本文選題：老年 + 生命質(zhì)量��； 參考：《大連醫(yī)科大學(xué)》2016年碩士論文

【摘要】：目的:老齡化以來,如何保護老年人的基本健康權(quán)益,提供符合老人需要的適宜老年關(guān)愛社會服務(wù)體系,成為衛(wèi)生政策制定者的關(guān)注重點,本研究通過實證研究,對東北某開放城市的老齡人口的生命質(zhì)量和相關(guān)因素研究,提出改良老年人衛(wèi)生服務(wù)體系的政策建議。方法:通過整群分層隨機抽樣的辦法,抽取城鄉(xiāng)60歲以上老年人,通過填寫生命質(zhì)量問卷、個人基本信息等,獲得老年人社會、心理和生理方面的信息。采用多元方差分析手段,對影響老年人生命質(zhì)量的影響因素進行分析,并在此基礎(chǔ)上提出具體的養(yǎng)老服務(wù)體系重點建設(shè)內(nèi)容。結(jié)果:(1)老年人的生命質(zhì)量與個人社會學(xué)特征有關(guān),城鄉(xiāng)之間、年齡之間、文化水平之間有顯著差別,但是性別間差別無統(tǒng)計學(xué)意義;(2)老年人生命質(zhì)量與其社會生活狀態(tài)有密切關(guān)系,經(jīng)濟來源、子女見面間隔、社會活動等因素是重要的影響因素,提示安排好老年人的社會生活可以有效改善老人的生命質(zhì)量;(3)老年人生命質(zhì)量與其切實能夠理解的醫(yī)療衛(wèi)生服務(wù)溝通、關(guān)懷有關(guān),而與其無法真正掌握的技術(shù)方面問題無關(guān),提示在實施以姑息治療為基本臨床原則的醫(yī)療服務(wù),更應(yīng)該重視與服務(wù)相關(guān)的工作內(nèi)容設(shè)計;(4)老年人對于好醫(yī)生、好技術(shù)、服務(wù)流程等專業(yè)問題雖然有不同的看法,但都不影響其生命質(zhì)量,提示老人在這些方面并不具備可靠的分析判斷能力;相反,醫(yī)療服務(wù)設(shè)計中,有助于提升老人分析判斷能力的溝通、交流方面的努力,對老年人生命質(zhì)量有影響;(5)老齡產(chǎn)業(yè)中的醫(yī)療衛(wèi)生服務(wù),應(yīng)該更多吸納相關(guān)社會科學(xué)的技術(shù)手段,可以事半功倍地維護老年人的生命質(zhì)量。結(jié)論:(1)影響老年的生命質(zhì)量的主要因素包括個人社會特征、生理與健康、社會活動與社會支持。(2)提高老年人生命質(zhì)量,需要在以下幾方面進行改善:⑴保證醫(yī)療衛(wèi)生服務(wù)的技術(shù)內(nèi)涵,加強老年醫(yī)養(yǎng)結(jié)合服務(wù)體系建設(shè)。⑵強化設(shè)計衛(wèi)生服務(wù)中的社會服務(wù)內(nèi)容,提升老年人在服務(wù)中的感知水平。⑶繼續(xù)加強老年社會保障體系建設(shè),解決養(yǎng)老的資金問題。⑷引導(dǎo)患者合理使用醫(yī)療資源。⑸提升患者就診價值感。
[Abstract]:Objective: since aging, how to protect the basic health rights and interests of the elderly and to provide a suitable social service system for the elderly to care for the elderly has become the focus of attention of health policy makers. The quality of life and related factors of the aged population in an open city in Northeast China were studied, and some policy suggestions were put forward to improve the health service system of the elderly. Methods: by means of cluster stratified random sampling, the elderly aged over 60 years old in urban and rural areas were selected. The social, psychological and physiological information of the elderly was obtained by filling out the quality of life questionnaire and basic personal information. The factors influencing the quality of life of the elderly were analyzed by means of multivariate variance analysis, and on the basis of this, the contents of the key construction of the old-age service system were put forward. Results (1) the quality of life of the elderly was related to their sociological characteristics, and there were significant differences between urban and rural areas, ages and educational levels. However, there is no statistically significant difference between sex and quality of life. (2) the quality of life of the elderly is closely related to their social living conditions. Economic sources, spacing between children and children, social activities and other factors are important factors that affect the quality of life of the elderly. It is suggested that the quality of life of the elderly can be improved effectively by arranging the social life of the elderly. (3) the quality of life of the elderly has something to do with the communication and care of the medical and health services that they can understand, but it has nothing to do with the technical problems that they cannot really master. It is suggested that in carrying out medical services with palliative treatment as the basic clinical principle, more attention should be paid to the design of service related work contents. (4) although the elderly have different views on professional issues such as good doctors, good skills, service flow, etc., However, they do not affect their quality of life, suggesting that the elderly do not have reliable analytical and judgment skills in these areas. On the contrary, the design of medical services contributes to communication and communication efforts to enhance the elderly's ability to analyze and judge. (5) the medical and health services in the aging industry should absorb more technical means of social science, so as to maintain the quality of life of the elderly with half the effort. Conclusion the main factors affecting the quality of life of the elderly include personal social characteristics, physiology and health, social activities and social support. It is necessary to improve the technical connotation of the medical and health service in the following aspects, strengthen the construction of the medical and nursing service system for the elderly and strengthen the content of the social service in the design of the health service. To improve the perceived level of the elderly in the service continued to strengthen the construction of social security system for the elderly to solve the problem of old-age funding .4 guide patients to use medical resources reasonably to enhance the value of patients to see a doctor.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R197.1

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