本文關(guān)鍵詞：農(nóng)村獨居老人機構(gòu)養(yǎng)老需求意愿及其生活質(zhì)量影響因素的研究　出處：《錦州醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的本研究旨在了解遼寧省農(nóng)村獨居老人機構(gòu)養(yǎng)老需求意愿及其生活質(zhì)量情況,分析影響其機構(gòu)養(yǎng)老需求意愿及生活質(zhì)量的主要因素,為農(nóng)村機構(gòu)養(yǎng)老模式的推進及農(nóng)村獨居老人生活質(zhì)量的提高提供理論依據(jù)。方法本研究于2015年3月~2016年4月之間,采用便利抽樣的方式,從遼寧省抽取八個縣(朝陽縣、建昌縣、臺安縣、義縣、昌圖縣、撫順縣、本溪滿族自治縣、遼中縣),再從每個縣中方便抽取一個行政村,嚴(yán)格按照納入、排除標(biāo)準(zhǔn)選取302名農(nóng)村獨居老人為本研究的研究對象,采用入戶、面對面的方式對研究對象進行問卷調(diào)查。所用問卷:一般情況調(diào)查表、社會支持評定量表、簡明健康狀況調(diào)查表。統(tǒng)計方面,采用SPSS20.0統(tǒng)計軟件包對數(shù)據(jù)進行描述性分析、t檢驗、F檢驗、卡方檢驗、Pearson相關(guān)分析、多元線性回歸分析、Logistic回歸分析、Spearman相關(guān)分析。結(jié)果本次調(diào)查的302例農(nóng)村獨居老人中,選擇機構(gòu)養(yǎng)老者有83人,占總?cè)藬?shù)27.5%;老人社會支持總分為(29.85±5.83)分,低于國內(nèi)常摸(34.56±3.73)分,差異有統(tǒng)計學(xué)意義(t=12.221,P0.001);生活質(zhì)量8個維度中,得分最高的是軀體疼痛維度(62.25±19.41)分,最低的為總體健康維度(32.16±31.62)分。月收入、兒子數(shù)量、患病數(shù)量、社會支持總分對農(nóng)村獨居老人機構(gòu)養(yǎng)老需求意愿有顯著影響(P0.05)。年齡、患病數(shù)量、客觀支持及社會支持總分對農(nóng)村獨居老人的生活質(zhì)量有顯著影響(P0.05)。農(nóng)村獨居老人機構(gòu)養(yǎng)老需求意愿與其生活質(zhì)量八個維度及總分均存在相關(guān)性,相關(guān)性均有統(tǒng)計學(xué)意義(P0.05)。結(jié)論遼寧省農(nóng)村獨居老人對機構(gòu)養(yǎng)老模式有一定的需求意愿,但由于經(jīng)濟、觀念等因素的制約,愿意選擇機構(gòu)養(yǎng)老的老人比例不高;獨居老人社會支持水平較低,須完善其社會支持網(wǎng)絡(luò);在獨居老人生活質(zhì)量的維度中,總體健康情況較差,需要引起重視。月收入、兒子數(shù)量、患病數(shù)量、社會支持是農(nóng)村獨居老人機構(gòu)養(yǎng)老需求意愿的主要影響因素。年齡、患病數(shù)量、客觀支持及社會支持總分是農(nóng)村獨居老人生活質(zhì)量的主要影響因素,提高其生活質(zhì)量,需要從影響因素出發(fā)。農(nóng)村獨居老人機構(gòu)養(yǎng)老需求意愿與其生活質(zhì)量存在相關(guān)性,提高農(nóng)村獨居老人的生活質(zhì)量,應(yīng)當(dāng)推進機構(gòu)養(yǎng)老模式進程;推進機構(gòu)養(yǎng)老方式應(yīng)以滿足其養(yǎng)老需求,提高其生活質(zhì)量為基點。
[Abstract]:The purpose of this study is to understand the rural elderly pension institutions in Liaoning province and the quality of life demands, analysis of main factors affecting the demand of pension institutions and the quality of life, and provide a theoretical basis for promoting the quality of life of rural and rural elderly pension model to improve the mechanism. Methods in this study between March 2015 ~2016 April, using convenience sampling method, eight counties in Liaoning province were selected (Chaoyang County, Jianchang County, Taiwan County, Yixian, Changtu County, Fushun County, Benxi Manchu Autonomous County, Liaozhong County), then from each county in a convenient administrative village were, in strict accordance with the the inclusion and exclusion criteria selected 302 rural elderly people living alone as the research object of this study, using interview and face-to-face questionnaire survey was conducted on the research object. Questionnaires were used: general situation questionnaire, social support assessment scale, and concise health status questionnaire. In statistics, SPSS20.0 statistical software package was used to do descriptive analysis, t test, F test, chi square test, Pearson correlation analysis, multiple linear regression analysis, Logistic regression analysis and Spearman correlation analysis. Results 302 cases of elderly people living alone in rural areas in this survey, selection of pension institutions who have 83 people, accounting for 27.5% of the total; the total score of social support for the elderly (29.85 + 5.83), lower than the national norm (34.56 + 3.73), the difference was statistically significant (t=12.221, P0.001); the 8 dimensions of quality of life that is the highest score of body pain dimension (62.25 + 19.41), the lowest for general health (32.16 + 31.62) points. The monthly income, the number of sons, the number of diseases, and the total social support score have significant influence on the desire of the elderly in rural areas (P0.05). Age, number of diseases, objective support and total social support score have significant influence on the quality of life of the old people living alone in rural areas (P0.05). There was a correlation between the eight dimensions and total scores of the quality of life for the elderly people living alone in rural areas, and the correlation was statistically significant (P0.05). Conclusion the elderly in rural areas of Liaoning province has certain demands on Institutions Pension Model, but due to the restriction of economy, concepts and other factors, are willing to choose the mechanism of pension for the elderly is not high proportion of elderly people living alone; low social support, to improve the social support network; the life quality of elderly people living alone in the perspective of the overall poor health conditions we need to pay attention to. Monthly income, the number of sons, the number of diseases and social support are the main factors affecting the willingness of rural elderly to live in the elderly. Age, number of diseases, objective support and total score of social support are the main factors influencing the quality of life of rural elderly living alone. There is a correlation between the needs of the elderly living alone in the rural areas and their quality of life. The improvement of the quality of life of the elderly living alone should be promoted, and the way of institutional endowment should be promoted.
【學(xué)位授予單位】：錦州醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：D669.6;R161.7

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