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预防医学  2025, Vol. 37 Issue (5): 443-448    DOI: 10.19485/j.cnki.issn2096-5087.2025.05.003
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江苏省养老机构老年人生命质量影响因素研究
周蔚, 巢健茜
东南大学公共卫生学院健康管理研究中心,江苏 南京 210009
Influencing factors of quality of life among the elderly in nursing homes in Jiangsu Province
ZHOU Wei, CHAO Jianqian
Health Management Research Center of School of Public Health, Southeast University, Nanjing, Jiangsu 210009, China
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摘要 目的 了解江苏省养老机构老年人生命质量及影响因素,为改善老年人群生命质量提供依据。方法 于2024年3—6月,采用方便抽样方法抽取南京市、苏州市、常州市和镇江市6家养老机构≥60岁老年人为调查对象,通过问卷调查收集基本信息、文娱活动、身体活动、情绪、慢性病、自评健康状况和生活满意度等资料;采用健康调查简表SF-36评估生命质量,包括生理健康和心理健康2项指标。采用多重线性回归模型分析养老机构老年人生理健康和心理健康的影响因素。结果 调查438人,其中男性267人,占60.96%;女性171人,占39.04%。年龄为(83.43±9.27)岁。生理健康得分为(50.67±23.08)分,心理健康得分为(57.45±19.64)分。多重线性回归分析结果显示,年龄(60~<80岁,β'=0.082)、身体活动(有,β'=0.167)、情绪(好,β'=0.359;一般,β'=0.197)、自评健康状况(好,β'=0.249;一般,β'=0.152)和生活满意度(满意,β'=0.592;一般,β'=0.142)是养老机构老年人生理健康的影响因素;退休金/养老金(有,β'=0.169)、医保类别(城镇职工医保,β'=0.212)、身体活动(有,β'=0.210)、慢性病(无,β'=0.104;1~2种,β'=0.081)、情绪(好,β'=0.316;一般,β'=0.111)、自评健康状况(好,β'=0.277;一般,β'=0.211)和生活满意度(满意,β'=0.427;一般,β'=0.067)是养老机构老年人心理健康的影响因素。结论 江苏省养老机构老年人生命质量较差,主要受到身体活动、情绪、自评健康状况和生活满意度的影响。
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周蔚
巢健茜
关键词 养老机构老年人生命质量影响因素    
AbstractObjective To understand the quality of life among the elderly in nursing homes in Jiangsu Province and its influencing factors, so as to provide the basis for improving quality of life among the elderly population. Method Elderly people aged 60 and above living in 6 nursing homes in Nanjing City, Suzhou City, Changzhou City, and Zhenjiang City were selected as the research subjects using the convenient sampling method from March to June 2024. Basic information, entertainment activity, physical activity, emotion, chronic disease, self-assessed health status, and life satisfaction were collected through questionnaire surveys. Quality of life was evaluated using the Short Form 36 Health Survey Questionnaire, including physical health and mental health. Factors affecting physical health and mental health among the elderly in nursing homes were identified with a multiple linear regression model. Results A total of 438 people were surveyed, including 267 males (60.96%) and 171 females (39.04%), with an average age of (83.43±9.27) years. The average scores of physical health and mental health were (50.67±23.08) points and (57.45±19.64) points, respectively. Multiple linear regression analysis showed that age (60 to <80 years, β'=0.082), physical activity (yes, β'=0.167), emotion (good, β'=0.359; generally, β'=0.197), self-assessed health status (good, β'=0.249; generally, β'=0.152) and life satisfaction (satisfaction, β'=0.592; generally, β'=0.142) were factors affecting physical health among the elderly in nursing homes. Retirement/pension (yes, β'=0.169), medical insurance category (urban employees' medical insurance, β'=-0.212), physical activity (yes, β'=0.210), chronic diseases (no, β'=0.104; 1 to 2 types, β'=0.081), emotion (good, β'=0.316; generally, β'=0.111), self-assessed health status (good, β'=0.277; generally, β'=0.211) and life satisfaction (satisfaction, β'=0.427; generally, β'=0.067) were factors affecting mental health among the elderly in nursing homes. Conclusion The quality of life among the elderly in nursing homes in Jiangsu Province is relative poor, mainly affected by physical activity, emotion, self-assessed health status, and life satisfaction.
Key wordsnursing home    the elderly    quality of life    influencing factor
收稿日期: 2024-12-18      修回日期: 2025-04-19     
中图分类号:  R195  
基金资助:2022年度江苏高校哲学社会科学研究重大项目(2022SJZD141)
作者简介: 周蔚,硕士研究生在读,社会保障专业
通信作者: 巢健茜,E-mail:chaoseu@163.com   
引用本文:   
周蔚, 巢健茜. 江苏省养老机构老年人生命质量影响因素研究[J]. 预防医学, 2025, 37(5): 443-448.
ZHOU Wei, CHAO Jianqian. Influencing factors of quality of life among the elderly in nursing homes in Jiangsu Province. Preventive Medicine, 2025, 37(5): 443-448.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2025.05.003      或      http://www.zjyfyxzz.com/CN/Y2025/V37/I5/443
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