年齡、受教育程度、婚姻狀況、收入水平、住院率、是否獨(dú)居、慢性病等因素影響。不同人群生命質(zhì)量狀況各有特點(diǎn)。5、多因素分析結(jié)果顯示,廣西不同民族農(nóng)村老年人EQ-5D指數(shù)評(píng)分與年齡、性別、文化程度及是否患有慢性病存在相關(guān);年齡較大、女性、文化程度較低、患有慢性病的農(nóng)村老年人EQ-5D指數(shù)評(píng)分較低,健康狀況較差。EQ-VAS自評(píng)分與年齡、性別、文化程度、家庭年人均總收入及是否患有慢性病存在相關(guān);女性、年齡大、文化程度低、家庭年人均總收入低、患有慢性病的農(nóng)村老年人EQ-VAS自評(píng)分較低,自我健康狀況評(píng)價(jià)較差。兩種健康相關(guān)得分均受年齡、性別、文化程度、經(jīng)濟(jì)收入和患慢性疾病情況影響。結(jié)論:1、健康相關(guān)生命質(zhì)量測(cè)定量表(EQ-5D)的信度較好、效度尚可,可用于廣西少數(shù)民族地區(qū)農(nóng)村老年人生命質(zhì)量狀況調(diào)查,但部分內(nèi)容需要修訂以滿足文化水平較低農(nóng)村老年人的需要。2、廣西不同民族地區(qū)農(nóng)村老年人對(duì)其自我照顧能力的評(píng)價(jià)相對(duì)較高,而對(duì)疼痛或不適的評(píng)價(jià)較差。其中,壯族為本次調(diào)查中老年人生命質(zhì)量最好的民族。
[Abstract]:Objective: to evaluate the quality of life (QOL) of the elderly in the rural areas of Zhuang, Yao, Miao, Dong, Mulao, Maonan, Huihui and Jing ethnic minority areas of Guangxi, and to evaluate the quality of life of the elderly in the rural areas of Han nationality. The purpose of this study was to provide a political basis for optimizing the quality of life of the elderly in rural areas of Guangxi, and to promote the healthy aging development of the elderly in rural areas of ethnic minorities. Methods: the survey subjects were obtained by multi-stage sampling method of stratified and cluster sampling. Using the home-made Family questionnaire and the Self-made questionnaire for the elderly to understand the basic situation of the survey of older persons, The European quality of Life scale (EQ-5D) was used to reflect the quality of life of the elderly. Epidata 3.1 was used to verify the quality of life of the elderly, and SPSS12.0 was used to analyze the data. The statistical methods were t test and single factor variance analysis. Rank sum test, Multiple stepwise regression analysis and so on. The test level is 偽 0.05.Results: 1, the Cronbach's 偽 coefficient of the total EQ-5D scale used in this questionnaire is 0.775, the average intra-class correlation is 0.472EQ-5D index and EQ-VAS score is 0.431.2, and the Pearson correlation coefficient of Guangxi minority people is 0.431.2. The average score of EQ-VAS was 69.82 鹵10.63 and the score of EQ-5D index was 0.784 鹵0.153. The evaluation of self-care ability of the elderly was relatively high. The satisfaction rate was 93.1, while the evaluation of pain or discomfort was poor, and the satisfaction rate was 30.1.Of them, the Zhuang elderly had the highest score of EQ-5D health index (0.81), and the Hui elderly had the lowest EQ-5D health index (0.76). Miao, Dong, Mulao, Maonan, Jing and Han. 4. The quality of life of the rural elderly in minority areas of Guangxi is affected by sex, age, education, marital status, income level, hospitalization rate, whether living alone, The results of multivariate analysis showed that the scores of EQ-5D index in the rural elderly of different nationalities in Guangxi were related to age, sex, education level and chronic disease. Older, female, lower education, lower EQ-5D index score of rural elderly with chronic diseases, poor health status. EQ-VAS self-score is related to age, sex, education level, family per capita income and chronic diseases. Women with older age, lower education level, lower annual per capita family income, lower self-score of EQ-VAS and worse evaluation of self-health status of the rural elderly with chronic diseases. Conclusion: the EQ-5D scale has good reliability and good validity. It can be used to investigate the quality of life of the rural elderly in minority areas of Guangxi. However, some of the contents need to be revised to meet the needs of the elderly with lower education level in rural areas. The evaluation of self-care ability of the rural elderly in different ethnic areas in Guangxi is relatively high, but the evaluation of pain or discomfort is poor. Zhuang nationality is the nation with the best quality of life in this survey.
【學(xué)位授予單位】：桂林醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R161.7

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 康敏;黃照權(quán);石武祥;楊平;劉建英;高東;麥浩;郭振友;;廣西少數(shù)民族地區(qū)農(nóng)村老年人生命質(zhì)量調(diào)查[J];安徽醫(yī)科大學(xué)學(xué)報(bào);2016年02期

2 崔俊營(yíng);唐景霞;秦江梅;張艷春;陳英;黃蓉;明延飛;;運(yùn)用多水平模型分析哈密老年人生命質(zhì)量影響因素[J];中華疾病控制雜志;2015年03期

3 毛會(huì);袁萍;邱培媛;楊洋;;廣元市農(nóng)村老年人生命質(zhì)量現(xiàn)狀分析[J];預(yù)防醫(yī)學(xué)情報(bào)雜志;2015年01期

4 張迪;何作順;;老年人生命質(zhì)量研究狀況[J];中國(guó)老年學(xué)雜志;2015年02期

5 王炎梅;何華英;;中國(guó)老年人生命質(zhì)量研究進(jìn)展[J];湖北醫(yī)藥學(xué)院學(xué)報(bào);2014年01期

6 何作順;張迪;李鴻;張態(tài);劉建園;;民族地區(qū)殘疾老年人生存質(zhì)量調(diào)查研究[J];現(xiàn)代預(yù)防醫(yī)學(xué);2014年03期

7 張憶雄;桂瑩;鄒焰;冉文亮;馬佳;李小平;;中國(guó)不同地區(qū)老年人生活質(zhì)量對(duì)比及影響因素[J];中國(guó)老年學(xué)雜志;2013年18期

8 萬(wàn)秋英;宋麗君;;老年慢性病患者生命質(zhì)量的影響因素[J];中國(guó)老年學(xué)雜志;2013年18期

9 高月霞;陳德喜;莊勛;黃彬捚;華怡;肖靜;;南通市老年人生命質(zhì)量影響因素的因子分析[J];中國(guó)老年學(xué)雜志;2013年16期

10 劉麗萍;劉桂瑛;甘益鳳;蔣琛嫻;李楠;;廣西人口老齡化對(duì)經(jīng)濟(jì)社會(huì)發(fā)展的影響及對(duì)策研究[J];學(xué)術(shù)論壇;2013年04期

，

本文編號(hào)：1522240